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psnet.ahrq.gov/primer/medication-administration-errors
December 15, 2024 - Medication Administration Errors
Citation Text:
MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - SPOTLIGHT CASE
Missed Appendicitis
Citation Text:
Adams JG. Missed Appendicitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
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digital.ahrq.gov/sites/default/files/docs/citation/asthmacarewithhit_081011comp.pdf
July 01, 2011 - Improving Asthma Care With Health Information Technology
Final ACTION Contract Report
Improving Asthma Care With
Health Information Technology
Final Report
Improving Asthma Care With Health Information
Technology
Prepared for:
Agency for Healthcare Research and Quality
540 Gaither Road
Rockvil…
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psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - Measuring Patient Safety
Michelle Schreiber, MD; Cindy Van, MHSA; Sarah E. Mossburg, RN, PhD
| December 14, 2022
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Schreiber M, Van C, Mossburg SE. Measuring Patient Safety. PSN…
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety
December 14, 2022
Also Read the Essay
Citation Text:
In Conversation With.. Dr. Michelle Schreiber on Measuring Patient Safety. PSNet [internet]. 2022.In Conversation With... Dr. Michelle …
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
June 02, 2025 - Many do not understand
what has happened to them and can’t comprehend the role of CR.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_4.pdf
October 01, 2016 - That has really only happened in the last year—
wasn’t the case previously.
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meps.ahrq.gov/survey_comp/hc_survey/2011/MEPS_Cancer_SAQ_R1_Results.shtml
January 01, 2011 - , they didn’t remember enough to answer some of the questions, they
were unaware of what actually happened … The other respondent pointed out that the questions
assume the employment change happened in the past … This
respondent’s cancer treatment had happened in the distant past.
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psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm
Fatigue
May 1, 2016
Jacques S, Williams E. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet].
2016.
https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
Perspective
Alarm fatigue occurs whe…
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psnet.ahrq.gov/node/49406/psn-pdf
June 01, 2003 - The Dangerous Detour
June 1, 2003
Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/dangerous-detour
The Case
Following an overdose of alcohol and Ativan, a 26-year-old woman was admitted to the Medicine service
for observation after being placed on a 72-hour hold by…
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psnet.ahrq.gov/node/33621/psn-pdf
November 01, 2005 - Rapid Response Teams: Lessons from the Early
Experience
November 1, 2005
Krimsky WS. Rapid Response Teams: Lessons from the Early Experience. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
Perspective
Health care organizations throughout the world have ide…
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psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - Missing Trauma
May 1, 2009
Jurkovich GJ. Missing Trauma. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/missing-trauma
The Case
A 54-year-old woman collapsed behind the counter of a small neighborhood market. She was discovered a
few minutes later by a customer, who immediately called 911. On arrival, para…
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psnet.ahrq.gov/node/49623/psn-pdf
March 01, 2011 - Are We Pushing Graduate Nurses Too Fast?
March 1, 2011
Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
The Case
A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical…
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psnet.ahrq.gov/node/49595/psn-pdf
December 01, 2009 - "Superficial" Report Leads to "Deep" Problem
December 1, 2009
Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
The Case
A 35-year-old woman presented to the emergency department (ED) complaining of left foot and an…
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psnet.ahrq.gov/node/33676/psn-pdf
November 01, 2008 - In Conversation with…Sanjay Saint, MD, MPH
November 1, 2008
In Conversation with…Sanjay Saint, MD, MPH. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
Editor's note: Sanjay Saint, MD, MPH, is Professor of Medicine at the University of Michigan and the Ann
Arbor VA …
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapi.html
September 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
I. Subcommittee Template: Developing a National Standard Set of Spoken Language Categories and Coding
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
June 01, 2021 - PowerPoint Presentation
Communicating Infectious Concerns With Antibiotic Prescribers
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Communicating With Prescribers
1
Objectives
Describe the components of, and when to use SBAR:
Situation
Background
Assessment …
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
June 01, 2023 - Section 2: Explanation of Key Concepts and Tools
This section contains explanations and illustrations to help you better understand and appreciate the importance of situation monitoring and TeamSTEPPS situation monitoring tools. If you teach this content or want additional insights on how the material can be mo…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-Hospitals-2022-1215-ENGLISH_508.pdf
January 01, 2022 - SOPS Workplace Safety Supplemental Items for Hospitals
SOPS® Workplace Safety Supplemental
Item Set for the SOPS Hospital Survey
Language: English
Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help
hospitals assess the extent to which their orga…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-nh_webcast-famolaro.pdf
September 21, 2022 - SOPS Nursing Home Survey: What You Need To Know - Theresa Famolaro, MPS, MS, MBA
The SOPS Nursing Home Survey and
Database
Theresa Famolaro, MPS, MS, MBA
Senior Study Director and Database Manager
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
Survey User’s Guide
• On the AHRQ SOPS W…