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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - SPOTLIGHT CASE
Bad Writing, Wrong Medication
Citation Text:
Devine B. Bad Writing, Wrong Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/curated-library/organizational-learning
September 15, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
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Organizational Learning
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…
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cdsic.ahrq.gov/sites/default/files/2025-09/Collaborate%20with%20Patients%20How%20To%20Guide_Final%208.27.25.pdf
January 01, 2025 - How To: Collaborate with Patients on Patient-Centered Clinical Decision Support
PAGE | 1 AHRQ Publication Number: 25-0076
OVERVIEW ___________________________________________________
Involving patients, caregivers, and care teams in the
development and implementation of digital health
tools—inclu…
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www.ahrq.gov/diagnostic-safety/research/grants-2022.html
August 01, 2025 - Diagnostic Safety Centers of Excellence Grants Awarded in FY 2022
In fiscal year 2022, Congress authorized funding to support AHRQ's research to address failures in the diagnostic process, which may include the establishment of Research Centers of Diagnostic Excellence to develop systems, measures, and new tech…
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - Radiology Missed an Intracranial Bleed in a Lethargic Infant.
Citation Text:
Yuk J, Magana J. Radiology Missed an Intracranial Bleed in a Lethargic Infant.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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www.ahrq.gov/sites/default/files/2025-03/trowbridge-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Annual Conference
AHRQ Grant Final Progress Report
Title of Project: Diagnostic Error in Medicine Annual Conference
Principal Investigator: Robert Trowbridge, MD
Team Members:
• Paul L. Epner, MEd, MBA, Executive Vice President, Society to Improve Diagnosis in …
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - EMR Entry Error: Not So Benign
Citation Text:
Koppel R. EMR Entry Error: Not So Benign. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-slides.pdf
February 24, 2022 - Using Hybrid Cardiac Rehabilitation
to Expand System Capacity and
Patient-Centeredness
Module 10
Steven Keteyian, PhD
Anne M Gavic-Ott, MPA, RCEP, MAACVPR
PURPOSE
TAKEheart Training and Technical Assistance Components
Training sessions g…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/payment-and-reimbursement
January 01, 2025 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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The Academy
Integrating Behavioral Health & Primary Care
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www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
February 01, 2016 - design a report that helps the user correctly identify and interpret key messages with minimal cognitive effort
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psnet.ahrq.gov/node/49478/psn-pdf
April 01, 2005 - Compare and Contrast
April 1, 2005
Cho KC, Chertow GM. Compare and Contrast. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/compare-and-contrast
Case Objectives
Define contrast nephropathy (CN)
List risk factors for CN
Implement pharmacologic strategies for CN prophylaxis
Follow an algorithm for CN risk …
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/index.html
March 01, 2023 - Section 6: Strategies for Improving Patient Experience with Ambulatory Care
Contents
6.A. Overview of Strategies
Appendix 6a. Crosswalk of Patient Experience Domains and Survey Measures
Appendix 6b. How Health Plans Can Drive Improvements at the Medical Group Level
References
Download Section 6: …
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www.ahrq.gov/ncepcr/reports/2025-annual-report/overview.html
August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024
2. Overview of AHRQ’s Recent Investments in Primary Care Research
Previous Page Next Page
Table of Contents
AHRQ’s Investments in Primary Care Research for 2023 and 2024
Acknowledgements and Authors
Message from the Director of AHRQ…
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - SPOTLIGHT CASE
Failure to Report
Citation Text:
Spath P. Failure to Report. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/node/33607/psn-pdf
September 27, 2022 - Burnout
September 27, 2022
Yellowlees P, Rea M. Burnout. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/burnout
Originally published in December 2011 by researchers at the University of California, San Francisco.
Updated in September 2022 by Peter Yellowlees, MD and Margaret Rea, PhD. PSNet primers are regu…
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hcup-us.ahrq.gov/reports/statbriefs/sb115.pdf
June 01, 2011 - Statistical Brief #115: All-Cause Readmissions by Payer and Age, 2008
1
From
June 2011
All-Cause Readmissions by Payer
and Age, 2008
Lauren M. Wier, M.P.H., Marguerite Barrett, M.S., Claudia
Steiner, M.D., M.P.H., and H. Joanna Jiang, Ph.D.
Introduction
Hospital readmissions have been ide…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/telehealth-commentary-white-paper.pdf
May 01, 2020 - White Paper Commentary: The Evidence Base for Telehealth: Reassurance in the Face of Rapid Expansion During the COVID-19 Pandemic
White Paper Commentary
The Evidence Base for
Telehealth: Reassurance in the
Face of Rapid Expansion
During the COVID-19 Pandemic
Introduction
In a very short time, healthcare in the…
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - SPOTLIGHT CASE
The Safety and Quality of Long Term Care
Citation Text:
Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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hcup-us.ahrq.gov/reports/ataglance/HCUPanalysisCOVIDrates2020.pdf
December 13, 2022 - Rate of COVID-19-Related Inpatient Stays Per 100,000 Population by State of Patient’s Residence, April–December 2020
Rate of COVID-19-Related Inpatient Stays Per 100,000 Population
by Patient’s State of Residence, April–December 2020
December 13, 2022
Recommended citation: Rate of COVID-19-Related Inpatient Sta…