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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - Healthc Manage Forum. 2023;36(2):79-85. [Free full text] Berkovich B, Sitapati A.
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - situation where the patient has a combination of medical problems that the medics don’t know how to manage
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
January 01, 2004 - Nurs Manage 1996
May;27(5):34, 36.
34. Naylor M, Brooten D, Campbell R, et al.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/genital-herpes-screening-november-2016
December 20, 2016 - Share to Facebook
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Final Recommendation Statement
Genital Herpes Infection: Serologic Screening
December 20, 2016
Recommendations made by the USPSTF are independent of the U.S. gove…
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psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - SPOTLIGHT CASE
Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression
Citation Text:
Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…
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digital.ahrq.gov/sites/default/files/docs/citation/eDecisionsReport.pdf
August 06, 2013 - Change Process Capability Questionnaire
● Measures a practice’s readiness to manage the changes needed … Measuring an organization’s ability to
manage change: the change process capability questionnaire and
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psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
January 01, 2006 - Both industries are comprised of highly trained professionals working in teams that use technology to manage
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-transcript.pdf
September 01, 2015 - catheter in place would be the need for
hourly measurement of urine studies or urine volumes needed to manage
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs027037-bozic-final-report-2024.pdf
January 01, 2024 - public health concern and underscore the need for more personalized treatment plans to effectively
manage
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 3
Improving
Patient Safety
in Long-Term
Care Facilities
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Module 3.
Falls Prevention
and Management
Student
Workbook
These training materials were dev…
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psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx
Spotlight
The Risks of a Malpositioned Gastrostomy Tube and
Poor Communication
Source and Credits
• This presentation is based on the November 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahr…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-ad.pdf
February 01, 2019 - SOPS™ ASC Webcast Transcript
February 2019 https://www.ahrq.gov/sops/index.html 1
Ambulatory Surgery Center SOPS: What You Need to Know
January 10, 2019 – Webcast Transcript
Speakers:
Joann Sorra, Ph.D.
Associate Director and SOPS Project Director
User Network for the AHRQ S…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/depression-in-adults-screening-2009
December 15, 2009 - Share to Facebook
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archived
Final Recommendation Statement
Depression in Adults: Screening
December 15, 2009
Recommendations made by the USPSTF are independent of the U.S. government. They…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
January 01, 2002 - Organizational Climate, Stress, and Error in Primary Care: The MEMO Study
65
Organizational Climate, Stress, and Error
in Primary Care: The MEMO Study*
Mark Linzer, Linda Baier Manwell, Marlon Mundt, Eric Williams,
Ann Maguire, Julia McMurray, Mary Beth Plane*
Abstract
Background: The impact of organizatio…
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/leverage-technology-for-ibh
January 01, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Español
FAQs
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Integrating Behavioral Health & Primary Care
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psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis
December 18, 2019 - Newspaper/Magazine Article
What can physicians do to help curb the opioid crisis?
Citation Text:
What can physicians do to help curb the opioid crisis? Bendix J.
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psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-dynamic-discussion
November 07, 2012 - Book/Report
Health Information Technology and Patient Safety: A Dynamic Discussion.
Citation Text:
Health Information Technology and Patient Safety: A Dynamic Discussion. Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; May 2011.
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psnet.ahrq.gov/issue/medication-safety-issue-brief-counterfeit-drug-prevention-and-identification
June 17, 2014 - Fact Sheet/FAQs
Medication safety issue brief. Counterfeit drug prevention and identification.
Citation Text:
Medication safety issue brief. Counterfeit drug prevention and identification. American Hospital Association, American Society of Health-System Pharmacists. Hosp Health Netw. 200…
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digital.ahrq.gov/ahrq-funded-projects/creating-foundation-design-culturally-informed-health-information-technology/annual-summary/2012
January 01, 2012 - Creating a Foundation for the Design of Culturally-Informed Health Information Technology - 2012
Project Name
Creating a Foundation for the Design of Culturally-Informed Health Information Technology
Principal Investigator
Valdez, Rupa Sheth
Organization
University of Wiscons…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0416_02-18-2011.pdf
January 01, 2011 - Effective Health Care
Topic Number: 0349
Document Completion Date: 06-08-11
1
Results of Topic Selection Process & Next Steps
Long-term care of the frail elderly will go forward for refinement as a systematic review. The scope of
this topic, including populations, interventions, comparators, an…