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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 …
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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…
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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…
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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. …
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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 …
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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 …
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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
…
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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-…
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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
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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…
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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.…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…