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  1. digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/In-officePrescribing-ElectronicSystem.pdf
    January 01, 2010 - In-office prescribing-electronic system In-office Prescribing – Electronic system P ro vi de r P ha rm ac y P at ie nt Patient sees provider Log-in to EMR system Evaluate patient Patient need prescription and/ or refill? Patient leaves No Order prescription and/or refill electronically Pharmacy …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841199/psn-pdf
    December 07, 2022 - Press Play on Safety Conversations. December 7, 2022 Healthcare Excellence Canada. 2022. https://psnet.ahrq.gov/issue/press-play-safety-conversations After a patient safety incident, effective discussions are critical for healing and improvement. This website houses collections of materials to support constructive…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39752/psn-pdf
    September 09, 2010 - Ambulance personnel perceptions of near misses and adverse events in pediatric patients. September 9, 2010 Cushman JT, Fairbanks RJ, O'Gara KG, et al. Ambulance personnel perceptions of near misses and adverse events in pediatric patients. Prehosp Emerg Care. 2010;14(4):477-84. doi:10.3109/10903127.2010.497901. h…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853250/psn-pdf
    September 06, 2023 - ‘The Retrievals’ reveals painful experiences of female patients are often ignored. September 6, 2023 Desjardins L. PBS NewsHour. August 29, 2023. https://psnet.ahrq.gov/issue/retrievals-reveals-painful-experiences-female-patients-are-often-ignored Disregard for women’s pain is a persistent problem in health care. …
  5. www.ahrq.gov/patient-safety/settings/emergency-dept/frequent-use.html
    July 01, 2017 - Characteristics of Frequent Users of Three Hospital Emergency Departments Julius Cuong Pham, M.D., Ph.D.; Jamil D. Bayram, M.D., M.P.H., E.M.D.M., M.Ed., Ph.D.-c; Dina K. Moss, M.P.A. Contents Introduction Study Overview Findings Discussion and Implications References Introduction The emergency …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49728/psn-pdf
    March 01, 2015 - Medication Mix-Up: From Bad to Worse March 1, 2015 Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/medication-mix-bad-worse The Case A 69-year-old man with chronic kidney disease and essential hypertension was admitted to the hospital with chest …
  7. psnet.ahrq.gov/web-mm/missing-trauma
    March 03, 2011 - Missing Trauma Citation Text: Jurkovich GJ. Missing Trauma. 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 Endnote tagged PubMedId RIS …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50929/psn-pdf
    February 26, 2020 - Discharged with IV antibiotics: When issues arise, who manages the complications? February 26, 2020 Donnelley M, Gintjee TJ, Go J. Discharged with IV antibiotics: When issues arise, who manages the complications? PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-…
  9. www.uspreventiveservicestaskforce.org/home/getfilebytoken/KFZpoMBYuoo8TRW6nhRev8
    October 23, 2023 - Since May 2022, on- going surveillance was conducted through article alerts and tar- geted searches of
  10. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide58.html
    October 01, 2014 - 58. The 5 As: Treating Tobacco as a Chronic Disease Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation.   A chart of the treatment process. Ask: Do you currently use tobacco? If no, ask: Have you ever used tobacco? If no, arrange followup. If yes, assess: Have you recent…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39036/psn-pdf
    October 21, 2009 - Disclosing medical errors to patients: a challenge for health care professionals and institutions. October 21, 2009 Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/j.pec.2009.07.018. https://psnet.ahrq.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44223/psn-pdf
    November 22, 2016 - Patient Safety and Incident Management Toolkit. November 22, 2016 Edmonton, AB: Canadian Patient Safety Institute. June 2015. https://psnet.ahrq.gov/issue/patient-safety-and-incident-management-toolkit Engaging patients and families in safety can uncover concerns and inform improvement efforts. This three- compone…
  13. digital.ahrq.gov/consumer-health-information-technology-home-guide-human-factors-design-considerations-0
    January 01, 2023 - Consumer Health Information Technology in the Home: A Guide for Human Factors Design Considerations Every day, in households across the country, people engage in behavior to improve their current health states, recover from disease and injury, or cope with chronic, debilitating…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836832/psn-pdf
    March 30, 2022 - Improving Education—A Key to Better Diagnostic Outcomes. March 30, 2022 Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0026-1-EF https://psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes Diagnostic skil…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837710/psn-pdf
    July 20, 2022 - Independent Neurology Inquiry. July 20, 2022 Lockhart B, Mascie-Taylor H. Crown Copyright: London, England; June 2022.  ISBN 9781912313631. https://psnet.ahrq.gov/issue/independent-neurology-inquiry Misdiagnosis of neurological conditions, such as stroke, can lead to delays in treatment and patient morbidity…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844773/psn-pdf
    September 11, 2019 - How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases. September 11, 2019 Rein L. Washington Post. August 30, 2019. https://psnet.ahrq.gov/issue/how-veterans-affairs-failed-stop-pathologist-who-misdiagnosed-3000-cases Clinicians are often reluctant to report impaired or incompetent colleag…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43239/psn-pdf
    June 11, 2014 - A cycle of redemption in a medical error disclosure and apology program. June 11, 2014 Carmack HJ. A Cycle of Redemption in a Medical Error Disclosure and Apology Program. Qual Health Res. 2014;24(6):860-869. https://psnet.ahrq.gov/issue/cycle-redemption-medical-error-disclosure-and-apology-program Clinicians who…
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
    October 01, 2014 - Module 3: Falls Prevention and Management Conclusion Previous Page Next Page Table of Contents Module 3: Falls Prevention and Management Learning and Performance Objectives Session 1 Session 2 Conclusion Appendix. Additional Tools and Resources In Summary Falls prevention…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-quickstart-final508.pdf
    June 02, 2025 - Implementation Quick Start Guide: Teach-Back The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Implementation Quick Start Guide Teach-Back 1 Review intervention and training materials � Understand the purpose, use, and benefits � Review the training toolkit. of teac…
  20. www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool14.html
    March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Previous Page Next Page Table of Contents Community Connections: Linking Primary Care Pati…