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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - SPOTLIGHT CASE
Falling Through the Crack (in the Bedrails)
Citation Text:
Dykes PC, Vacca V, Leung WY. Falling Through the Crack (in the Bedrails). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - WebM&M: Case Studies
WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…
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psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - SPOTLIGHT CASE
Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery
Citation Text:
Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-7.html
July 01, 2019 - Case Example #7: Cherokee Health Systems
This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD …
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psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
February 26, 2025 - In Conversation With… Sigall K. Bell, MD
September 1, 2018
Citation Text:
In Conversation With… Sigall K. Bell, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
March 30, 2008 - Christiana Care Health System: Safety Mentor Program
Christiana Care Health System: Safety
Mentor Program
Michele Campbell, RN, MSM, CPHQ; Christine Carrico, RN, MSN, CPHQ; Carol Kerrigan
Moore, RN, MS, FNP-BC; Terri Lynn Palmer, MPA
Abstract
According to the Institute of Medicine, as many as 98,000 patients…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
April 02, 2008 - Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet)
Development of a Web-Based Patient Safety
Resource: AHRQ Patient Safety Network (PSNet)
Niraj L. Sehgal, MD, MPH; Sumant R. Ranji, MD; Kaveh G. Shojania, MD;
Russ J. Cucina, MD, MS; Erin E. Hartman, MS; Lorri Zipperer, MA; Rob…
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - preliminary quality improvement initiatives are underway to improve the quality of death certificate data, educate
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effectivehealthcare.ahrq.gov/sites/default/files/pulmonary-horizon-scan-high-impact-1312.pdf
December 01, 2013 - and institutionally plausible but
will require pharmaceutical companies to develop new models and educate … and institutionally plausible but will require
pharmaceutical companies to develop new models and educate
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digital.ahrq.gov/sites/default/files/docs/page/Research%20Agenda%20for%20Healthcare%20Systems%20Engineering.pdf
February 13, 2007 - manufacturing and distribution over recent decades
Both would be energized by a determined effort to cross-educate … technologies and knowledge throughout the health care delivery system
(technology transfer); and (3) to educate
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/introducing-cahps-child-hospital-survey-transcript.pdf
January 01, 2015 - And they expressed their concerns about the survey, so we figured we
needed to educate them first so … So they helped inform us, educate us, much like you’ve heard from Sandra and Zoë about their experience
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medication-adherence-interventions_executive.pdf
September 01, 2012 - Evidence-Based
Practice
Evidence-based Practice
Program
The Agency for Healthcare Research and
Quality (AHRQ), through its Evidence-
based Practice Centers (EPCs), sponsors
the development of evidence reports and
technology assessments to assist public-
and private-sector organizations in their
efforts to imp…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/R_cAa3AjFGQ2np_aQnzQGA
February 11, 2025 - Screening for Osteoporosis to Prevent Fractures: A Systematic Evidence Review for the USPSTF
Screening for Osteoporosis to Prevent Fractures
A Systematic Evidence Review for the US Preventive Services Task Force
Leila C. Kahwati, MD, MPH; Christine E. Kistler, MD, MASc; Graham Booth, BSPH; Nila Sathe, MA, MLIS;
Rache…
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digital.ahrq.gov/sites/default/files/docs/page/privacy-and-security-solutions-for-interoperable-hie-nationwide-summary-appendices.pdf
July 01, 2007 - Microsoft Word - SummaryRpt_Appendixes_Final.doc
APPENDIX A
STATE-LEVEL ACTIVITY CURRENTLY BEING PLANNED OR
CONDUCTED AS A RESULT OF WORK ON THE PRIVACY AND
SECURITY PROJECT
Nationwide Summary A-1
Table A-1. State-level Activity Currently Being Planned or Conducted as a Result
of Work on the Privacy and …
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
June 02, 2025 - Hybrid Cardiac Rehabilitationi (HYCR) Tools and Resources Guide
AHRO's Initiative To Increase Use of Cardiac Rehabilitation
.. = H
Agency for Healthcare
Research and Quality
…
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digital.ahrq.gov/sites/default/files/docs/publication/k08hs018341-armstrong-final-report-2014.pdf
January 01, 2014 - Patient-Centered Online Care Model for Follow-Up Management of Atopic Dermatitis - Final Report
Title of Project:
Patient-Centered Online Care Model for Follow-Up Management of Atopic Dermatitis
Principal Investigator and T…
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www.ahrq.gov/sites/default/files/2025-07/weinger3-report.pdf
January 01, 2025 - Final Progress Report: IMPACTS: Improving Medical Performance during Acute Crises Through Simulation
IMPACTS: Improving Medical Performance during Acute Crises Through Simulation
Principal Investigator: Matthew B. Weinger, MD, MS
IMPACTS Team: Anders, Shilo; Andreae, Michael; Banerjee, Arna; Boulet, Jack; Burden, A…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/UaT8AVUSVQwSduNs8TA-_e
June 09, 2020 - JAMA
Screening for Unhealthy Drug Use
US Preventive Services Task Force Recommendation Statement
US Preventive Services Task Force
Summary of Recommendations
Importance
Many people in the US experience problems related to unhealthy
drug use, defined in this recommendation statement as the use of
illegal drugs and …
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024739-nahm-final-report-2019.pdf
January 01, 2019 - A Theory-Based Patient Portal eLearning Program for Older Adults with Chronic Illnesses - Final Report
Nahm 1
Final Report for R21HS024739
Title of Project: A Theory-Based Patient Portal eLearning Program for Older Adults with Chronic Illnesses
Principal Investigator and Team Members.
Investigators…
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - Patient Engagement and Patient Safety
Saul N. Weingart, MD, PhD | February 1, 2013
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Weingart SN. Patient Engagement and Patient Safety. PSNet [internet]. Rockville (MD): Agency fo…