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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - Implementing a Fall Prevention Program
December 1, 2011
Healey F. Implementing a Fall Prevention Program. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program
Perspective
Throughout the developed world, most hospital beds are occupied by older people, many of whom have
b…
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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - Lost in Transition
February 1, 2006
Beach C. Lost in Transition. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/lost-transition
Case Objectives
Provide an overview of transitions in continuously operating industries
Review cognitive error
Describe the complex dynamics of transitions in emergency care
Pro…
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax
Citation Text:
Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent Pneumothorax. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
January 01, 2024 - AHRQ Patient Safety Tools and Resources
Diagnostic Excellence
Calibrate Dx is a self-evaluation tool for clinicians to
improve their diagnostic decision making. This resource
provides structured exercises and tools to help clinicians
learn from reviewing their clinical practice. Anyone
whose scope of practice i…
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psnet.ahrq.gov/primer/medication-administration-errors
December 15, 2024 - Medication Administration Errors
Citation Text:
MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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Format:
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digital.ahrq.gov/ahrq-funded-projects/optimizing-value-patient-reported-outcome-measures-improving-care-delivery
January 01, 2024 - Optimizing the Value of Patient-Reported Outcome Measures in Improving Care Delivery through Health Information Technology
Project Final Report ( PDF , 473.77 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible f…
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psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
April 10, 2024 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Patient and Family Engagement in Long Term Care
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Created By: Lorri Zipperer, C…
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - Root Cause Analysis Gone Wrong
Citation Text:
Peerally MF, Dixon-Woods M. Root Cause Analysis Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - SPOTLIGHT CASE
Code Status Confusion
Citation Text:
Lo B, Tulsky JA. Code Status Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdf
January 01, 2004 - A New Model of Tracheostomy Care: Closing the Research–Practice Gap
521
A New Model of Tracheostomy Care:
Closing the Research–Practice Gap
Joel St. Clair
Abstract
Performance improvements have brought about fundamental changes in the
past year at Walter Reed Army Medical Center (WRAMC), where a concerted …
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - SPOTLIGHT CASE
Missed Appendicitis
Citation Text:
Adams JG. Missed Appendicitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/node/846769/psn-pdf
March 29, 2023 - Missed Diagnosis of Addison’s Disease in Adolescent
Presenting with Fatigue.
March 29, 2023
Jimenez S, Crossen S. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
The C…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-full-report.pdf
February 01, 2020 - It has further been noted that children covered by Medicaid are less likely to visit the doctor and … girls (47
percent vs. 31 percent) (Ogden, Tabak, 2005); and, notification of overweight status by a doctor … Parental recall of doctor communication of weight
status.
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effectivehealthcare.ahrq.gov/health-topics/health-occupations
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - Although this ever-present doctor conjures an image of single-minded commitment, it is balanced by the
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016152-wheeler-final-report-2009.pdf
January 01, 2009 - Critical Access Hospital Partnership Health Information Technology Implementation
Grant Final Report
Grant ID: UC1HS016152
Critical Access Hospital Partnership Health
Information Technology Implementation
Inclusive Dates: 09/01/05 - 09/01/09
Principal Investigator:
Donald Wheeler, MHA, F…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016146-nocella-final-report-2009.pdf
January 01, 2009 - Accessing the Cutting Edge: Implementing HIT to Improve Quality in Rural East Kern Count - Final Report
Grant Final Report
Grant ID: 5UC1HS016146
Accessing the Cutting Edge: Implementing HIT to
Improve Quality in Rural East Kern County
Inclusive Dates: 09/30/05 – 05/31/09
…
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - Although this ever-present doctor conjures an image of single-minded commitment, it is balanced by the
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - not going to want to fill out the same type of form that a general internist might or an emergency doctor
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-information-exchange_research-protocol.pdf
April 20, 2015 - Amendment_HIE-Protocol_3-14-2015
Source: www.effectivehealthcare.ahrq.gov
Published online: April 20, 2015
Evidence-based Practice Center Systematic Review Protocol
Project Title: Health Information Exchange
Amendment Date applicable: March 12, 2015
(Amendments Details–see Section VII)
I. Background an…