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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49712/psn-pdf
    June 01, 2014 - May I Have Another?—Medication Error June 1, 2014 Wolf MS. May I Have Another?—Medication Error. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/may-i-have-another-medication-error The Case A 40-year-old man was admitted to the hospital after having a seizure. Upon admission, the patient, a pharmacology-tra…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33663/psn-pdf
    September 15, 2008 - Implementing a Patient Safety Program at a Large National Health System January 1, 2008 Hauck LD, Jacob J. Implementing a Patient Safety Program at a Large National Health System. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system Perspectiv…
  3. psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic
    October 30, 2024 - A Virtual Hospitalist Program to Address a Hospital’s Challenges at the Start of the COVID-19 Pandemic Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 27, 2022 Innovation Conta…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50392/psn-pdf
    September 01, 2019 - In Conversation With… Shantanu Agrawal, MD, MPhil September 1, 2019 In Conversation With… Shantanu Agrawal, MD, MPhil. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil Editor's note: Dr. Agrawal is president and CEO of the National Quality Forum (NQF). He is the form…
  5. Psn-Pdf (pdf file)

    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…
  6. Spotlight (pdf file)

    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. …
  7. Appendixb (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/AppendixB.pdf
    February 01, 2012 - B-1 Appendix B: Getting Ready: A Planning Checklist for Rural and Community Hospitals Considering Implementing Health IT Appendix B: Getting Ready: A Planning Checklist for Rural and Community Hospitals Considering Implementing Health IT Getting Ready: A Planning Checklist for Rural and Community Hospitals Consid…
  8. psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
    January 03, 2017 - SPOTLIGHT CASE Treatment Challenges After Discharge Citation Text: Coffey C. Treatment Challenges After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar Bib…
  9. meps.ahrq.gov/data_stats/nhc_acronyms.shtml
    December 31, 1996 - NHC acronyms and terms   Skip to main content An official website of the Department of Health & Human Services More Back Search ahrq.gov …
  10. psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
    July 23, 2024 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 23, 2020 …
  11. digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
    January 01, 2022 - Research Themes and Findings The DHR program funds research that demonstrates how digital healthcare solutions can be designed and implemented to improve healthcare system performance and patient health outcomes. Our funded research focuses on advancing patient safety, care, and shared dec…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861881/psn-pdf
    January 31, 2024 - In Conversation with...Richard Ricciardi about Office- Based Patient Safety January 31, 2024 Ricciardi R, Lee M, Mossburg S. In Conversation with..Richard Ricciardi about Office-Based Patient Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-pa…
  13. digital.ahrq.gov/sites/default/files/docs/HealthITandUnderservedPopulations.pdf
    September 17, 2010 - National Web-Based Teleconference on Health IT and Underserved Populations: Health IT Adoption in Rural Clinical Settings National Web-Based Teleconference on Health IT and Underserved Populations Health IT Adoption in Rural Clinical Settings August 27, 2010 Moderator: Angela Lavanderos A…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857259/psn-pdf
    November 30, 2023 - Medication Mix-Up Leads to Patient Death November 30, 2023 Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death The Case  An 81-year-old man was transferred from an outside hospital and admitted to the intensive car…
  15. www.ahrq.gov/sites/default/files/2024-12/danforth-report.pdf
    January 01, 2024 - Final Progress Report: Electronic Clinical Surveillance To Measure and Improve Safety in Ambulatory Care Final Progress Report November 2019 Title Electronic Clinical Surveillance to Measure and Improve Safety in Ambulatory Care Principal Investigator and Team Members Kim N. Danforth,1 Erin E. Hahn,1 Brian S. Mi…
  16. www.ahrq.gov/action-alliance/resources/type-harm.html
    July 01, 2025 - Resources by Safety Topic Contents Diagnostic Safety Emergency Preparedness Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Diagnostic Safety AHRQ Diagnostic Steward…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33637/psn-pdf
    August 01, 2006 - In Conversation with...Lucian Leape, MD August 1, 2006 In Conversation with..Lucian Leape, MD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withlucian-leape-md Dr. Robert Wachter, Editor, AHRQ WebM&M: What kind of career did you fashion for yourself prior to getting involved in safety an…
  18. www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
    June 01, 2022 - Patient Safety Tools The Agency for Healthcare Research and Quality (AHRQ) offers tools for health care organizations, providers, policymakers, and patients to improve patient safety in health care settings. The free tools and resources listed here are available online and in print. Contents   Tools for H…
  19. www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-3.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 3. Developing Change: Designing the Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Recon…
  20. www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
    February 01, 2017 - Overview: Getting Patients Off the Ventilator Faster: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Overview: Getting Patients Off the Ventilator Faster Slide 2: Learning Objectives After this session, yo…