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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - evaluation: interdisciplinary reviews associated with decrease in all-cause mortality and other lessons learned … evaluation: interdisciplinary reviews associated with decrease in all-cause mortality and other lessons learned
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psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - Lessons learned from the
Care Transitions Intervention. Open Longevity Science 2010;(4):43-50. … Implementation of the Care Transitions Intervention:
Sustainability and lessons learned.
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psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - evaluation: interdisciplinary reviews associated with decrease in all-cause mortality and other
lessons learned … evaluation: interdisciplinary reviews associated with decrease in all-cause mortality and other
lessons learned
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psnet.ahrq.gov/primer/clinical-decision-support-systems
December 15, 2024 - Clinical Decision Support Systems
Citation Text:
Clinical Decision Support Systems. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II
Frameworks
December 14, 2022
Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
Resilient healthca…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.233_slideshow.ppt
February 01, 2011 - Spotlight Case July 2008
Spotlight Case
One Toxic Drug Is Not Like Another
*
*
Source and Credits
This presentation is based on the February 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Eric S. Holmboe, MD, American Board of Internal…
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psnet.ahrq.gov/node/49418/psn-pdf
October 01, 2003 - Charcoal Lavage of the Lungs
October 1, 2003
Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
The Case
A 47-year-old man presented to an emergency department (ED) with altered mental status, and was
believed to have a probable overdose. He receiv…
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psnet.ahrq.gov/node/33619/psn-pdf
September 01, 2005 - Having said that, we've also learned that taking a ‘just the
facts' approach still means that you have
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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
December 01, 2006 - Here's what we've learned.
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psnet.ahrq.gov/issue/medication-errors
August 21, 2018 - Commentary
Medication errors.
Citation Text:
Medication errors. Hartigan-Go K. Int J Risk Safety Med. 2006;18(3):181-186.
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psnet.ahrq.gov/issue/human-error
March 06, 2005 - Book/Report
Classic
Human Error.
Citation Text:
Human Error. Reason JT. Cambridge, UK: Cambridge University Press; 1990. ISBN: 9780521306690.
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psnet.ahrq.gov/print/pdf/node/74279
January 01, 2022 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
COVID-19 Pandemic Impact on Healthcare
Associated Conditions
Curated Library
All Library Content
The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a
summary of data reported to the National Healt…
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psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health
July 27, 2011 - Book/Report
The Future of Nursing: Leading Change, Advancing Health.
Citation Text:
The Future of Nursing: Leading Change, Advancing Health. Institute of Medicine. Washington, DC: The National Academies Press: 2011.
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psnet.ahrq.gov/issue/safer-clinical-systems-evaluation-findings
March 03, 2025 - Book/Report
Safer Clinical Systems: Evaluation Findings.
Citation Text:
Safer Clinical Systems: Evaluation Findings. Dixon-Woods M, Martin G, Tarrant C, et al. London, UK: Health Foundation; December 2014.
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psnet.ahrq.gov/issue/never-events-analysis-hsibs-national-investigations-report
June 09, 2021 - Book/Report
Never Events Analysis of HSIB's National Investigations Report.
Citation Text:
Never Events Analysis of HSIB's National Investigations Report. Farnborough, UK: Healthcare Safety Investigation Branch; January 2021.
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psnet.ahrq.gov/issue/just-culture-improving-safety-achieving-substantive-procedural-and-restorative-justice
October 19, 2022 - Commentary
'Just culture': improving safety by achieving substantive, procedural and restorative justice.
Citation Text:
Dekker SWA, Breakey H. ‘Just culture:’ Improving safety by achieving substantive, procedural and restorative justice. Saf Sci. 2016;85. doi:10.1016/j.ssci.2016.01.018.…
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psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology
December 18, 2019 - Book/Report
Error and Uncertainty in Diagnostic Radiology.
Citation Text:
Error and Uncertainty in Diagnostic Radiology. Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395.
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psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality-improvement
November 30, 2016 - Book/Report
A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches.
Citation Text:
A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. Edmonton, Alberta; Canadian Patient Safety Inst…
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psnet.ahrq.gov/issue/what-patient-centered-should-mean-confessions-extremist
August 04, 2021 - Commentary
What 'patient-centered' should mean: confessions of an extremist.
Citation Text:
Berwick DM. What 'patient-centered' should mean: confessions of an extremist. Health Aff (Millwood). 2009;28(4):w555-65. doi:10.1377/hlthaff.28.4.w555.
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psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
December 06, 2011 - Legislation/Case Law
The National Medical Error Disclosure and Compensation (MEDiC) Act.
Citation Text:
The National Medical Error Disclosure and Compensation (MEDiC) Act. Rodham-Clinton H; Obama B. 109th Congress. 1st Session. S. 1784. September 28, 2005.
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