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psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
May 16, 2022 - Wrong Catheter in the Right Patient
Citation Text:
Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/web-mm/customer-always-right
January 22, 2014 - SPOTLIGHT CASE
The "Customer" Is Always Right
Citation Text:
Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
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psnet.ahrq.gov/node/852808/psn-pdf
August 30, 2023 - Prolonged DKA in Pregnancy: A Case of Communication
Breakdown.
August 30, 2023
Marshall S, Boe NM. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
Disclosure of Relevant Financial Relationship…
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psnet.ahrq.gov/node/33814/psn-pdf
September 01, 2016 - In Conversation With… Reed V. Tuckson, MD
September 1, 2016
In Conversation With… Reed V. Tuckson, MD. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
Editor's note: Dr. Tuckson is Managing Director of Tuckson Health Connections, LLC, and President of
the American Telemed…
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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - ABCDEF Bundle + Data Literacy Training, Performance
Measurement Tracking, and Performance Feedback
February 28, 2024
https://psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-
and-performance
Summary
To improve patient care and outcomes in the intensive care unit (ICU…
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www.ahrq.gov/news/newsletters/e-newsletter/904.html
March 01, 2024 - AHRQ Views: Commemorating 35 Years as an Independent Science Agency
Issue Number
904
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
March 12, 2024
AHRQ Stats: Electronic Nicotine Use and Mental Health
44.1 percent of young adults in fair or poor mental hea…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4f_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4f
Selected Best Practices and Suggestions for Improvement
PDI 08: Perioperative Hemorrhage or Hematoma
Why focus on perioperative hemorrhage an…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking3.html
September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Probability and the Diagnostic Pathway
Previous Page Next Page
Table of Contents
Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Fundamental Concepts for Understanding Probability
Probability and the…
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www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors
Final Progress Report
Reducing Harm to Patients from Diagnostic Errors
Eta S. Berner, EdD, Principal Investigator
Team Members:
Marcie H. Battles, MS, Project Assistant
Mark L. Graber, MD, Consultant
Gordon D. Schiff, MD, Consultant
Pat …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4t_combo_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4t
Selected Best Practices and Suggestions for Improvement
PDI 08: Perioperative Hemorrhage or Hematoma
Why focus on perioperative hemorrhage and hematoma…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
January 01, 2017 - The Timeline to Diagnostic Safety SIDM -Research as a Priority
The Timeline to Diagnostic Safety
SIDM - Research as a Priority
Mark L Graber MD FACP
Senior Fellow – RTI International
Professor Emeritus - SUNY Stony Brook
Founder and President – SIDM
graber.mark@gmail.com
VISION: Creating a world
where no pat…
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digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
January 01, 2020 - Improving the Delivery of Health Services at the Health Systems Level - Emerging Research
Facilitating Long-Distance Care, Education, and Monitoring with Telehealth and Telemedicine
Clinicians have used telehealth and telemedicine in rural settings and for hard-to-access specialties …
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psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network
December 01, 2005 - Introducing the Redesigned AHRQ Patient Safety Network
Robert M. Wachter, MD | November 1, 2015
View more articles from the same authors.
Citation Text:
Wachter R. Introducing the Redesigned AHRQ Patient Safety Network . PSNet [internet]. Rockville (MD): Agency f…
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psnet.ahrq.gov/node/49658/psn-pdf
July 01, 2012 - Misleading Complaint
July 1, 2012
Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/misleading-complaint
The Case
A 54-year-old homeless man with a history of alcoholism presented to the emergency department (ED) with
complaints of knee problems. The triage nurse docu…
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digital.ahrq.gov/standards-0
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
May 01, 2013 - Spotlight Case July 2008
Spotlight Case
Right Regimen, Wrong Cancer: Patient Catches Medical Error
*
*
Source and Credits
This presentation is based on the May 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Joseph O. Jacobson, MD, MSc…
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www.ahrq.gov/practiceimprovement/delivery-initiative/abstract-magill.html
December 01, 2017 - Primary Care Practice Redesign–Successful Strategies
Abstract
Principal Investigator: Michael K. Magill, M.D.
University of Utah, School of Medicine, Department of Family and Preventive Medicine
Purpose
This study evaluated the impact of a comprehensive care management program targeting patients with mu…
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www.ahrq.gov/prevention/chronic-care/decision/research-centers/rce_profile_petithomme.html
November 01, 2013 - Training the Next Generation of Leaders in Clinical Preventive Services
Profiles from the AHRQ Research Centers for Excellence
Anita Petit-Homme: The Center for Advancing Equity in Clinical Preventive Services at Northwestern University, Chicago
When Anita Petit-Homme learned about the opportunity to be a p…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sorra-intro.pdf
April 29, 2011 - Using the AHRQ Medical Office Survey on Patient Safety Culture Webinar - Sorra Intro
1
1
Using the Agency for Healthcare
Research and Quality (AHRQ)
Medical Office Survey on
Patient Safety Culture
Webinar
April 29, 2011
1:00 – 2:00 pm ET
2
2
AHRQ Surveys on Patient
Safety Culture (SOPS)
• Hospital Surve…
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www.ahrq.gov/funding/training-grants/hsrguide/hsrguideref.html
October 01, 2014 - An Organizational Guide to Building Health Services Research Capacity
References
Previous Page Next Page
Table of Contents
An Organizational Guide to Building Health Services Research Capacity
Introduction
Step 1: Assessing Your Organization's Needs and Capabilities
Step 2: Fostering a Researc…