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psnet.ahrq.gov/node/40388/psn-pdf
April 20, 2011 - Still Crossing The Quality Chasm.
April 20, 2011
Health Aff (Millwood). 2011;30(4):554-800.
https://psnet.ahrq.gov/issue/still-crossing-quality-chasm
This special issue contains articles on progress made in patient safety since the landmark Institute of
Medicine report, Crossing the Quality Chasm.
https://…
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psnet.ahrq.gov/node/34582/psn-pdf
November 15, 2011 - Improving Health Care.
November 15, 2011
Schiff G
https://psnet.ahrq.gov/issue/improving-health-care
Quality and honesty play an influential role in the safety and cost of medical care. Gordon Schiff, the
director of clinical and quality research (Department of Medicine at Stoger Hospital, Chicago, Illinois),
exp…
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psnet.ahrq.gov/node/35169/psn-pdf
July 13, 2005 - Lay use of lasers fueling complications.
July 13, 2005
Gagnon L. Dermatology Times. June 1, 2005.
https://psnet.ahrq.gov/issue/lay-use-lasers-fueling-complications
This article reports on inappropriate laser use by non-physicians for dermatological procedures. A study
presented at the American Society for Laser Me…
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psnet.ahrq.gov/node/39874/psn-pdf
September 29, 2010 - Medical malpractice: the fear factor.
September 29, 2010
Robeznieks A. Modern Physician. September 13, 2010.
https://psnet.ahrq.gov/issue/medical-malpractice-fear-factor
This piece discusses evidence collected on the role of malpractice in defensive medicine and describes an
AHRQ initiative to explore solutions fo…
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psnet.ahrq.gov/node/40112/psn-pdf
July 12, 2016 - Panel set to study safety of electronic patient data.
July 12, 2016
Freudenheim M.
https://psnet.ahrq.gov/issue/panel-set-study-safety-electronic-patient-data
This article reports on a committee created by the Institute of Medicine to analyze the potential impact of
electronic medical records (EMR) on costs and qu…
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psnet.ahrq.gov/node/41292/psn-pdf
October 20, 2015 - How to master the new art of training: teamwork on the
fly.
October 20, 2015
Edmondson AC. Harv Bus Rev. April 2012;90:72-80.
https://psnet.ahrq.gov/issue/how-master-new-art-training-teamwork-fly
This piece discusses the challenges of forming temporary teams in emergency departments and describes
strategies to im…
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psnet.ahrq.gov/node/60044/psn-pdf
March 16, 2020 - Patient Safety in Medical, Nursing, and Other Clinical
Education
March 16, 2020
Howley LD, Hall KK, Fitall E. Patient Safety in Medical, Nursing, and Other Clinical Education . PSNet
[internet]. 2020.
https://psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
Background
Despit…
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psnet.ahrq.gov/node/33864/psn-pdf
January 01, 2019 - How Does Health Care Simulation Affect Patient Care?
August 1, 2018
Lopreiato JO. How Does Health Care Simulation Affect Patient Care? PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
Perspective
Introduction
Health care simulation programs have spread…
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psnet.ahrq.gov/node/49643/psn-pdf
December 01, 2011 - More Treatment—Better Care?
December 1, 2011
Redberg R. More Treatment—Better Care? PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/more-treatment-better-care
The Case
The patient is a 27-year-old female who presented to a 250-bed community hospital with numbness and
tingling of her hands and feet. She was …
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6i.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 10)
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
Chapte…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - Spotlight Case July 2008
Spotlight Case
Transfer Troubles
1
2
Source and Credits
This presentation is based on the June 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Isla M. Hains, PhD; Centre for Health Systems and Safety Research, Australia…
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing
and Treating Delirium in the Intensive Care Unit
December 1, 2012
Vasilevskis EE, Ely WE, Dittus RS. Quality and Safety Challenges in Critical Care: Preventing and Treating
Delirium in the Intensive Care Unit. PSNet [internet]. 2012.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - Are You Mrs. A? An Issue of Identification Over Telephone
Citation Text:
Adelman JS. Are You Mrs. A? An Issue of Identification Over Telephone. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
Copy Citation
Format:
…
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - Preventable Transfer to the Hospital
Citation Text:
Agrawal G, Kashkouli P, Bakerjian D. Preventable Transfer to the Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Format:
Google Scholar Bi…
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - Caution, Interrupted
Citation Text:
Wears RL. Caution, Interrupted. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - Departure From Central Line Ritual
Citation Text:
Ballard DW, Vinson DR, Mark DG. Departure From Central Line Ritual. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Scholar BibTeX EndN…
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psnet.ahrq.gov/node/841469/psn-pdf
December 14, 2022 - Strongyloides: A Hidden Traveler and Potentially Lethal
Missed Diagnosis.
December 14, 2022
Carlile N, Smith CL, Maguire JH, et al. Strongyloides: A Hidden Traveler and Potentially Lethal Missed
Diagnosis. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-mi…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/R33bUm6oyjhWnbw96pJHwE
April 01, 2009 - Medicines and Healthcare Products Regulatory Agency. … Committee on Safety of Medicines. … Federation of
Pharmaceutical Manufacturers and Associations Clinical Trials Portal;
Drugs@FDA; European Medicines
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary20/suicide-risk-in-adolescents-adults-and-older-adults-screening
April 15, 2013 - writing or reviewing the manuscript (money to institution): AHRQ; Provision of writing assistance, medicines … meetings for the study or other purposes (money to institution): AHRQ; Provision of writing assistance, medicines … writing or reviewing the manuscript (money to institution): AHRQ; Provision of writing assistance, medicines
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digital.ahrq.gov/sites/default/files/docs/AHRQ%20Transcript%208-27-10.pdf
June 16, 2021 - Nurses administering the medicines have a different task than their patient, or
a caregiver at home … primary care office making a change in the electronic health records; over at the
pharmacy dispensing medicines … ; perhaps in the nursing home administering medicines,
or at the hospital.