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psnet.ahrq.gov/primer/missed-nursing-care
September 15, 2024 - Missed Nursing Care
Citation Text:
Missed Nursing Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/33565/psn-pdf
September 01, 2024 - Healthcare-associated Infections
June 15, 2024
Healthcare - Associated Infections. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/health-care-associated-infections
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice …
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step
Technique Innovation Summary
February 26, 2025
https://psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-
summary
Summary
This innovation describes the Veteran Health Administration (VHA) National Center for Patient Saf…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_clinician.pdf
October 01, 2015 - Transitional Care Interventions To Prevent
Readmissions for People With Heart Failure
Focus of This Summary
This is a summary of a systematic review evaluating the evidence regarding the efficacy, comparative
effectiveness, and harms of transitional care interventions (defined in Table 1) that aim to reduce readmiss…
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meps.ahrq.gov/data_files/publications/st106/stat106.pdf
December 01, 2005 - Statistical Brief #106: Estimates of Health Care Expenditures for the 10 Largest States, 2003
Medical Expenditure Panel Survey
Agen
Res
6
December 2005
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/models-care-adult-survivors-childhood-cancer-evidence-summary.pdf
February 01, 2022 - Evidence Summary_Models of Care That Include Primary Care for Adult Survivors of Childhood Cancer: A Realist Review
Evidence Report
Models of Care That Include Primary Care
for Adult Survivors of Childhood Cancer: A
Realist Review
Evidence Summary
Main Points
Background and Purpose
Childhood…
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psnet.ahrq.gov/node/33824/psn-pdf
January 01, 2016 - Patient Safety and Opioid Medications
January 1, 2016
Sarkar U, Shojania KG. Patient Safety and Opioid Medications. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
Annual Perspective 2016
Opioid medications confer significant risks of harm, including overdose death …
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psnet.ahrq.gov/node/49866/psn-pdf
June 01, 2019 - If You Say So: Taking a Syringe at Face Value in the
Operating Room
June 1, 2019
Lyndon A, Lim S. If You Say So: Taking a Syringe at Face Value in the Operating Room. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
The Case
A 43-year-old woman was admi…
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digital.ahrq.gov/computerized-provider-order-entry-ambulatory
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/carotid-artery-stenosis-screening
February 02, 2021 - Share to Facebook
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Evidence Summary
Asymptomatic Carotid Artery Stenosis: Screening
February 02, 2021
Recommendations made by the USPSTF are independent of the U.S. government. They should not b…
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - Double Dosing, by the Rules
March 21, 2009
Cohen H. Double Dosing, by the Rules. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/double-dosing-rules
The Case
A 65-year-old woman with rheumatoid arthritis and chronic obstructive pulmonary disease (COPD) was
admitted to a medical unit during the night with wo…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL10AHRQprojectsummarytoHospitals.jsp
July 10, 2016 - Florida Project Summary
An official website of the Department of Health & Human Services
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
March 01, 2009 - Percentage of Alerts or Reminders That Resulted in Desired Action
Percentage of Alerts or
Reminders That Resulted
in Desired Action
Determining the frequency in which a given alert or
reminder is executed may help assess its effectiveness.
This measure might be implemented in the
following instances:
• For e…
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psnet.ahrq.gov/Webmm/submit-case-info
August 10, 2025 - Selection Criteria and Honorarium Information
How it works
Health care professionals may submit de-identified cases that highlight medical errors or other patient
safety/quality
issues. Note that you can choose to submit cases either …
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psnet.ahrq.gov/primer/measurement-patient-safety
September 15, 2024 - Measurement of Patient Safety
Citation Text:
Measurement of Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
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psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis
Patrice Spath, BA, RHIT, and William Minogue, MD | July 1, 2008
View more articles from the same authors.
Citation Text:
Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause …
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hcup-us.ahrq.gov/db/vars/dispuniform/nrdnote.jsp
August 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NRD Notes
An official website of the Department of Health & Human Services
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effectivehealthcare.ahrq.gov/sites/default/files/mccullough.pdf
January 01, 2011 - McCullough
Slide
1: An Ethical Framework for Supporting
Shared Decision Making
When Clinical
Evidence is Low
Laurence B. McCullough, Ph.D.
Dalton Tomlin Chair in Medical Ethics and Health Policy
Associate Director for Education
Center for Medical Ethics and
…
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digital.ahrq.gov/sites/default/files/docs/resource/Real_Time_and_On_Time_Lessons_Learned_9_6_06.pdf
June 16, 2021 - lessons learned, successes, and barriers for the ‘Real-Time’ and QIO ‘ON-Time’ projects
1
LESSONS LEARNED, SUCCESSES, AND BARRIERS FOR THE
‘REAL-TIME’ AND QIO ‘ON-TIME’ PROJECTS
LESSONS LEARNED
1. Partnerships are effective to initiate and support change.
Partnerships within facilities (multi-disciplina…
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hcup-us.ahrq.gov/db/vars/dispuniform/nassnote.jsp
August 01, 2019 - Healthcare Cost and Utilization Project (HCUP) NASS Notes
An official website of the Department of Health & Human Services
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