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  1. Order Interrupted by Text: Multitasking Mishap | PSNet

    psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
    August 21, 2015 - SPOTLIGHT CASE Order Interrupted by Text: Multitasking Mishap Citation Text: Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: …

  2. Management and Outcomes of Binge-Eating Disorder in Adults: Current State of the Evidence (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/binge-eating_clinician.pdf
    May 01, 2016 - Management and Outcomes of Binge-Eating Disorder in Adults: Current State of the Evidence Management and Outcomes of Binge-Eating Disorder in Adults: Current State of the Evidence Focus of This Summary This is a summary of a systematic review evaluating the evidence regarding the effectiveness, comparative effectiv…

  3. May I Have Another?—Medication Error | PSNet

    psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
    March 01, 2009 - May I Have Another?—Medication Error Citation Text: Wolf MS. May I Have Another?—Medication Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …

  4. S5 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/s5.pdf
    October 01, 2007 - ORIGINAL ARTICLE Emerging Methods in Comparative Effectiveness and Safety Symposium Overview and Summary Kathleen N. Lohr, PhD Background: Interest in new methods for comparative effective- ness, drug and patient safety, and related studies is burgeoning. The advent of Medicare Part D for outpatient prescription dr…

  5. Promoting Self-Management in Stroke Survivors Using Health-IT - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r21hs021794-lakshiminarayan-final-report-2015.pdf
    January 01, 2015 - Promoting Self-Management in Stroke Survivors Using Health-IT - Final Report Promoting Self-Management in Stroke Survivors Using Health-IT AHRQ R21 HS21794 Principal Investigator: Kamakshi Lakshminarayan MBBS, PhD, MS (kamakshi@umn.edu) Co-investigators: Sarah Westberg PharmD, David Pieczkiewicz PhD, Farah …

  6. Errors in Sepsis Management | PSNet

    psnet.ahrq.gov/web-mm/errors-sepsis-management
    November 03, 2015 - SPOTLIGHT CASE Errors in Sepsis Management Citation Text: Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X…

  7. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
    January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx Spotlight Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture Source and Credits • This presentation is based on the June 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854849/psn-pdf
    October 31, 2023 - “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records October 31, 2023 MacDonald S. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record Th…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49474/psn-pdf
    March 01, 2005 - Hidden Mystery March 1, 2005 Brunette DD. Hidden Mystery. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/hidden-mystery Case Objectives Appreciate the challenges of caring for morbidly obese patients. List specific interventions that can be implemented when caring for obese patients. Develop a rational ap…

  10. Statistical Brief #14

    hcup-us.ahrq.gov/reports/statbriefs/sb14.jsp
    October 14, 2006 - Statistical Brief #14 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

  11. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/treatment-resistant-depression_research-protocol.pdf
    December 09, 2009 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: December 9, 2009 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Non-Pharmacologic Interventions for Treatment-resistant Depression i…

  12. HCUP Statistical Brief #14: Trends in Elderly Hospitalizations, 1997–2004 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb14.pdf
    October 01, 2006 - HCUP Statistical Brief #14: Trends in Elderly Hospitalizations, 1997–2004 HEALTHCARE COST AND UTILIZATION PROJECT Agen Res October 2006 From individ mately popula this ag substa about stays Heart such a and pn tently reason among betwe Over t top 10 for abo hospit conge monia (ha…

  13. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures | PSNet

    psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
    November 27, 2019 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures Citation Text: Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840174/psn-pdf
    August 28, 2024 - Missed CANDOR Implementation Opportunities. November 16, 2022 Schweitzer L. Missed CANDOR Implementation Opportunities. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities The Case A 58-year-old man with a history of type 2 diabetes mellitus, hypertension, morbid obesit…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862983/psn-pdf
    February 28, 2024 - Airway Obstruction during Anterior Cervical Spine Surgery February 28, 2024 Bohringer C, Vo L. Airway Obstruction during Anterior Cervical Spine Surgery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery The Case A 47-year-old obese man (body weight 13…

  16. Tough Call: Addressing Errors From Previous Providers | PSNet

    psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
    July 17, 2024 - SPOTLIGHT CASE Tough Call: Addressing Errors From Previous Providers Citation Text: Martinez W, Hickson GB. Tough Call: Addressing Errors From Previous Providers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49852/psn-pdf
    February 01, 2019 - Triaging Interhospital Transfers February 1, 2019 Mueller SK. Triaging Interhospital Transfers. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/triaging-interhospital-transfers Case Objectives Recognize that transfer of patients between acute care hospitals is common. Realize that the interhospital transfer…

  18. Involving End-Users in Co-Design of Patient-Centered Clinical Decision Support (pdf file)

    digital.ahrq.gov/sites/default/files/CDSiC%20Chart%20Book%202024_508.pdf
    May 08, 2023 - Involving End-Users in Co-Design of Patient-Centered Clinical Decision Support Involving End-Users in Co-Design of Patient-Centered Clinical Decision Support This chartbook provides an overview of key takeaways from Trust and Patient-Centeredness Workgroup: Methods for Involving End-Users in PC CDS Co-Design, …

  19. Missed CANDOR Implementation Opportunities. | PSNet

    psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
    November 11, 2020 - Missed CANDOR Implementation Opportunities. Citation Text: Schweitzer L. Missed CANDOR Implementation Opportunities.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX EndN…

  20. A "Reflexive" Diagnosis in Primary Care | PSNet

    psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
    April 01, 2008 - SPOTLIGHT CASE A "Reflexive" Diagnosis in Primary Care Citation Text: Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: …
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