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meps.ahrq.gov/data_files/publications/st500/stat500.shtml
February 01, 2017 - STATISTICAL BRIEF #500:
Out-of-Pocket Health Care Expenses for Medical Services, by Insurance Coverage, 2000-2014
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An official website of the Department of Health & Human Services
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www.ahrq.gov/sites/default/files/2024-10/mchugh-report.pdf
January 01, 2024 - Final Progress Report: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes
Final Progress Report
Title: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes
Principal Investigator: Matthew D. McHugh
Team Members: Linda H. Aiken (primary mentor); Jeffrey H.…
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psnet.ahrq.gov/node/49729/psn-pdf
April 01, 2015 - Dissecting the Presentation
April 1, 2015
Suat-Ooi SB. Dissecting the Presentation. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/dissecting-presentation
Case Objectives
Define aortic dissection.
Describe the epidemiology of acute aortic dissection.
State the common and uncommon presentation of acute aor…
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psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
November 13, 2024 - SPOTLIGHT CASE
Abdominal Pain in Early Pregnancy
Citation Text:
Kilpatrick CC. Abdominal Pain in Early Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/primer/simulation-training
September 15, 2024 - Simulation Training
Citation Text:
Edward JJ, Nichols A, Bakerjian D. Simulation Training. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/curated-library/organizational-learning
November 10, 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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www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - Many offices spontaneously
changed selected systems after examining selected error reports. … We also included brief summaries of
published manuscripts along with ideas for examining safety in practices
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es-rev.pdf
January 01, 2023 - 2023 National Healthcare Quality and Disparities Report
2023
National Healthcare Quality
and Disparities Report
Executive Summary
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated.
Suggested citation: 2023 National Healthcare Qual…
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psnet.ahrq.gov/node/47964/psn-pdf
May 15, 2019 - Deaths among opioid users: impact of potential
inappropriate prescribing practices.
May 15, 2019
Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate
prescribing practices. Am J Manag Care. 2019;25(4):e98-e103.
https://psnet.ahrq.gov/issue/deaths-among-opioid-users-impa…
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psnet.ahrq.gov/node/36088/psn-pdf
September 28, 2010 - Impact and implications of disruptive behavior in the
perioperative arena.
September 28, 2010
Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am
Coll Surg. 2006;203(1):96-105.
https://psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperat…
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psnet.ahrq.gov/node/74699/psn-pdf
January 26, 2022 - Indication alerts to improve problem list documentation.
January 26, 2022
Grauer A, Kneifati-Hayek J, Reuland B, et al. Indication alerts to improve problem list documentation. J Am
Med Inform Assoc. 2022;29(5):909-917. doi:10.1093/jamia/ocab285.
https://psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-d…
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psnet.ahrq.gov/node/72478/psn-pdf
November 18, 2020 - The impact of the use of employee functional flexibility on
patient safety.
November 18, 2020
Salvador RO, Gnanlet A, McDermott C. The impact of the use of employee functional flexibility on patient
safety. Personnel Rev. 2020;50(3):971-984. doi:10.1108/pr-10-2019-0562.
https://psnet.ahrq.gov/issue/impact-use-empl…
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psnet.ahrq.gov/node/46887/psn-pdf
May 03, 2018 - Financial incentives to reduce hospital-acquired
infections under alternative payment arrangements.
May 3, 2018
Cohen CC, Liu J, Cohen B, et al. Financial Incentives to Reduce Hospital-Acquired Infections Under
Alternative Payment Arrangements. Infect Control Hosp Epidemiol. 2018;39(5):509-515.
doi:10.1017/ice.201…
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psnet.ahrq.gov/node/851649/psn-pdf
July 26, 2023 - Interdisciplinary and interprofessional communication
intervention: how psychological safety fosters
communication and increases patient safety.
July 26, 2023
Dietl JE, Derksen C, Keller FM, et al. Interdisciplinary and interprofessional communication intervention:
how psychological safety fosters communication an…
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psnet.ahrq.gov/node/47773/psn-pdf
April 17, 2019 - People, systems and safety: resilience and excellence in
healthcare practice.
April 17, 2019
Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice.
Anaesthesia. 2019;74(4):508-517. doi:10.1111/anae.14519.
https://psnet.ahrq.gov/issue/people-systems-and-safety-resilience…
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psnet.ahrq.gov/node/36795/psn-pdf
August 26, 2011 - Surgical specimen identification errors: a new measure of
quality in surgical care.
August 26, 2011
Makary MA, Epstein J, Pronovost P, et al. Surgical specimen identification errors: a new measure of quality
in surgical care. Surgery. 2007;141(4):450-5.
https://psnet.ahrq.gov/issue/surgical-specimen-identification…
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psnet.ahrq.gov/node/48013/psn-pdf
May 29, 2019 - Economic outcomes associated with safety interventions
by a pharmacist–adjudicated prior authorization consult
service.
May 29, 2019
Jacob S, Britt RB, Bryan WE, et al. Economic Outcomes Associated with Safety Interventions by a
Pharmacist-Adjudicated Prior Authorization Consult Service. J Manag Care Spec Pharm. 2…
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psnet.ahrq.gov/node/47866/psn-pdf
May 11, 2019 - Effect of a cluster randomised team training intervention
on adverse perinatal and maternal outcomes: a stepped
wedge study.
May 11, 2019
Romijn A, Ravelli A, de Bruijne MC, et al. Effect of a cluster randomised team training intervention on
adverse perinatal and maternal outcomes: a stepped wedge study. BJOG. 201…
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psnet.ahrq.gov/node/47012/psn-pdf
August 01, 2018 - Trigger alerts associated with laboratory abnormalities on
identifying potentially preventable adverse drug events in
the intensive care unit and general ward.
August 1, 2018
Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on
identifying potentially preventable ad…
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psnet.ahrq.gov/node/840488/psn-pdf
November 30, 2022 - Critical care clinicians' experiences of patient safety
during the COVID-19 pandemic.
November 30, 2022
Rosen A, Carter D, Applebaum JR, et al. Critical care clinicians' experiences of patient safety during the
COVID-19 pandemic. J Patient Saf. 2022;18(8):e1219-e1225. doi:10.1097/pts.0000000000001060.
https://psne…