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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - SPOTLIGHT CASE
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
Citation Text:
Cate O ten-. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
December 02, 2020 - Updates in the Management of High-Risk Pulmonary Embolism
Citation Text:
Kabrhel C, Aaronson E. Updates in the Management of High-Risk Pulmonary Embolism. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Forma…
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - SPOTLIGHT CASE
"The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety
Citation Text:
Lewiss RE. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/suppl-interpreter-service-items-hp-survey50-adult.html
April 01, 2020 - Supplemental Items for the CAHPS Health Plan Adult Survey 5.0: Interpreter Services
Population version: Adult
Download these items: English: ( Word , 38 KB); Spanish ( Word , 32 KB; PDF , 148 KB)
Users of the CAHPS ® Health Plan Survey are free to incorporate supplemental items in order to meet the need…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/supplemental-interpreter-hpcahps-adult_2157-4a.docx
June 02, 2025 - CAHPS® Health Plan Survey 5.0 Supplemental Items: Interpreter Services
Population Version: Adult
Supplemental Items for the CAHPS® Health Plan Survey 5.0
Topic: Interpreter Services
Population Version: Adult
Language: English
Users of the CAHPS® Health Plan Survey are free to incorporate supplemental items in or…
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www.ahrq.gov/prevention/resources/rice/index.html
August 01, 2018 - Research Initiative in Clinical Economics
Research on cost-effectiveness analysis (CEA), cost-benefit analysis, and methods for estimating the value of health care interventions, use of resources, outcomes, and quality.
Contents
Program Focus
Priorities
Policy Projects
Database Resources
Outcome…
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psnet.ahrq.gov/node/41314/psn-pdf
September 27, 2016 - The Medical Apology: Making It Right When Things Go
Wrong.
September 27, 2016
Schulte MF, ed. Front Health Serv Manage. 2012;28(3):1-46.
https://psnet.ahrq.gov/issue/medical-apology-making-it-right-when-things-go-wrong
Articles in this special issue highlight lessons learned from disclosure and apology in health c…
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psnet.ahrq.gov/node/41618/psn-pdf
August 22, 2012 - Most adverse events at hospitals still go unreported.
August 22, 2012
Shaw G. The Hospitalist. August 2012.
https://psnet.ahrq.gov/issue/most-adverse-events-hospitals-still-go-unreported
This news piece details the pervasiveness of unreported medical errors and describes the hospitalist
perspective on initiatives …
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psnet.ahrq.gov/node/49425/psn-pdf
November 01, 2003 - Misread Label
November 1, 2003
Franklin BD. Misread Label. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/misread-label
The Case
An infant was born with sluggish respirations. During labor the infant’s mother had received meperidine
[Demerol, a pain medication], a narcotic with a half-life of 2.5-4.0 hours…
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psnet.ahrq.gov/node/33618/psn-pdf
September 01, 2005 - Playing Well with Others: "Translocational Research" in
Patient Safety
September 1, 2005
Wachter R. Playing Well with Others: "Translocational Research" in Patient Safety. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
Perspective
Translation…
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - Hip Fractures in Older Patients: the Case for Geriatrics Comanagement
Citation Text:
Rogers S, Ward D. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/two-pills-same-drug
May 27, 2011 - Two Pills, Same Drug
Citation Text:
Horsky J, Patel VL. Two Pills, Same Drug. 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 …
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psnet.ahrq.gov/web-mm/bleeding-risk
November 01, 2003 - Bleeding Risk
Citation Text:
Crowther MA. Bleeding Risk. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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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/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a Complicated Case
Citation Text:
Newman-Toker DE. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a Complicated Case. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-commitment.docx
June 01, 2021 - Directions for Completing and Displaying the
Long-Term Care Commitment Poster
How to “sign” the document
Once the document is open in Microsoft Word, click on the bottom right side of the document (the blank space) and you will find a text box (with no fill color or outline).
Use this text box to include the photogra…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-handout-spanish.docx
September 01, 2022 - Skin and Soft Tissue Infections – Patient and Family Member Handout (Spanish)
Las infecciones de la piel y de los tejidos blandos
AHRQ Pub. No. 17(22)-0030
September 2022
Directions for Adding Your Logo to Your Document
If you chose to add a logo to this document, you can place it in the footer, below the art…
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psnet.ahrq.gov/node/36594/psn-pdf
May 27, 2011 - Right tech dose helps medicine go down.
May 27, 2011
Patton S. CIO Magazine. July 12, 2006.
https://psnet.ahrq.gov/issue/right-tech-dose-helps-medicine-go-down
The author describes some common mistakes involving the design and launch of computerized physician
order entry (CPOE) initiatives and provides sugges…
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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - CA-MRSA Skin Infections: An Ounce of Prevention is
Worth a Pound of Cure
October 1, 2012
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet].
2012.
https://psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
Case Objectives
Identify risk f…
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psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - SPOTLIGHT CASE
A "Reflexive" Diagnosis in Primary Care
Citation Text:
Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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…
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - SPOTLIGHT CASE
No News May Not Be Good News
Citation Text:
Moore CR. No News May Not Be Good News. 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 X…