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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - Spotlight: Mistaken Attribution, Diagnostic Misstep
January 1, 2019
Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
Case Objectives
List the patient safety events that are unique to in…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-guide.docx
September 01, 2022 - Implementing Antibiotic Stewardship in Your Practice – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
Implementing Antibiotic
Stewardship in Your Practice
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
Implementing Antibiotic Stewardship in Your Practice
Ambulatory Ca…
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psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - Medication Handling and Compounding Errors in the
Operating Room.
March 15, 2023
Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating
Room. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
The Case
A 62-y…
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - SPOTLIGHT CASE
A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care
Citation Text:
Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
4. Defining Language Need and Categories for Collection
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
1.…
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - SPOTLIGHT CASE
“This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event
Citation Text:
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/model/evidence-now-sustainable-funding-resource.pdf
February 01, 2023 - Finding Sustainable Funding for Primary Care Extension Programs
NATIONAL CENTER
FOR EXCELLENCE IN
PRIMARY CARE RESEARCH
1
FINDING SUSTAINABLE FUNDING FOR
PRIMARY CARE EXTENSION PROGRAMS
Finding sustainable funding for primary care extension programs is a challenge.
This resource shares information about pote…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-appendix-b.xlsx
May 29, 2025 - Table B-1. Evidence Table
Table B-1. Details of included studies
Author, Year Study Design Country Setting/Transition Adult, Adolescent, or Pediatric Patients Inclusion/Exclusion Criteria Condition Caregiver Details Patient Age, Years
(Mean, Unless Specified) Caregiver Age, Years
(Mean, Unless Specified) Patient Fe…
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www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
July 01, 2021 - Meeting Minutes, March 2021
Virtual Meeting
Minutes from the March 18, 2021, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of November 10, 2020, Meeting Summary
Recent AHRQ Accomplishments
Update on AHRQ Bud…
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psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
November 25, 2020 - SPOTLIGHT CASE
A Laceration that Needed a Proper Exam, Not an X-Ray
Citation Text:
Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Cit…
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pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
December 21, 2021 - Educate staff in the science of safety.
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_operational_redesign_patient_flow_worksheet.pdf
January 01, 2007 - Patients can even self-educate themselves in the office waiting areas with available
computer terminals
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - To succeed in these ambitious plans, we needed to engage and educate our physicians, other clinicians
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-5.html
July 01, 2019 - They educate about the services they provide, such as intravenous fluids, x-rays, advice, and reassurance
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www.ahrq.gov/sites/default/files/2024-03/bruzzese2-report.pdf
January 01, 2024 - worked to extend the reach and
impact of important research in the areas of effective healthcare and educate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - the Director of Nursing and the medical director
can work with individual providers to review cases, educate
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www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
November 01, 2016 - Any suggestions on how to educate them, help them connect the dots, and realize work needs to be done
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-facguide.docx
January 01, 2017 - Safety Program for Mechanically Ventilated Patients provides many tangible resources you can use to educate
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www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/aging-well-strategic-plan.pdf
August 01, 2024 - health, function, and well-being as the population ages.
4.7 In partnership with legislative affairs, educate
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23436
June 27, 2025 - An official website of the Department of Health & Human Services
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