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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - Verification Screen That Includes Prominent Patient
Photograph Significantly Reduces Errors Caused by
Orders Placed in Wrong Chart
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-
reduc…
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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Communication Error in a Closed ICU
Citation Text:
Haas B, Conn LG. Communication Error in a Closed ICU. 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/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - SPOTLIGHT CASE
The Consequences of Miscommunication Regarding a Possible Artifact
Citation Text:
Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - SPOTLIGHT CASE
Missed Appendicitis
Citation Text:
Adams JG. Missed Appendicitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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meps.ahrq.gov/data_files/publications/st522/stat522.pdf
May 01, 2019 - Statistical Brief #522: Trends in Prescribed Medication Expenditures by Age and Type of Prescription Drug Coverage, 2009 to 2016 MEPS-HCTrends in Prescribed Medication Expenditures by Age and Type of Prescription Drug Coverage, 2009 to 2016 MEPS-HC
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meps.ahrq.gov/data_files/publications/st522/stat522.shtml
May 01, 2019 - STATISTICAL BRIEF #522: Trends in Prescribed Medication Expenditures by Age and Type of Prescription Drug Coverage, 2009 to 2016 MEPS-HC
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/ExecSummcaseplancustsvce-RAND7607.pdf
July 01, 2007 - 1
IMPROVING PERFORMANCE FOR
HEALTH PLAN CUSTOMER SERVICE
A Case Study of a Successful CAHPS
Quality Improvement Intervention
Excerpt: The Case Study in Brief
For a copy of the full report, go to http://www.rand.org/pubs/working_papers/WR517/
July 2007
Denise D. Quigley,…
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psnet.ahrq.gov/primer/burnout
November 20, 2024 - Burnout
Citation Text:
Yellowlees P, Rea M. Burnout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/principles-person-centered-oud-treatment
January 01, 2023 - An official website of the Department of Health & Human Services
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www.ahrq.gov/patient-safety/reports/hotline/intro1.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
I. Introduction
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Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
Pr…
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - SPOTLIGHT CASE
Code Status Confusion
Citation Text:
Lo B, Tulsky JA. Code Status Confusion. 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/847934/psn-pdf
April 26, 2023 - Patient Safety Indicators
April 26, 2023
Tokareva I, Romano P. Patient Safety Indicators. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/patient-safety-indicators
Background
Over the past 25 years, policymakers and providers, payers, and purchasers of health care have
increasingly focused attention on pati…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/transparency-mental-health_research-protocol.pdf
September 01, 2016 - Transparency of Reporting Requirements: Strategies to Improve Mental Health Care for Children and Adolescents
Source: www.effectivehealthcare.ahrq.gov
Published online: September 1, 2016
Evidence-based Practice Center Methodology Report Protocol
Project Title: Transparency of Reporting Requirements
Rep…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
5. How do we measure our pressure ulcer rates and practices?
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Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are …
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015377-schadow-final-report-2008.pdf
January 01, 2008 - Value of New Drug Knowledge for e-Prescribing
Grant Final Report
Grant ID: R01HS15377
Value of New Drug Knowledge for e-Prescribing
Inclusive Dates: 09/8/04 - 08/31/08
Principal Investigator:
Gunther Schadow
Team Members:
CJ Fleck
Mahesh Nalkande
Akshay Sangawar
Chris Rosenth…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
April 01, 2022 - happen on the
unit peer to peer, physician to nurse, respiratory therapist to nurse, and use real
examples
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psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - We certainly see examples—fortunately they are uncommon—of
physicians undertaking procedures that they
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psnet.ahrq.gov/node/33762/psn-pdf
March 01, 2014 - AH: The difference is that some of the examples that you're giving impact only that individual at that
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
June 01, 2013 - Narrative/Storytelling, and Root Cause Analysis will also be selected because they are specific
examples … Examples of a query result are presented in Appendix D.
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psnet.ahrq.gov/issue/emotional-fallout-culture-blame-and-shame
October 28, 2020 - Commentary
The emotional fallout from the culture of blame and shame.
Citation Text:
Ferguson CC. The emotional fallout from the culture of blame and shame. JAMA Pediatr. 2017;171(12):1141. doi:10.1001/jamapediatrics.2017.2691.
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