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  1. psnet.ahrq.gov/web-mm/right-patient-wrong-sample
    June 01, 2004 - Right Patient, Wrong Sample Citation Text: Astion ML. Right Patient, Wrong Sample. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
  2. S9 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/s9.pdf
    October 01, 2007 - ORIGINAL ARTICLE Medicare Part D Data Major Changes on the Horizon Leslie M. Greenwald, PhD Background: The 3 primary administrative data sets developed by the Centers for Medicare and Medicaid services (CMS) to support the Medicare Part D program implementation represent a valuable source of data for health service…
  3. psnet.ahrq.gov/web-mm/dangerous-shift
    July 24, 2013 - SPOTLIGHT CASE Dangerous Shift Citation Text: Patterson ES. Dangerous Shift. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
  4. digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015354-rachman-final-report-2007.pdf
    January 01, 2007 - EQUIP (Enhancing Quality in Patient Care Utilizing Information Technology in Patient Care) Grant Final Report Grant ID: UC1HS15354 EQUIP (Enhancing Quality in Patient Care Utilizing Information Technology in Patient Care) Inclusive Dates: 09/30/04 - 08/31/07 Principal Investigator: Fred …
  5. 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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73526/psn-pdf
    July 28, 2021 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. July 28, 2021 Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions The Case …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73103/psn-pdf
    March 31, 2021 - Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination March 31, 2021 Valdes W, Utter GH. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846170/psn-pdf
    March 15, 2023 - Duplicate Therapies in Retail Pharmacy March 15, 2023 Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy The Cases Case 1: A middle-aged man with a past medical history of heart failure with reduced ejection f…
  9. effectivehealthcare.ahrq.gov/sites/default/files/pdf/masks-appendix-table-b-3-version-1.xlsx
    February 01, 2020 - Appendix Table B-3. Observational Studies of Masks in Healthcare Settings B-3. Obs Studies Masks HCWs Archived: This living report is not being updated. Findings may be used for research purposes, but should not be considered current. Appendix Table B-3. Observational studies of masks in healthcare settings Author …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33879/psn-pdf
    May 01, 2019 - In Conversation With… Jane Brice, MD, MPH May 1, 2019 In Conversation With… Jane Brice, MD, MPH. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph Editor's note: Dr. Brice is Professor and Chair of the Department of Emergency Medicine at the University of North Carolina. She…
  11. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/156-what-are-4es.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention What Are the 4 Es? ICU/Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU What Are The Four Es 1 Educational Objectives Define the 4 Es framework—Engage, Educate, Execute, Evaluate—and ex…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49527/psn-pdf
    December 01, 2006 - Right Patient, Wrong Sample December 1, 2006 Astion ML. Right Patient, Wrong Sample. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-patient-wrong-sample The Case A 54-year-old man was admitted to the hospital for preoperative evaluation and elective knee surgery. On the morning of surgery, the patien…
  13. www.ahrq.gov/prevention/resources/depression/depsum2.html
    April 01, 2013 - Screening for Depression in Adults (continued) The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, counseling, and chemoprevention. They summarize the more detailed Systematic Evidence Reviews, …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60865/psn-pdf
    August 31, 2020 - In Conversation With... Edwin Loftin, DNP, MBA, RN, NEA- BC-FACHE August 31, 2020 In Conversation With.. Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache Editor’s Note: Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE is …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49624/psn-pdf
    May 01, 2011 - Duty to Disclose Someone Else's Error? May 1, 2011 Gallagher TH. Duty to Disclose Someone Else's Error? PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error Case Objectives State the rationale for disclosing medical errors. Describe key principles in effective error disclosure. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49758/psn-pdf
    April 01, 2016 - Dropping to New Lows April 1, 2016 Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/dropping-new-lows Case Objectives State how to manage diabetes medications when patients are admitted to the hospital Describe a guideline-recommended insulin regimen for a hospitaliz…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49855/psn-pdf
    March 01, 2019 - Which Line: Ordering Provider or Proceduralist? March 1, 2019 Blackmore CC. Which Line: Ordering Provider or Proceduralist? PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist Case Objectives Review the role of mistake-proofing to block errors from leading to adverse…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-notes.docx
    April 01, 2022 - Using Data To Drive Change and Improve Patient Safety Facilitator Notes CUSP Module: Using Data To Drive Change and Improve Patient Safety Facilitator Guide Slide Number and Image This module, “Using Data To Drive Change and Improve Patient Safety” is part of the Agency for Healthcare Research and Quality, or A…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33766/psn-pdf
    May 01, 2014 - In Conversation With… Didier Pittet, MD, MS May 1, 2014 In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms Editor's note: Didier Pittet, MD, MS, is Professor of Medicine and Director of the Infection Control Programme and WHO Co…
  20. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.pdf
    October 01, 2016 - Toolkit 1. Suspected UTI SBAR Toolkit Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat Toolkit 1. Suspected UTI SBAR Toolkit Tool 4. Training Modules: Urinalysis and UTIs Improving Care Overview These training modules are designed to be flexible to meet your needs. Training coord…