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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/node/49630/psn-pdf
July 01, 2011 - Cost-effectiveness of dabigatran compared with warfarin for
stroke prevention in atrial fibrillation
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psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - Effect of computerized physician order entry and a team intervention on prevention of serious medication
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psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
February 26, 2025 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - Or are there ways to prospectively anticipate that something is likely to fall off the back of the truck … The back of a patient chair on a tomography system bent and broke off, allowing a patient to fall.
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - Cost-effectiveness of dabigatran compared with warfarin for stroke prevention in atrial fibrillation.
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psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - Misidentifying the Unidentified – John Doe and the EHR
Citation Text:
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
…
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psnet.ahrq.gov/node/33856/psn-pdf
April 01, 2018 - Patient Safety During Hospital Discharge
April 1, 2018
Liang K, Alper E. Patient Safety During Hospital Discharge. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
Perspective
Patients are admitted to the hospital in the United States 35 million times per year.(1)…
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psnet.ahrq.gov/web-mm/picture-speaks-1000-words
July 16, 2015 - A Picture Speaks 1000 Words
Citation Text:
Hemphill RR. A Picture Speaks 1000 Words. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx
Spotlight
When the Indications for Drug
Administration Blur
Source and Credits
• This presentation is based on the June 2020 AHRQ
WebM&M Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: Julia Munsch,…
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psnet.ahrq.gov/node/49768/psn-pdf
September 01, 2016 - A Pill Organizing Plight
September 1, 2016
McGalliard B, Shane R, Rosen S. A Pill Organizing Plight. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/pill-organizing-plight
Case Objectives
Identify patients at high risk for adverse drug events.
List drugs that are considered inappropriate in older patients.
…
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - morbidity to better identify their support needs and research priorities and to identify community-driven prevention … Influential research products include over 100 evidence-based national quality, prevention, and safety … substances, reduction of hospital-acquired conditions, voluntary events reporting, and loss control/prevention … safety, infusion safety, clinical alarms safety, unit-based safety improvement, venous thromboembolism prevention
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psnet.ahrq.gov/node/49429/psn-pdf
January 01, 2004 - Unfortunately, ß-hCG levels alone are not diagnostic as they may fall and rise in
some situations, such
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - Root Cause Analysis and Medical Error Prevention. StatPearls Publishing; 2024.
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - Root Cause Analysis and Medical Error Prevention. StatPearls Publishing; 2024.
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - across different points of care.(23)
Pharmacists, who have been shown to play an important role in the prevention … To date, such cost-
benefit studies have tended to fall on the side of benefit.(29,30) This case illustrates
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psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
November 15, 2023 - Appropriate Medication Use
March 31, 2021
Home health staff perspectives on infection prevention
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - Every outpatient clinical setting needs to
have active tracking systems for things that we know can fall
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psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
March 24, 2025 - Interview
In Conversation with Edwin Boudreaux about Suicide Prevention
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - reporting hospital-specific mortality following coronary bypass surgery, mortality rates were observed to fall … Smoking cessation advice/counseling Appropriate Initial Antibiotic Selection Surgical Infection Prevention