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psnet.ahrq.gov/web-mm/specimen-almost-lost
September 21, 2022 - Specimen Almost Lost
Citation Text:
Hehe YK. Specimen Almost Lost. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/perspective/safety-retail-pharmacy
May 11, 2016 - Safety in the Retail Pharmacy
Michelle A. Chui, PharmD, PhD | October 1, 2018
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Citation Text:
Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departme…
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psnet.ahrq.gov/web-mm/feeling-no-pain
August 30, 2023 - Feeling No Pain
Citation Text:
Bogner MS. Feeling No Pain. 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/33700/psn-pdf
October 01, 2010 - In Conversation with...Peter J. Pronovost, MD, PhD
October 1, 2010
In Conversation with..Peter J. Pronovost, MD, PhD. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
Editor's note: Peter J. Pronovost, MD, PhD, is a Professor of Anesthesia, Critical Care, and He…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook
October 01, 2025 - An official website of the Department of Health & Human Services
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Annual Perspective
Rethinking Root Cause Analysis
Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016
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Citation Text:
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…
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digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes
January 01, 2023 - Evaluating the Impact of an ACPOE/CDS System on Outcomes
Project Final Report ( PDF , 806.9 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHR…
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psnet.ahrq.gov/web-mm/cultural-dimensions-depression
September 01, 2018 - Cultural Dimensions of Depression
Citation Text:
Kinzie DJ. Cultural Dimensions of Depression. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - "Superficial" Report Leads to "Deep" Problem
Citation Text:
Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/node/845473/psn-pdf
March 15, 2023 - Remote Patient Monitoring
March 15, 2023
Hood C, Sikka N, Van CM, et al. Remote Patient Monitoring. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/remote-patient-monitoring
Remote Patient Monitoring
The delivery of healthcare through electronic communication, or telehealth, has changed greatly since it…
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psnet.ahrq.gov/node/38220/psn-pdf
November 12, 2008 - New technologies in radiation therapy: ensuring patient
safety, radiation safety and regulatory issues in radiation
oncology.
November 12, 2008
Amols HI. New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory
issues in radiation oncology. Health Phys. 2008;95(5):658-665. do…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
January 01, 2025 - Ambulatory care teams, meanwhile, expressed
a need for more structured tools and workflows to ensure … tool, educated staff to
choose appropriate interventions linked to risk factors, conducted audits to ensure … Additional
revisions were made to address the concern of long-term suitability to ensure that
terminology … preventing and responding to medical injuries, along
with a statewide collaborative (“HealthPact”) to ensure
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psnet.ahrq.gov/node/36561/psn-pdf
January 12, 2011 - Errors in ABO labeling of deceased donor kidneys: case
reports and approach to ensuring patient safety.
January 12, 2011
Friedman AL, Lee KC, Lee GD. Errors in ABO Labeling of Deceased Donor Kidneys: Case Reports and
Approach to Ensuring Patient Safety. American Journal of Transplantation. 2006;7(2). doi:10.1111/j.…
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psnet.ahrq.gov/node/39062/psn-pdf
November 11, 2009 - Ensuring patient safety through effective leadership
behaviour: a literature review.
November 11, 2009
Künzle B, Kolbe M, Grote G. Ensuring patient safety through effective leadership behaviour: A literature
review. Saf Sci. 2009;48(1). doi:10.1016/j.ssci.2009.06.004.
https://psnet.ahrq.gov/issue/ensuring-patient-…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/042-vap-prevention-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Prevention of
Ventilator-Associated Pneumonia &
Non-Ventilator Healthcare-Associated Pneumonia
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
VAP & NV-HAP Prevention
1
Educational Objectives
Discuss the causes and ri…
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digital.ahrq.gov/sites/default/files/docs/page/09-0031-EF_cpoe.pdf
January 01, 2009 - Layout 1
Inpatient Computerized
Provider Order Entry (CPOE)
Findings from the AHRQ
Health IT Portfolio
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov Health IT
Inpatient Computerized
Provider Order Entry (CPOE)
Findings from the AHRQ Health IT Portfolio
Prepared for:…
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digital.ahrq.gov/sites/default/files/docs/behavior-change-qas-07172025.pdf
July 17, 2025 - AHRQ National Webinar on Empowering Patients to Change Behavior Using Digital Healthcare Tools – Questions and Answers
AHRQ National Webinar on Empowering Patients to Change
Behavior Using Digital Healthcare Tools –
Questions and Answers
July 17, 2025 …
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digital.ahrq.gov/sites/default/files/docs/lesson/09-0031-ef-inpatient-cpoe.pdf
January 01, 2009 - Inpatient Computerized Provider Order Entry (CPOE)
Inpatient Computerized
Provider Order Entry (CPOE)
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov Health IT
http://www.ahrq.gov/
Inpatient Computerized
Provider Order Entry (CPOE)
Prepared for:…
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psnet.ahrq.gov/perspective/adverse-events-dentistry
December 22, 2020 - Adverse Events in Dentistry
December 22, 2020
Also Read the Conversation
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Citation Text:
Kalenderian E, Walji MF, Fitall E, et al. Adverse Events in Dentistry. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
January 01, 2023 - Inpatient Computerized Provider Order Entry (CPOE)
Findings from the AHRQ Health IT Portfolio
Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov
Contract No. 290-04-0016
Prepared by…