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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Recommendations and Areas for Future Research
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Table of Contents
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Introduction
The The…
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psnet.ahrq.gov/node/49412/psn-pdf
September 01, 2003 - Shake Well
September 1, 2003
Flynn EA. Shake Well. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/shake-well
The Case
A 35-year-old patient on the neurology service was receiving carbamazepine for a seizure disorder. Daily
serum drug levels consistently fell below the therapeutic range, which led the physi…
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psnet.ahrq.gov/node/49524/psn-pdf
November 01, 2006 - Secured But Not Always Safe
November 1, 2006
Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/secured-not-always-safe
The Case
An 84-year-old healthy woman underwent an elective left total knee replacement for degenerative
osteoarthritis. She received spinal …
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psnet.ahrq.gov/node/50615/psn-pdf
October 30, 2019 - Misidentifying the Unidentified – John Doe and the EHR
October 30, 2019
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
The Case
Two male patients of similar age arrived at the same …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-hsops-identifiable-conf-agreement.pdf
January 01, 2024 - Hospital Survey on Patient Safety Culture Database: Hospital-Identifiable Research Abstract Form
SOPS Hospital Survey Confidentiality Agreement – April 2024 Page 1 of 4
Agency for Healthcare Research and Quality (AHRQ)
Hospital Survey on Patient Safety Culture Database
CONFIDENTIALITY AGREEMENT FOR D…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-section-5-appendix-1.pdf
October 12, 2013 - CHIPRA 148: Section 5, Appendix 1
Appendix 1. Guidelines and Measure-Specific Testing Results
Use of First-Line Psychosocial Care in Children and Adolescents on Antipsychotics
Guidelines Supporting Use of Psychosocial Interventions for Children and Adolescents on Antipsychotics
Guideline (Date) Population Recomm…
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psnet.ahrq.gov/node/49647/psn-pdf
February 01, 2012 - Amended Lab Results: Communication Slip
February 1, 2012
Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
The Case
A 25-year-old woman in her first pregnancy was seen at 33 weeks' gestation with new onset hypertension
an…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - Spotlight Case [MONTH] 2003
Spotlight Case
Mobility Lost in the ICU
*
*
Source and Credits
This presentation is based on the October 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …
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psnet.ahrq.gov/node/33780/psn-pdf
July 01, 2015 - Safety and Medical Education
January 1, 2014
Ranji SR. Safety and Medical Education. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/safety-and-medical-education
Annual Perspective 2014
As the patient safety field has grown, so too has the appreciation for the need to improve safety in medical
educatio…
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pso.ahrq.gov/sites/default/files/wysiwyg/pso-brochure.pdf
March 01, 2020 - Choosing a Patient Safety Organization
Choosing a Patient Safety
Organization
Background
You are committed to making healthcare safer and
better for your patients. One of the challenges to
achieving this goal is the concern that patient safety
information that you or your organization create as
part of the ca…
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication
January 29, 2019 - Share to Facebook
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Print
Evidence Summary
Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication
January 29, 2019
Recommendations made by the USPSTF are independent of the U.S…
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www.ahrq.gov/news/newsletters/e-newsletter/942.html
December 01, 2024 - COVID-19 Surges Tied to Higher Risks for All Hospital Patients, AHRQ Study Finds
Issue Number
942
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
December 17, 2024
Editor’s Note: Due to the Christmas and New Year’s holidays, AHRQ News Now will not publish ag…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions
Final Report: Potentially Preventable Readmissions: A Conceptual Framework To Rethink the Role of Primary Care: Addendum 1
The Five Principles of Effective Primary Care-Based Care
Coordination fo…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas4.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
4. How Do Existing Measures of Clinical-Community Relationships Align with the Measurement Framework?
Previous Page Next Page
Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-nembhard.pdf
January 01, 2014 - Creative Strategies to Improve Patient Care Experience - Part 3 Nemhard
Creative Strategies to Improve
Patient Care Experience
Presenters (from the Yale Team)
Ingrid Nembhard, PhD, MS
Associate Professor
The Wharton School
University of Pennsylvania
Yuna Lee, PhD, MPH
Assistant Professor
Mailman School of Publ…
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www.ahrq.gov/sites/default/files/publications/files/bozicstudysnapshot.pdf
February 01, 2015 - Snapshot: The IHA Bundled Episode Payment and Gainsharing Demonstration
AHRQ DELIVERY SYSTEM RESEARCH: STUDY SNAPSHOT
The IHA Bundled Episode Payment and Gainsharing
Demonstration*
M. Susan Ridgely, David De Vries, Kevin Bozic, and Peter S. Hussey
Background
Traditional fee-for-service (FFS) payment systems create…
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www.ahrq.gov/cahps/news-and-events/events/2020-meeting-summary.html
December 01, 2020 - Advancing Methods of Implementing and Evaluating Patient Experience Improvement Using CAHPS® Surveys: Summary of Presentations
Summary of Meeting Highlights
On October 7, 2020, the Agency for Healthcare Research and Quality (AHRQ) convened an invitation-only research meeting to discuss improving patient exper…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/pso-brochure.pdf
March 01, 2020 - Choosing a Patient Safety Organization
Choosing a Patient Safety
Organization
Background
You are committed to making healthcare safer and
better for your patients. One of the challenges to
achieving this goal is the concern that patient safety
information that you or your organization create as
part of the ca…
-
www.ahrq.gov/ncepcr/communities/pbrn/history/index.html
November 01, 2024 - History and Funding of PBRNs
What Is a PBRN? AHRQ defines a primary care practice-based research network, or PBRN, as a group of ambulatory practices devoted principally to the primary care of patients, and affiliated in their mission to investigate questions related to community-based practice and to improve…
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psnet.ahrq.gov/primer/alert-fatigue
March 15, 2025 - Alert Fatigue
Citation Text:
Alert Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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