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psnet.ahrq.gov/node/41114/psn-pdf
February 01, 2012 - Rapid response systems: identification and management
of the "prearrest state."
February 1, 2012
McCurdy MT, Wood SL. Rapid response systems: identification and management of the "prearrest state".
Emerg Med Clin North Am. 2012;30(1):141-52. doi:10.1016/j.emc.2011.09.012.
https://psnet.ahrq.gov/issue/rapid-respons…
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psnet.ahrq.gov/node/41992/psn-pdf
May 23, 2013 - Errors as allies: error management training in health
professions education.
May 23, 2013
King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions
education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945.
https://psnet.ahrq.gov/issue/errors-allies-error-managem…
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psnet.ahrq.gov/node/35049/psn-pdf
June 22, 2009 - Theoretical approaches for investigating patient safety.
June 22, 2009
Thomas MB, Houston S. Theoretical approaches for investigating patient safety. Clin Nurse Spec.
2005;19(3):129-134.
https://psnet.ahrq.gov/issue/theoretical-approaches-investigating-patient-safety
The authors offer a brief introduction to thr…
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - Hard to Swallow
Citation Text:
Driver J. Hard to Swallow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
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…
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - Acute Respiratory Arrest in Pregnancy
Citation Text:
Sibai B. Acute Respiratory Arrest in Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
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www.ahrq.gov/sites/default/files/2024-07/jerant-report.pdf
January 01, 2024 - Final Progress Report A Randomized Trial of Home Self-Efficacy Enhancement
1
Title of Project: A Randomized Trial of Home Self-Efficacy Enhancement
Principal Investigator: Anthony Jerant, MD
Team Members: Peter Franks, MD; Kate Lorig, RN, DrPH; Monique Moore-Hill, MA; Rahman
Azari, PhD; J. Paul Leigh, PhD; Marth…
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psnet.ahrq.gov/node/73456/psn-pdf
June 30, 2021 - Inadequate Anesthesia Preparation Leading to Difficult
Intubation and Severe Hypoxemia
June 30, 2021
Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia.
PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubat…
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psnet.ahrq.gov/node/49602/psn-pdf
April 01, 2010 - Anticoagulation: Held Too Long
April 1, 2010
Dunn AS. Anticoagulation: Held Too Long. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
The Case
A 68-year-old woman with a history of mitral valve replacement with a mechanical valve was admitted with
abdominal pain. Because of the…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6g.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 8)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapter…
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digital.ahrq.gov/ahrq-funded-projects/implementation-outcomes-health-it-program-vulnerable-diabetes-patients/citation/quasi
January 01, 2023 - Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol.
Citation
Ratanawongsa N, Handley MA, Quan J, et al. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Supp…
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digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medication/citation/automated
January 01, 2023 - Automated telephone self-management support for diabetes in low-income health plan: a health care utilization and cost analysis.
Citation
Quan J, Lee AK, Handley MA, et al. Automated telephone self-management support for diabetes in low-income health plan: a health care utilization and cost analysis.…
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digital.ahrq.gov/ahrq-funded-projects/enabling-electronic-prescribing-and-enhanced-management-controlled-medications/final-report
January 01, 2023 - Enabling E-Prescribing and Enhanced Management of Controlled Medications - Final Report
Citation
Carrow, G. Enabling Electronic Prescribing and Enhanced Management of Controlled Medications - Final Report. (Prepared by Massachusetts Department of Public Health under Grant No. R18 HS017157). Rockville,…
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psnet.ahrq.gov/node/61031/psn-pdf
October 14, 2020 - Special Section: Event Analysis and Risk Management.
October 14, 2020
Alemi F ed. Qual Manag Health Care. 2020;29(4):232-278.
https://psnet.ahrq.gov/issue/special-section-event-analysis-and-risk-management
Adverse event analysis is core for organizational learning from poor performance. This special section
d…
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psnet.ahrq.gov/node/45026/psn-pdf
April 19, 2016 - Managing the risks of concurrent surgeries.
April 19, 2016
Mello MM, Livingston EH. Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4.
doi:10.1001/jama.2016.2305.
https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
Scheduling overlapping surgeries may improve operating room efficie…
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psnet.ahrq.gov/node/47049/psn-pdf
July 10, 2019 - Injectable Opioid Shortages: Suggestions for
Management and Conservation.
July 10, 2019
University of Utah Drug Information Service; ASHP; American Society of Health-System Pharmacists.
https://psnet.ahrq.gov/issue/injectable-opioid-shortages-suggestions-management-and-conservation
Efforts to limit the availabilit…
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psnet.ahrq.gov/node/72484/psn-pdf
November 18, 2020 - Management of Operating Room Critical Events.
November 18, 2020
Hannenberg AA, ed. Anesthesiol Clin. 2020;38(4):727-922.
https://psnet.ahrq.gov/issue/management-operating-room-critical-events
Anesthesiology critical events are uncommon, and yet they have great potential for harm. This special
issue focuses on mana…
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psnet.ahrq.gov/node/35301/psn-pdf
December 01, 2022 - Guiding Principles to Achieve Continuity in Medication
Management.
December 1, 2022
Department of Health and Aged Care. Canberra ACT: Commonwealth of Australia; 2022. ISBN 978-1-
76007-471-5.
https://psnet.ahrq.gov/issue/guiding-principles-achieve-continuity-medication-management
Originally published in 2005, the…
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psnet.ahrq.gov/node/42290/psn-pdf
May 22, 2013 - Safety in Numbers: Evidence-based Development of a
Medicine Management Learning Tool.
May 22, 2013
Holland K, ed. Nurse Educ Pract. 2013;13(2):e1-e87.
https://psnet.ahrq.gov/issue/safety-numbers-evidence-based-development-medicine-management-
learning-tool
Articles in this special issue outline the developm…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1.html
February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B1: The Falls Management Program Self-Assessment Tool
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introducti…
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psnet.ahrq.gov/node/34679/psn-pdf
February 09, 2011 - Patient complaints and malpractice risk.
February 9, 2011
Hickson GB, Federspiel CF, Pichert JW, et al. Patient complaints and malpractice risk. JAMA.
2002;287(22):2951-7.
https://psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk
This study examines the association between physicians’ patient complaint …