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psnet.ahrq.gov/node/33640/psn-pdf
September 01, 2006 - What Can the Rest of the Health Care System Learn from
the VA's Quality and Safety Transformation?
September 1, 2006
Jha AK. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety
Transformation? PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system…
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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - The LifePoint National Quality Program Provides
Structured Framework for Reducing Inpatient Harm
January 5, 2021
https://psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-
reducing-inpatient-harm
Summary
Building on the company’s experience as a Hospital Engagement Network…
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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Curated Libraries
Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field.
Watch the video to learn more about how this new feature works and how it can be of benefit to you.
Latest PSNet…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/screening-for-prediabetes-and-type-2-diabetes
November 15, 2018 - Share to Facebook
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Final Research Plan
Prediabetes and Type 2 Diabetes: Screening
November 15, 2018
Recommendations made by the USPSTF are independent of the U.S. government. They should not be …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/gout_consumer.pdf
January 01, 2017 - Managing Gout: A Review of the Research for Adults
Managing Gout
A Review of the Research for Adults
e
Is This Information Right for Me?
This information is right for you if:
� Your health care professional* has said that you have gout.
� You are age 18 or older. This information is from research on adults.
…
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - Strategies to Improve Organizational Health Literacy.
May 31, 2023
Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
Background
Health literacy is important at both the personal …
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psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
January 01, 2015 - Annual Perspective
Patient Safety and Opioid Medications
Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2016
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Patient Safety and Opioid Medications. PSNet [internet]. Ro…
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs025043-ellis-final-report-2019.pdf
January 01, 2019 - Speech Telerehabilition after stroke: Proof of Concept and Feasibility - Final Report
1. TITLE PAGE
Title of Project: Speech Telerehabilition after stroke: Proof of Concept and Feasibility
Principal Investigator and Team Members: Charles Ellis (PI), Xiangming Fang (Co-I)
Organization: East Ca…
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hcup-us.ahrq.gov/db/nation/neds/stats/FileSpecifications_NEDS_2014_Core.TXT
January 01, 2014 - Data Set Name: NEDS_2014_CORE
Number of Observations: 31026417
Total Number of Data Elements: 136
Columns Description
======== ===========
1 - 4 Database name
6 - 9 Discharge year of data
11 - 19 File name
21 - 23 Data element number
25 - 43 Data element name
45 …
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - Medication Errors and Adverse Drug Events
Citation Text:
Medication Errors and Adverse Drug Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote…
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psnet.ahrq.gov/web-mm/discharged-blindly
October 26, 2022 - Discharged Blindly
Citation Text:
Iezzoni LI. Discharged Blindly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
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psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - Electrocardiogram Results: ***READ ME***
Citation Text:
Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
Google Scholar BibTeX EndNote X3 XM…
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effectivehealthcare.ahrq.gov/sites/default/files/cer-228-nonopioid-pharm-chronic-pain-comments.pdf
April 16, 2020 - there are
now MILLIONS of patients suffering from acute & chronic pain due to cancer,
sickle cell, fall … However, we ARE the ones taking the proverbial fall for the transgressions of
others.
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - starting vasopressors peripherally, or, alternatively, why they allowed the patient's blood pressure to fall
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www.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - Things "fall between the cracks" when transferring patients from one unit to another.
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psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - Or are there ways to prospectively
anticipate that something is likely to fall off the back of the truck
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digital.ahrq.gov/sites/default/files/docs/publication/r13hs017995-landon-final-report-2010.pdf
January 01, 2010 - Methods
The Steering Committee met in the fall of 2008 to develop a list of focused areas of interest
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psnet.ahrq.gov/web-mm/hiding-plain-sight
April 24, 2019 - April 24, 2019
An inpatient fall prevention initiative in a tertiary care hospital.
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - Fall 2002;Q4:20-24.
7. Gaba DM. The future vision of simulation in health care.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
January 01, 2007 - own workflow processes
through the PDSA cycles ensures that the resulting process and system changes fall … glycemic control bundles) 5
Implement central line bundle 1
Implement MRSA bundle 6
Patient fall