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psnet.ahrq.gov/web-mm/lap-burn
March 01, 2018 - Lap Burn
Citation Text:
Ball K. Lap Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
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psnet.ahrq.gov/node/33679/psn-pdf
January 01, 2009 - Disclosure of Medical Error
January 1, 2009
Kachalia A. Disclosure of Medical Error. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/disclosure-medical-error
Perspective
Disclosure of medical error is inextricably linked to today's patient safety efforts. Health care experts
advocate that greater discl…
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psnet.ahrq.gov/node/49488/psn-pdf
August 21, 2005 - PCA Overdose
August 21, 2005
Doyle JD. PCA Overdose. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/pca-overdose
The Case
A 49-year-old woman underwent an uneventful total abdominal hysterectomy bilateral salpingo-
oophorectomy. Postoperatively, the patient complained of severe pain and received intravenou…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-4.html
March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes
Competencies To Improve Diagnosis in Health Professions Education
Previous Page Next Page
Table of Contents
Improving Education—A Key to Better Diagnostic Outcomes
Introduction
Foundations of Diagnosis Education
Current State of Diagnosi…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/specific-pt-populations-slides.pdf
May 01, 2025 - Approaches to Address the Health of Specific Patient Populations in Primary Care: Slide Presentation
National Center for Excellence
in Primary Care Research
National Center for Excellence in Primary Care Research
Presents
Approaches to Address the Health of Specific Patient Populations in
Primary Care
May 1,…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-idaho-state-snapshot.pdf
January 01, 2018 - Spotlight on Idaho -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from Idaho’s experience during the quality
demonstration funded by the Centers for Medicare
& Medicaid Services (CMS) through the C…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-pennsylvania-state-snapshot.pdf
January 01, 2018 - Spotlight on Pennsylvania -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
This brief highlights the major strategies, lessons learned, and
outcomes from Pennsylvania’s experience from February 2010
to February 2016 with the quality demonstration funded by
the Centers for Medicare & Med…
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psnet.ahrq.gov/node/33868/psn-pdf
October 01, 2018 - Safety in the Retail Pharmacy
October 1, 2018
Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/safety-retail-pharmacy
Perspective
There are approximately 67,000 retail/community pharmacies dispensing 4.4 billion prescriptions each
year.(1) Many patients interact w…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
February 01, 2012 - Spotlight Case July 2008
Spotlight Case
E-prescribing: E for Error?
1
2
Source and Credits
This presentation is based on the February 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Elisa W. Ashton, PharmD, Assistant Clinical Professor, Departm…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-guide.docx
September 01, 2022 - The Sometimes Antibiotics” Diagnoses: Sinusitis – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
The “Sometimes Antibiotics” Diagnoses:
Sinusitis
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
The “Sometimes Antibiotics” Diagnoses: Sinusitis
Ambulatory Care
SAY:
Wel…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-slides.pptx
April 01, 2022 - Building an Engaged CUSP Team Slides
Building an Engaged Comprehensive Unit-based Safety Program Team
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
1
Objectives
Identify tools and resources available to support your CLABSI and/or CAUTI improvemen…
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psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - Patient Mix-Up
February 1, 2003
Shojania KG. Patient Mix-Up. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/patient-mix
The Case
Joe Smith [not his real name], a 42-year-old man with nausea and vomiting for 4 days, was on the general
medical service at an academic medical center. Overnight, another man wit…
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/hepatitis-b-virus-infection-in-pregnant-women-screening
July 23, 2019 - Share to Facebook
Share to X
Share to WhatsApp
Share to Email
Print
Evidence Summary
Hepatitis B Virus Infection in Pregnant Women: Screening
July 23, 2019
Recommendations made by the USPSTF are independent of the U.S. government. They sho…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6q-custservice-standards.html
March 01, 2020 - Strategy 6Q: Standards for Customer Service
Contents
6.Q.1. The Problem
6.Q.2. The Intervention
6.Q.3. Case Study
References
Download Strategy 6Q:
Standards for Customer Service
(PDF, 708 KB)
6.Q.1. The Problem
Achieving high levels of member satisfaction requires two …
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www.ahrq.gov/news/newsletters/e-newsletter/925.html
August 01, 2024 - New Data Files Provide Comprehensive View of U.S. Healthcare
Issue Number
925
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
August 13, 2024
AHRQ Stats: Sepsis-Related Mortality Before and During COVID-19 Between 2016 and 2019, the in-hospital mortality rate…
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digital.ahrq.gov/sites/default/files/docs/page/2006ConinEganLoonsk_052411comp.pdf
January 17, 2006 - Office of the National Coordinator for Health Information Technology - Panel Discussion
Office of the National Coordinator
for Health Information Technology
Panel Discussion:
Kelly Cronin
John Loonsk, MD
Lynn Egan, JD
Visit our website at:
http://www.hhs.gov/healthit/
Overview
• ONC overview
• ONC Major Initi…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-ok.html
April 01, 2015 - Primary Care Extension in Oklahoma: An Evidence-Based Approach to Dissemination and Implementation of Innovations
AHRQ Estimating the Costs of Supporting Primary Care Transformation Grants
Principal Investigator: James W. Mold, MD, MPH
Institution: University of Oklahoma Health Sciences Center, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-ok.pdf
April 01, 2015 - Primary Care Extension in Oklahoma: An Evidence-Based Approach to Dissemination and Implementation of Innovations
Primary Care Extension in Oklahoma: An Evidence-Based Approach to
Dissemination and Implementation of Innovations
Principal Investigator: James W. Mold, MD, MPH
Institution: University of …
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psnet.ahrq.gov/node/45439/psn-pdf
October 15, 2016 - Patient participation in patient safety still missing: patient
safety experts' views.
October 15, 2016
Sahlström M, Partanen P, Rathert C, et al. Patient participation in patient safety still missing: Patient safety
experts' views. Int J Nurs Pract. 2016;22(5):461-469. doi:10.1111/ijn.12476.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/38597/psn-pdf
June 12, 2009 - A patient safety curriculum for graduate medical
education: results from a needs assessment of educators
and patient safety experts.
June 12, 2009
Varkey P, Karlapudi S, Rose S, et al. A patient safety curriculum for graduate medical education: results
from a needs assessment of educators and patient safety expert…