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psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - Near Miss with Bedside Medications
November 1, 2011
Wu AW. Near Miss with Bedside Medications. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/near-miss-bedside-medications
Case Objectives
Understanding the definition of near miss—also known as close call.
Appreciate the importance of close calls in reducin…
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psnet.ahrq.gov/node/49705/psn-pdf
January 01, 2020 - A "Reflexive" Diagnosis in Primary Care
April 1, 2014
Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
Case Objectives
Appreciate that primary care doctors may be caring for an increasing number of patients wi…
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psnet.ahrq.gov/web-mm/other-side
May 01, 2007 - SPOTLIGHT CASE
The Other Side
Citation Text:
Vincent CA. The Other Side. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - The Different Count Contributions to Retention
Differential Count Contributions in Retained Surgical Sponge Cases: Examination of Administrative Penalty
Cases from the California Department of Public Health (CDPH), Health and Safety Code Section 1280.1
Enforcement Reports from 2007-2014
A NoThing Left Behin…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step3.html
March 01, 2019 - Step 3: Build the Stakeholder Group Structure
Implementation Guide Number 1
This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’s Health Insurance Program Reauthorization Act of…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/mental-illness-adults-prisons_research-protocol.pdf
September 13, 2012 - Because this topic involves mental health and criminal justice issues, three additional
databases will
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/mental-illness-adults-prisons_research-protocol.pdf
September 13, 2012 - Because this topic involves mental health and criminal justice issues, three additional
databases will
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hcup-us.ahrq.gov/reports/statbriefs/sb_blood.jsp
September 01, 2019 - HCUP Statistical Briefs - Blood/Hematology
These HCUP Statistical Briefs provide statistics about blood or hematology conditions (diagnoses) treated in U.S. hospitals. Topic includes sickle cell disease.
#251
Characteristics of Inpatient Hospital Stays Involving Sickle Cell Disease, 2000-201…
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effectivehealthcare.ahrq.gov/get-involved/nominated-topics/serum-free-light-chain-analysis-for-the-diagnosis
June 17, 2009 - Home »
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Date submitted: June 17, 2009
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effectivehealthcare.ahrq.gov/get-involved/nominated-topics/troponin-cardiac-marker-interpretation-during-renal-function-impairment
June 17, 2008 - Home »
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Date submitted: June 17, 2008
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effectivehealthcare.ahrq.gov/get-involved/nominated-topics/growth-hormone-rhgh-in-patients-with-cystic-fibrosis-cf
December 28, 2007 - Home »
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Date submitted: December 28, 2007
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psnet.ahrq.gov/node/38810/psn-pdf
July 22, 2009 - When doctors make mistakes.
July 22, 2009
Chen PW.
https://psnet.ahrq.gov/issue/when-doctors-make-mistakes-1
This column shares one physician's experience with the deterioration of a colleague's practice after
involvement in error. The piece highlights the need for effective support of physicians-in-training to ma…
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psnet.ahrq.gov/node/40229/psn-pdf
January 01, 2017 - Pharmacy mixes up prescriptions.
February 20, 2011
Brushwood DB. Pharmacy error leads to fatal medication mix-up. Pharmacy Today. 2017;23(12):42.
doi:10.1016/j.ptdy.2017.11.012.
https://psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
This article reports on a court case of a pharmacy error involving similar pati…
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psnet.ahrq.gov/node/39869/psn-pdf
September 22, 2010 - Teaching quality improvement.
September 22, 2010
Murray ME, Douglas S, Girdley D, et al. Teaching quality improvement. J Nurs Educ. 2010;49(8):466-9.
doi:10.3928/01484834-20100430-09.
https://psnet.ahrq.gov/issue/teaching-quality-improvement
This commentary outlines an educational program for nursing students desi…
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psnet.ahrq.gov/node/39132/psn-pdf
December 17, 2009 - Nurses Transforming Care.
December 17, 2009
Am J Nurs. 2009;109(suppl 11):3-80, C3.
https://psnet.ahrq.gov/issue/nurses-transforming-care
This special issue highlights the work of nurse-led teams involved in the Transforming Care at the Bedside
project and describes its impact on safety and quality improve…
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psnet.ahrq.gov/node/36422/psn-pdf
December 22, 2010 - Side errors in neurosurgery.
December 22, 2010
Mitchell P, Nicholson CL, Jenkins A. Side errors in neurosurgery. Acta Neurochir (Wien).
2006;148(12):1289-92; discussion 1292.
https://psnet.ahrq.gov/issue/side-errors-neurosurgery
The authors interviewed surgeons involved in wrong-site incidents and found that the e…
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www.ahrq.gov/topics/cardiovascular-conditions.html
Topic: Cardiovascular Conditions
Medical conditions involving the cardiovascular system including the heart, the blood vessels, or the pericardium. AHRQ has research, tools, and resources on cardiovascular conditions and how clinicians can help their patients manage these conditions.
…
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effectivehealthcare.ahrq.gov/get-involved/nominated-topics/multimodal-pain-management-for-post-hip-surgery
February 29, 2008 - Home »
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Date submitted: February 29, 2008
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effectivehealthcare.ahrq.gov/get-involved/nominated-topics/clostridium-difficile
March 10, 2008 - Home »
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Date submitted: March 10, 2008
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effectivehealthcare.ahrq.gov/get-involved/nominated-topics/lagb-for-metabolic-conditions
March 10, 2008 - Home »
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Date submitted: March 10, 2008
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