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psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - Care Managers Use Software-Aided Medication Review
Protocol for Frail, Community-Dwelling Seniors, Leading
to More Appropriate Medication Use
March 31, 2021
https://psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-
community-dwelling
Summary
Care management staff (such …
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - Spotlight: Mistaken Attribution, Diagnostic Misstep
January 1, 2019
Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
Case Objectives
List the patient safety events that are unique to in…
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - A Case of Mistaken Capacity: Why A Thorough
Psychosocial History Can Improve Care.
March 31, 2022
Pasao K, Kashkouli P. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve
Care. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-c…
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psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - Spotlight
Spotlight
A Case of Mistaken Capacity: Why a
Thorough Psychosocial History Can
Improve Care
Source and Credits
• This presentation is based on the March 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Katrina Pasao, MD…
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digital.ahrq.gov/sites/default/files/docs/overcoming-barriers-slides-090512.pdf
September 05, 2012 - A National Web Conference on E-prescribing: Overcoming Barriers with Successful Implementation Techniques
A National Web Conference on E-prescribing:
Overcoming Barriers with Successful
Implementation Techniques
September 5, 2012
1:30pm – 3:00pm ET
http://www.ahrq.gov
Moderator and Presenters
Disclosures…
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www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation.html
July 01, 2018 - Patient Self-Management Support Programs: An Evaluation
Program Evaluation
Previous Page Next Page
Table of Contents
Patient Self-Management Support Programs: An Evaluation
Acknowledgments
Introduction and Purpose
Summary
Background
Methodology
Design Options for a Self-Management Suppor…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Labor and Delivery Unit Safety: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Slide 2: Learning Objectives
Image: Three ascending steps show the learning objectives:
Describe the rationale for the use of c…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
July 01, 2023 - Safe Medication Administration: Magnesium Sulfate
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of magnesium sulfate during labor. The key elements are presented within the framework of t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - Labor and Delivery Unit Safety
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
AHRQ Publication No. 17-0003-21-EF
May 2017
SAY:
The “Labor and Delivery Unit Safety” bundle
provides information on the key safety
elements concerning four specific situations
encountered in labor and deliv…
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digital.ahrq.gov/sites/default/files/IAS%20Topic%20Highlight%20AI%20and%20PC%20CDS_508%20Compliant.pdf
June 01, 2025 - Artificial Intelligence-Supported Patient-Centered Clinical Decision Support: A Summary of Considerations
AHRQ Pub. No. 25-0057
June 2025
Artificial Intelligence-Supported Patient-
Centered Clinical Decision Support:
A Summary of Considerations
Artificial intelligence (AI) has the potential to…
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cdsic.ahrq.gov/sites/default/files/2025-06/IAS%20Topic%20Highlight%20AI%20and%20PC%20CDS_508%20Compliant.pdf
January 01, 2025 - Artificial Intelligence-Supported Patient-Centered Clinical Decision Support: A Summary of Considerations
AHRQ Pub. No. 25-0057
June 2025
Artificial Intelligence-Supported Patient-
Centered Clinical Decision Support:
A Summary of Considerations
Artificial intelligence (AI) has the potential to…
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - SPOTLIGHT CASE
“This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event
Citation Text:
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
October 23, 2013 - References
1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the
Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428.
2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA.
Readmission rates and cost following colorectal surgery. Dis …
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - Retained Surgical Items: Causation and Prevention
February 26, 2025
Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
Background
A retained surgical item (RSI) is a surgical patient safety pro…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/c7NQCTUxonKVCR_B8nGq9y
May 01, 2006 - Screening for Iron Deficiency Anemia--Including Iron Supplementation for Children and Pregnant Women
Recommendation Statement
Screening for Iron Deficiency Anemia--Including Iron
Supplementation for Children and Pregnant Women
U.S. Preventive Services Task Force
The U.S. Preventive Services Task Force (USP…
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - Annual Perspective
Annual Perspective: Topics in Medication Safety
March 31, 2022
View more articles from the same authors.
Citation Text:
Harris IB, Dowell P, Mossburg SE. Annual Perspective: Topics in Medication Safety. PSNet [internet]. Rockville (MD): Ag…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/fiber-intake-final-executive-summary.pdf
July 01, 2025 - Executive summary_Systematic Review: Fiber Intake and Laxation in People With Normal Bowel Function
Systematic Review
Fiber Intake and Laxation in People
With Normal Bowel Function
Executive Summary
Main Points
• Association of increasing dietary fiber intake and laxation outcomes (all
…
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digital.ahrq.gov/sites/default/files/docs/behavior-change-slides-07172025.pdf
July 17, 2025 - Empowering Patients To Change Behavior Using Digital Healthcare Tools
Empowering Patients To Change Behavior Using
Digital Healthcare Tools
Presented by:
May May Leung, Ph.D., R.D.N.
David Dorr, M.D., M.S.
Moderated by:
Kevin Chaney, M.G.S.
Agency for Healthcare Research and Qu…
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hcup-us.ahrq.gov/datainnovations/BriefIntrotoICD-10Codes041117.pdf
April 11, 2017 - Recommended Citation: Moore BJ, Fingar KF. Brief Introduction to ICD-10-CM/PCS
Codes. ONLINE. April 11, 2017. U.S. Agency for Healthcare Research and
Quality. Available: https://www.hcup-us.ahrq.gov/datainnovations/icd10_resources.jsp.
BRIEF INTRODUCTION TO ICD-10-CM/PCS CODES
http://www.hcup-us.ahrq…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiij.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix III (continued)
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Scan Methodology
…