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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - Diagnostic Failure: The Growing Deficit
Citation Text:
Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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hcup-us.ahrq.gov/reports/statbriefs/sb227-Emergency-Department-Visit-Trends.jsp
September 01, 2017 - Trends in Emergency Department Visits, 2006-2014 #227
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www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
January 01, 2024 - Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting
Project Title: Proactive Risk Reduction in Medication Prescribing in the Ambulatory
Setting
Principal Investigator: Terry S. Field, DSc
Principal Team Members: Lawrence Garber, MD; Jennifer Tjia, MD; Brooke
Harrow,…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.docx
March 06, 2013 - Strategy 1: Working with Patients & Families as Advisors (Tool 9)
Patient and Family Advisor
Orientation Manual
Strategy 1: Working with Patients & Families as Advisors (Tool 9)
[Type text] [Type text] [Type text]
Strategy 1: Working With Patients & Families as Advisors (Tool 9)
Guide to Patient and Family Engagem…
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digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
August 01, 2011 - Guide to Reducing Unintended Consequences of Electronic Health Records
Guide to Reducing Unintended Consequences
of Electronic Health Records
Contract No. HHSA290200600017I
Prepared by: RAND Corporation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5…
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www.ahrq.gov/sites/default/files/2024-12/nishimi-report.pdf
January 01, 2024 - Final Progress Report: The National Quality Forum National Annual Policy Conference 2006
The National Quality Forum
National Annual Policy Conference 2006
Principal Investigator: Robyn Y. Nishimi, PhD
Team Members: D. Feeney, L. Gorban, J. Lewis, M.
Stegun, L. Thompson
09/30/06 – 09/29/07
Federal Project Offi…
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www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
January 01, 2024 - Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement
Improving the Safety of Primary Care by Measuring Adverse Events and Improvement
Principal Investigator:
Donald A. Kennerly, MD, PhD
Study Team:
Kenneth Bruce Bayley, PhD
Ashley Collinsworth, MPH
Teri Cowlin…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment-slides.html
April 01, 2018 - Chartbook on Effective Treatment: Slide Presentation
National Healthcare Quality and Disparities Report
Introduction
Cardiovascular Disease .
Cancer .
Chronic Kidney Disease .
Diabetes .
HIV and AIDS .
Mental Health and Substance Abuse .
Musculoskeletal Diseases .
Respiratory Diseases .
…
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pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
December 21, 2021 - Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine
iiiiR&
Agency for Healthcare
Research and Quality
Strategies to Improve Patient Safety:
Draft Report to Congress for Public
Comment and Review by the Nation…
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psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
April 12, 2023 - As we know from other hospital-based care transitions, including patient discharge and intrahospital
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www.ahrq.gov/sites/default/files/2025-02/meenan-report.pdf
January 01, 2025 - Final Progress Report: Developing an HIV-Specific Prevention Index Using the Electronic Medical Record
1
FINAL REPORT
Title: Developing an HIV‐Specific Prevention Index Using the Electronic Medical Record
Principal Investigator: Richard T. Meenan, PhD, MPH, MBA, Center for Health Research ‐ Kaiser Permanente, …
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psnet.ahrq.gov/web-mm/silent-pain-neck
August 19, 2020 - Silent Pain in the Neck
Citation Text:
Bittner EA. Silent Pain in the Neck. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/central-line-clot
August 04, 2021 - SPOTLIGHT CASE
Central Line Clot
Citation Text:
Randolph AG. Central Line Clot. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.jsp
December 01, 2010 - Michael Pine Presentation
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psnet.ahrq.gov/node/852808/psn-pdf
August 30, 2023 - Prolonged DKA in Pregnancy: A Case of Communication
Breakdown.
August 30, 2023
Marshall S, Boe NM. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
Disclosure of Relevant Financial Relationship…
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psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
January 01, 2023 - Spotlight
Spotlight
Prolonged DKA in Pregnancy: A Case of Communication
Breakdown
Source and Credits
• This presentation is based on the August 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Sarah Marshall, MD and Nina M. …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/rapid-review-no-touch-modalities.pdf
May 01, 2022 - Rapid Evidence Product: No-Touch Modalities for Disinfecting Patient Rooms in Acute Care Settings
Rapid Evidence Product
October 2, 2020
No-Touch Modalities for Disinfecting
Patient Rooms in Acute Care Settings
Background and Purpose
Purpose of Review
To rapidly identify evidence assessing the effect of no-to…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption
Implementation of Systems Redesign:
Approaches to Spread and Sustain Adoption
Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD;
Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS;
Bradley N. Do…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024553-bardach-final-report-2018.pdf
January 01, 2018 - Novel IT to Create Patient-Integrated Quality Improvement - Final Report
Title:
Novel IT to Create Patient-Integrated Quality Improvement
Principal Investigator:
Naomi S. Bardach, MD MAS
Team Members:
Glenn Rosenbluth, MD
James A. Wile…
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psnet.ahrq.gov/node/49807/psn-pdf
October 01, 2017 - Translating From Normal to Abnormal
October 1, 2017
Turner AM. Translating From Normal to Abnormal. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/translating-normal-abnormal
Case Objectives
Define limited English proficiency.
Understand the principal approaches to machine translation.
Review the way mach…