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psnet.ahrq.gov/node/49459/psn-pdf
September 01, 2004 - Caution, Interrupted
September 1, 2004
Wears RL. Caution, Interrupted. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/caution-interrupted
The Case
A 55-year-old man with acute myelogenous leukemia and several recent hospitalizations for fever and
neutropenia presented to the emergency department (ED) with …
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psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - CVC Removal: A Procedure Like Any Other
June 1, 2014
Feil M. CVC Removal: A Procedure Like Any Other. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
The Case
A 27-year-old man with a history of Behçet disease and recurrent liver abscesses was admitted to the
hospital for a p…
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psnet.ahrq.gov/node/33625/psn-pdf
January 01, 2006 - Aviation Safety Methods: Quickly Adopted but Questions
Remain
January 1, 2006
Thomas EJ. Aviation Safety Methods: Quickly Adopted but Questions Remain. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
Perspective
On August 2, 2005, Air France flig…
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psnet.ahrq.gov/web-mm/workaround-error
October 30, 2024 - Workaround Error
Citation Text:
Pape T. Workaround Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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…
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psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay
Citation Text:
O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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G…
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psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - Transition to Nowhere
Citation Text:
Farrell TW. Transition to Nowhere. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - Is the Admission Drug Dose Too Low?
Citation Text:
Kaushal R, Abramson EL. Is the Admission Drug Dose Too Low?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
February 01, 2012 - An Untimely End Despite End-of-Life Care Planning
Citation Text:
Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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…
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psnet.ahrq.gov/web-mm/easily-forgotten-tube
June 01, 2016 - An Easily Forgotten Tube
Citation Text:
Ousey K. An Easily Forgotten Tube. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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Format:
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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - Refused Medication Error
Citation Text:
Foley M. Refused Medication Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-a.pdf
April 01, 2016 - OpenNotes for Patients: Access Your Own Medical Notes
OpenNotes for Patients:
Access Your Own Medical Notes
What is it?
OpenNotes is a tool that lets you see what your doctor
writes in your chart.
You can access it online through the patient portal, or
you can ask your doctor’s office to make you a copy.
You can …
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www.ahrq.gov/talkingquality/distribute/index.html
September 01, 2017 - Distribute Your Health Care Quality Report to Consumers
Long before you have comparative information to distribute, you need to be thinking about how and when to get it into the hands of consumers. Your objective is to place your report where your audience can find it quickly and easily and in a location that r…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/breast-biopsy_overview.pdf
December 19, 2012 - CER 19 Update Core Needle_Open Surgical Biopsy Breast Lesions NSD FINAL
§ Com…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0260_07-16-2010.pdf
January 01, 2010 - Effective Health Care
Topic Number(s): 0279
Document Completion Date: 12-13-10
1
Results of Topic Selection Process & Next Steps
Treatments for tinnitus will go forward for refinement as a systematic review. The scope of this topic,
including populations, interventions, comparators, and outcom…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0007_03-17-2008.pdf
January 01, 2008 - Effective Health Care
Topic Number(s): 0063
Document Completion Date: 11-18-09
1
Results of Topic Selection Process & Next Steps
Depression treatment after SSRI failure will go forward for refinement as a comparative effectiveness
or effectiveness review. The scope of this topic, includi…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/aa2HjKg6Gz6gm4mRPDLxhc
Clinical Summary: Interventions to Prevent Falls in Community-Dwelling Older Adults
Clinical Summary: Interventions to Prevent Falls in Community-Dwelling Older Adults
Population Community-dwelling adults 65 years or older at increased risk for falls , w ithout osteoporosis or vitamin D deficiency
Recomme…
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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - Antiseizure Medication Disorder
May 1, 2007
Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
Case Objectives
Appreciate the challenges of safe use of antiepileptic medications.
Identify phenytoin toxicity.
Understand the pharmaco…
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www.ahrq.gov/faqs/index.html?page=26
May 26, 2025 - Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
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psnet.ahrq.gov/issue/go-between-study-simulation-study-comparing-traffic-lights-and-sbar-tools-means-communication
March 01, 2023 - Study
The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff.
Citation Text:
MacDougall-Davis SR, Kettley L, Cook TM. The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'S…
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psnet.ahrq.gov/issue/who-do-hospital-physicians-and-nurses-go-advice-about-medications-social-network-analysis-and
May 22, 2013 - Study
Who do hospital physicians and nurses go to for advice about medications? A social network analysis and examination of prescribing error rates.
Citation Text:
Creswick N, Westbrook JI. Who Do Hospital Physicians and Nurses Go to for Advice About Medications? A Social Network Analys…