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psnet.ahrq.gov/node/49559/psn-pdf
April 01, 2008 - The Forgotten Drip
April 1, 2008
Josephson AS. The Forgotten Drip. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/forgotten-drip
The Case
A 45-year-old man was brought to the emergency department by his friends because of a 1-day history of a
severe headache and "bizarre behavior." A computed tomography (C…
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www.ahrq.gov/cahps/surveys-guidance/survey-methods-research/using-multiple-modes.html
August 01, 2024 - Recommended Data Collection Procedures for CAHPS Surveys
Each survey sponsor will need to work with their survey vendor to choose the data collection modes that are most likely to reach their specific patient population and maximize the response rate at an acceptable cost. Research suggests that sequential mult…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/long-covid-appendix-a.pdf
December 01, 2022 - Appendix A. Long COVID Models of Care – Grey literature sources
Appendix A. Long COVID Models of Care – Grey literature sources
Source Program name
Resource
type Description Link
AAPM&R Multi-
Disciplinary
PASC
Collaborative
White paper
series
Long COVID (PASC) Clinical Guidance Statements covering scre…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
Patient Safety
Previous Page Next Page
Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Research
…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015362-littman-final-report-2007.pdf
January 01, 2007 - Both Santa
Cruz County private medical groups, PMG and SCMF, participated in the diabetes initiative
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ahrq-healthcare-horizon-scan-protocol-operations-manual-151001.pdf
September 01, 2015 - Prior to this initiative, no publicly available, comprehensive system existed for horizon
scanning in
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effectivehealthcare.ahrq.gov/sites/default/files/ahrq-healthcare-horizon-scan-protocol-operations-manual-151001.pdf
September 01, 2015 - Prior to this initiative, no publicly available, comprehensive system existed for horizon
scanning in
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs021271-melnick-final-report-2018.pdf
January 01, 2018 - The Choosing Wisely initiative
and the American College of Emergency Physicians (ACEP) identified avoiding
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psnet.ahrq.gov/node/46478/psn-pdf
March 27, 2018 - Promote a culture of safety with good catch reports.
March 27, 2018
Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14.
https://psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
Near misses or good catches present organizations with learning opportunities. Using data compariso…
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psnet.ahrq.gov/node/34982/psn-pdf
July 14, 2010 - Development of the ICU safety reporting system.
July 14, 2010
Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32.
https://psnet.ahrq.gov/issue/development-icu-safety-reporting-system
This AHRQ-funded study describes the development of a Web-based, voluntary, and anonymous reporting
system. T…
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psnet.ahrq.gov/node/43979/psn-pdf
April 29, 2015 - The Report of the Morecambe Bay Investigation.
April 29, 2015
Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306.
https://psnet.ahrq.gov/issue/report-morecambe-bay-investigation
Sharing information about large-scale investigations into failures can provide insights on factors that
contribute to…
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www.ahrq.gov/topics/childrens-health-insurance-program-reauthorization-act-chipra.html
Topic: Children's Health Insurance Program Reauthorization Act (CHIPRA)
Listing of content related to the topic Children's Health Insurance Program Reauthorization Act (CHIPRA)
Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children…
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psnet.ahrq.gov/node/45046/psn-pdf
July 05, 2016 - Diagnosing sepsis is subjective and highly variable: a
survey of intensivists using case vignettes.
July 5, 2016
Rhee C, Kadri SS, Danner RL, et al. Diagnosing sepsis is subjective and highly variable: a survey of
intensivists using case vignettes. Crit Care. 2016;20:89. doi:10.1186/s13054-016-1266-9.
https://psne…
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psnet.ahrq.gov/node/846159/psn-pdf
March 15, 2023 - Undertaking risk and relational work to manage
vulnerability: acute medical patients' involvement in
patient safety in the NHS.
March 15, 2023
Sutton E, Martin G, Eborall H, et al. Undertaking risk and relational work to manage vulnerability: acute
medical patients’ involvement in patient safety in the NHS. Soc Sc…
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psnet.ahrq.gov/node/44785/psn-pdf
January 27, 2016 - Reducing Adverse Drug Events Related to Opioids
Implementation Guide.
January 27, 2016
Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
Opioids are high-risk medication…
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psnet.ahrq.gov/node/72499/psn-pdf
November 25, 2020 - Transformational improvement in quality care and health
systems: the next decade.
November 25, 2020
Braithwaite J, Vincent CA, Garcia-Elorrio E, et al. Transformational improvement in quality care and health
systems: the next decade. BMC Med. 2020;18(1):340. doi:10.1186/s12916-020-01739-y.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/43685/psn-pdf
April 15, 2016 - Higher rates of misdiagnosis in pediatric patients versus
adults hospitalized with imported malaria.
April 15, 2016
Goldman-Yassen AE, Mony VK, Arguin PM, et al. Higher Rates of Misdiagnosis in Pediatric Patients
Versus Adults Hospitalized With Imported Malaria. Pediatr Emerg Care. 2016;32(4):227-231.
doi:10.1097/…
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psnet.ahrq.gov/node/46776/psn-pdf
February 28, 2018 - Older adults' awareness of deprescribing: a population-
based survey.
February 28, 2018
Turner JP, Tannenbaum C. Older adults' awareness of deprescribing: a population-based survey. J Am
Geriatr Soc. 2017;65(12):2691-2696. doi:10.1111/jgs.15079.
https://psnet.ahrq.gov/issue/older-adults-awareness-deprescribing-pop…
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psnet.ahrq.gov/node/45297/psn-pdf
July 13, 2016 - Evaluation of 12 strategies for obtaining second opinions
to improve interpretation of breast histopathology:
simulation study.
July 13, 2016
Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to
improve interpretation of breast histopathology: simulation study. BMJ. …
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psnet.ahrq.gov/node/43565/psn-pdf
March 22, 2016 - The role of failure mode and effects analysis in health
care.
March 22, 2016
Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec.
2014;40(4):28-32.
https://psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
Failure mode and effects analysis (FMEA) h…