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  1. hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn17.jsp
    September 01, 2014 - Pharmacy Data Specifications and Formats An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Upda…
  2. effectivehealthcare.ahrq.gov/sites/default/files/related_files/prostate-cancer-risk-assessment-genes_disposition-comments.pdf
    July 03, 2012 - Disposition of Comments Report for Multigene Panels in Prostate Cancer Risk Assessment Source: http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and- reports/?pageaction=displayproduct&productID=1171 Published Online: July 3, 2012 Comparative Effectiveness Research Review Disposition of Comme…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33834/psn-pdf
    May 22, 2017 - Opioid Overdose as a Patient Safety Problem May 22, 2017 Murimi IB, Alexander CG. Opioid Overdose as a Patient Safety Problem. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem Perspective Opioids serve a valuable role in the treatment of acute pain and pain associat…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49389/psn-pdf
    February 01, 2003 - Procedural Mishap: Learning Curve? February 1, 2003 Gibbs VC, Leape L. Procedural Mishap: Learning Curve? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve The Case A 28-year-old multiparous obese female presented for laparoscopic tubal ligation. The patient had undesired fert…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33821/psn-pdf
    December 01, 2016 - Errors and Near Misses: What Health Care Could Learn From Aviation December 1, 2016 Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation Perspective Some of the most urg…
  6. psnet.ahrq.gov/web-mm/mark-my-tooth
    June 01, 2014 - Mark My Tooth Citation Text: Smith RA. Mark My Tooth. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS D…
  7. psnet.ahrq.gov/web-mm/misread-label
    August 28, 2024 - Misread Label Citation Text: Franklin BD. Misread Label. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837785/psn-pdf
    August 05, 2022 - Emergence of Application-based Healthcare August 5, 2022 Marvel FA, Dowell P, Mossburg SE. Emergence of Application-based Healthcare. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/emergence-application-based-healthcare Introduction The demand for digital healthcare, including both telemedicine and hea…
  9. www.ahrq.gov/sites/default/files/wysiwyg/topics/impact-opioid-final.pdf
    November 01, 2018 - Opioids AHRQ Works: Building Bridges Between Research and Practice Opioids Deaths from drug overdoses have risen steadily over the past 2 decades. The misuse of opioids, such as prescription pain medications and heroin, has become widespread across the United States. In response to dramatic increa…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49812/psn-pdf
    November 01, 2017 - Specimen Almost Lost November 1, 2017 Hehe YK. Specimen Almost Lost. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/specimen-almost-lost The Case A 29-year-old woman presented to the hospital with a rash that had spread across her legs and abdomen. She was admitted to the medicine service for further evalu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33621/psn-pdf
    November 01, 2005 - Rapid Response Teams: Lessons from the Early Experience November 1, 2005 Krimsky WS. Rapid Response Teams: Lessons from the Early Experience. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience Perspective Health care organizations throughout the world have ide…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49442/psn-pdf
    May 01, 2004 - Missed TB May 1, 2004 FitzGerald MJ, Menzies D. Missed TB. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/missed-tb The Case A 38-year-old white female with no past medical history presented to the hospital with fevers, respiratory failure, and bilateral pulmonary infiltrates. She was treated empirically w…
  13. www.ahrq.gov/hai/pfp/haccost2017-discuss.html
    November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussion Previous Page Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussio…
  14. www.ahrq.gov/sites/default/files/2024-01/schade-willis-report.pdf
    January 01, 2024 - Final Report: Regional Patient Safety Officer Conference—Learning Together Today and Tomorrow Conference Final Report Regional Patient Safety Officer Conference – Learning Together Today and Tomorrow Prepared for: Agency for Healthcare Research and Quality Project Officer: William Freeman, MPH Health Scientist …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49860/psn-pdf
    April 01, 2019 - Hip Fractures in Older Patients: the Case for Geriatrics Comanagement April 1, 2019 Rogers S, Ward D. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement The Case An 82-year-old man …
  16. www.ahrq.gov/research/findings/evidence-based-reports/er208-overview.html
    October 01, 2014 - Series Overview Closing the Quality Gap: Revisiting the State of the Science Overview of new series of evidence reports on quality improvement strategies. Contents Background Topic Selection and Scope Development Principles Key Questions Organizing Framework References     Background …
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
    June 02, 2025 - Module 1: Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process The CANDOR Toolkit is composed of eight distinct modules that can be used to teach users about the CANDOR Pro…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73412/psn-pdf
    August 01, 2022 - “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) June 30, 2021 https://psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and- disclosure Summary The Behavioral Health Vital Signs (BHVS) screener i…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49814/psn-pdf
    December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation Mishap December 1, 2017 Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap The Case A 63-year-old man with a history of coronary…
  20. www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-slides.html
    March 01, 2017 - Physician and Staff Engagement: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Physician and Staff Engagement Slide 2: Learning Objectives After this session, you will be able to— Identify the importan…