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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - Hospital at Home? Care Reduces Costs, Readmissions,
and Complications and Enhances Satisfaction for Elderly
Patients.
April 7, 2021
https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-
and-enhances
Summary
The Hospital at Homesm program provides hospital-level care…
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Diffusion of Responsibility Leads to Danger
October 1, 2018
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
The Case
A 70-year-old man was sent to the emergency department (ED) from a nursing facility…
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psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - Air
October 1, 2004
WebM&M Cases
Another Fall
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psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
July 01, 2003 - The Case An 85-year-old woman with dementia took a mechanical fall at her skilled nursing facility
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - Hospitalized patients' attitudes about and participation in error prevention.
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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - In Conversation with Jessica Behrhorst about The
Evolution of Root Cause Analysis
February 26, 2025
Behrhorst J, Gale B, Van CM. In Conversation with Jessica Behrhorst about The Evolution of Root Cause
Analysis. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evoluti…
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - treatment of chronic pain in primary care, such as those developed by the Centers for Disease Control and Prevention … Atlanta, GA: Centers for Disease Control and Prevention, National Center for Health Statistics, National … Atlanta, GA: Centers for Disease Control and Prevention. Available at [ Available at ] 8. … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - treatment of chronic pain in primary care, such as those developed by the Centers for Disease Control and Prevention … Atlanta, GA: Centers for Disease Control and Prevention, National Center for Health Statistics, National … Atlanta, GA: Centers for Disease Control and Prevention. Available at [ Available at ] 8. … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - analysis, which provide a thorough, well-rounded review of patient safety concepts needed for harm prevention … Neonatal heparin overdose-a multidisciplinary team approach to medication error prevention. … Interview
In Conversation with Edwin Boudreaux about Suicide Prevention
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - SPOTLIGHT CASE
Standard Deviations
Citation Text:
Sabin JE. Standard Deviations. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
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psnet.ahrq.gov/web-mm/ecg-not-normal
November 10, 2015 - SPOTLIGHT CASE
The ECG Is Not Normal
Citation Text:
Zuger A. The ECG Is Not Normal. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
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psnet.ahrq.gov/node/853081/psn-pdf
August 30, 2023 - VIC takes some of the
pressure off of the nurses on the floor with good catches and error prevention … It’s like Kathy says, that whole continuum of care, and how can we make it
seamless so people don’t fall
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - setting, hospitals continue to struggle with suboptimal rates of compliance with this basic infection prevention … remarkable given widespread agreement that hand hygiene is the most important intervention for infection prevention … include insufficient time, work overload, inadequate knowledge, skepticism about hand hygiene as a prevention … Infection prevention promotion program based on the PRECEDE model: improving hand hygiene behaviors among
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - [Free full text] Centers for Disease Control and Prevention. … Baltimore, MD: US Centers for Disease Control and Prevention; April 30, 2020. … Centers for Disease Control and Prevention. Accessed March 11,2022. … Centers for Disease Control and Prevention. Accessed March 11, 2022. … Centers for Disease Control and Prevention. Accessed December 2021.
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - patient was incidentally diagnosed with prostate cancer, metastatic to bone, when he was admitted for a fall
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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - February 1, 2012
Perspective
Implementing a Fall … Prevention Program
December 1, 2011
Perspective
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psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - These data tend to fall in a different category than the data we collect in the clinical setting, like
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - Community prevention: the program of the People's Medical Society.
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psnet.ahrq.gov/node/49707/psn-pdf
April 01, 2014 - CYP450 Drugs: Expect the Unexpected
April 1, 2014
Gonzalez CJ. CYP450 Drugs: Expect the Unexpected. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
The Case
A 42-year-old man with acquired immunodeficiency syndrome (AIDS) (CD4 count 198), hip dystocia, and
generalized anxiety …
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psnet.ahrq.gov/node/49632/psn-pdf
July 01, 2011 - A Seasonal Care Transition Failure
July 1, 2011
Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
The Case
A 70-year-old healthy man presented to his primary care doctor—a third-year internal medicine
resident—for routine follow-up…