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4081. Communication With Consultants | PSNet
      psnet.ahrq.gov/web-mm/communication-consultants
      October 01, 2018 - Communication With Consultants Citation Text: Cohn SL. Communication With Consultants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…

4082. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49770/psn-pdf
      September 01, 2016 - Wrong-Time Error With High-Alert Medication September 1, 2016 Yang A, Nelson LS. Wrong-Time Error With High-Alert Medication. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication The Case A 60-year-old man was admitted to the hospital for a total knee arthroplasty. During th…

4083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49644/psn-pdf
      December 01, 2011 - Missing the Point—Eye Injury December 1, 2011 Sharma R, Brunette DD. Missing the Point—Eye Injury. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/missing-point-eye-injury The Case A 31-year-old woman presented to the emergency department (ED) after suffering multiple lacerations during an assault. The pati…

4084. Adverse Events in Dentistry | PSNet
      psnet.ahrq.gov/perspective/adverse-events-dentistry
      December 22, 2020 - KH : Going back to our discussion about specific adverse events, we had talked about infection control

4085. Strategy 1: Working with Patients & Families as Advisors (Tool 7) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_7_Story_Hndout_508.pdf
      June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 7) Guide to Patient and Family Engagement Sharing My Story: A Planning Worksheet Use this worksheet to help plan what you want to share about your hospital experiences. Key points about your hospital experiences When you or your family member w…

4086. 44. The "5 A's" Model for Treating Tobacco Use and Dependence-2008 (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide44.html
      October 01, 2014 - 44. The "5 A's" Model for Treating Tobacco Use and Dependence-2008 (continued) Treating Tobacco Use and Dependence: 2008 Update Overview Text version of slide presentation. A flowchart of the treatment process. Ask : Do you currently use tobacco? If "no," ask: Have you ever used tobacco? If "no," arra…

4087. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836971/psn-pdf
      April 20, 2022 - Patients should know who's operating, surgeons say. April 20, 2022 Laber-Warren E. MedPage Today. April 5, 2022. https://psnet.ahrq.gov/issue/patients-should-know-whos-operating-surgeons-say Resident autonomy is an essential component to medical training, but it is not without patient safety risks. This news artic…

4088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/859352/psn-pdf
      December 20, 2023 - More hospitals move to confront medical errors head on. December 20, 2023 Gorenstein D. Tradeoffs. November 16, 2023. https://psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head Amid governmental guidance to improve safety, front-line perspectives remain an important source for insight to make im…

4089. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850934/psn-pdf
      June 21, 2023 - Are apologies a way to reduce malpractice risks?. June 21, 2023 Sanfilippo JS, Kettering C, Smith SR. Are apologies a way to reduce malpractice risks? Clin Obstet Gynecol. 2023;66(2):293-297. doi:10.1097/grf.0000000000000772. https://psnet.ahrq.gov/issue/are-apologies-way-reduce-malpractice-risks Effective apology…

4090. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837153/psn-pdf
      January 01, 2025 - Annual Communication, Apology, and Resolution (CARe) Forum. October 29, 2024 Betsy Lehman Center for Patient Safety.  https://psnet.ahrq.gov/issue/annual-communication-apology-and-resolution-care-forum Communication and resolution programs are a promising strategy for successful management of relationships a…

4091. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45916/psn-pdf
      March 08, 2017 - Feeling unsafe in the healthcare setting: patients' perspectives. March 8, 2017 Kenward L, Whiffin C, Spalek B. Feeling unsafe in the healthcare setting: patients' perspectives. Br J Nurs. 2017;26(3):143-149. doi:10.12968/bjon.2017.26.3.143. https://psnet.ahrq.gov/issue/feeling-unsafe-healthcare-setting-patients-p…

4092. Archived: Modeling Report: Collaborative Modeling of U.S. Breast Cancer Screening Strategies: Breast Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/modeling-report-collaborative-modeling-of-us-breast-cancer-1/breast-cancer-screening-january-2016
      December 31, 2015 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Modeling Report: Collaborative Modeling of U.S. Breast Cancer Screening Strategies Breast Cancer: Screening December 31, 2015 Recommendations made by the USPSTF are…

4093. Archived: Modeling Report: Radiation-Induced Breast Cancer and Breast Cancer Death From Mammography Screening (Abstract): Breast Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/modeling-report-radiation-induced-breast-cancer-and-breast-c/breast-cancer-screening-january-2016
      April 20, 2015 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Modeling Report: Radiation-Induced Breast Cancer and Breast Cancer Death From Mammography Screening (Abstract) Breast Cancer: Screening April 20, 2015 Recommenda…

4094. AcademyHealth REACH Challenge Worksheet: (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/ebc_challenge_final_submission_planning_worksheet1.pdf
      October 08, 2025 - AcademyHealth REACH Challenge Worksheet: AHRQ EBC Challenge Worksheet: Steps for Developing a Strong Project Submission So you have an idea for the EBC challenge, but how do you go from big-picture concept to focused idea? What are the essential components of a submission that will convey your idea and…

4095. Search Database | Digital Healthcare Research
      digital.ahrq.gov/search-database
      January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

4096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47955/psn-pdf
      April 17, 2019 - Will human factors restore faith in the GMC? April 17, 2019 Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037. https://psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc Investigations into medical mistakes that result in patient harm sh…

4097. Lost in Transition | PSNet
      psnet.ahrq.gov/web-mm/lost-transition
      November 17, 2010 - SPOTLIGHT CASE Lost in Transition Citation Text: Beach C. Lost in Transition. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

4098. The Missing Abscess: Radiology Reads in the Digital Era | PSNet
      psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
      January 01, 2009 - SPOTLIGHT CASE The Missing Abscess: Radiology Reads in the Digital Era Citation Text: Siegel EL. The Missing Abscess: Radiology Reads in the Digital Era. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation…

4099. Archived: Falls Prevention in Older Adults: Counseling and Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/falls-prevention-in-older-adults-counseling-and-preventive-medication-2012
      May 15, 2012 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Falls Prevention in Older Adults: Counseling and Preventive Medication May 15, 2012 Recommendations made by the USPSTF are i…

4100. Building a Foundation for Health Information Exchange to Improve Poison Control | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/success-stories/building-foundation-health-information-exchange-improve-poison-control
      January 01, 2023 - Building a Foundation for Health Information Exchange to Improve Poison Control Your browser does not support inline frames. Please go to http://youtu.be/lH_i5qRflPM to view the video. Principal Investigator: Mollie Cummins (Grant No. R21 HS018773) [6 min., 03 sec.] This project illustrated…