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psnet.ahrq.gov/primers-0
March 15, 2025 - Primers
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Latest Primers
Clinical Decision Support Systems
March…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-apr2025.pdf
August 01, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, April 18, 2025
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
April 18, 2025, 10 AM–Noon
1
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriation…
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psnet.ahrq.gov/node/33880/psn-pdf
May 01, 2019 - Safety in the Prehospital Emergency Medical Services
Setting
May 1, 2019
Patterson DP, Yealy DM. Safety in the Prehospital Emergency Medical Services Setting. PSNet [internet].
2019.
https://psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
Perspective
Emergency medical services (E…
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psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - Lapse in Antibiotics Leads to Sepsis
October 1, 2016
Levy MM. Lapse in Antibiotics Leads to Sepsis. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
The Case
A 34-year-old near-term pregnant woman presented to the emergency department (ED) with abdominal
pain, fevers, and short…
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psnet.ahrq.gov/node/865467/psn-pdf
March 27, 2024 - I Just Want to Go Home: Understanding Delirium’s Impact
on Treatment Preferences
March 27, 2024
Steinberg K. I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferenc…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan44/depression-in-adults-screening
July 03, 2014 - Share to Facebook
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Print
archived
Final Research Plan
Screening for Depression in Adults
July 03, 2014
Recommendations made by the USPSTF are independent of the U.S. government. They should not …
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psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - Back to Basics
Citation Text:
Hellman R. Back to Basics. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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effectivehealthcare.ahrq.gov/sites/default/files/communicating_risk_media_wilkes.ppt
April 01, 2006 - THIS IS OUR TEACHER!
Communicating the Harms and Benefits of Medical Treatments: a look from both sides of the aisle…
Prepared by michael wilkes and richard kravitz
We learn about medicine through the media
Press coverage is too often inaccurate, superficial, or sensationalized.
Some of the most import…
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psnet.ahrq.gov/web-mm/moved-too-soon
November 01, 2006 - Moved Too Soon
Citation Text:
Lindenauer PK. Moved Too Soon. 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 RIS
…
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psnet.ahrq.gov/node/33701/psn-pdf
October 01, 2010 - What Makes a Good Checklist
October 1, 2010
McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/what-makes-good-checklist
Perspective
The use of checklists is a primitive yet remarkably effective strategy for ensuring accuracy in complex
tasks. Checklists have lo…
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psnet.ahrq.gov/perspective/update-safety-culture
January 22, 2020 - Update on Safety Culture
Allan Frankel, MD, and Michael Leonard, MD | August 22, 2013
View more articles from the same authors.
Citation Text:
Frankel A, Leonard M. Update on Safety Culture. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qual…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
September 01, 2006 - Spotlight Case September 2006
Spotlight Case September 2006
Triple Handoff
Source and Credits
This presentation is based on the September 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Arpana Vidyarthi, MD, UCSF Sc…
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/recruitment-memo-ny.html
March 01, 2021 - EvidenceNOW: Recruitment Memo
New York City Cooperative
Resource: Recruitment Memo—New York City Cooperative (PDF, 191 KB, 1 page)
This document provides an example of an EvidenceNOW Cooperative's recruitment memo that provides information about eligibility and next steps.
Institution of origin: New Yo…
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/recruitment-screening-ny.html
March 01, 2021 - EvidenceNOW: Recruitment Screening Tool
New York City Cooperative
Resource: Recruitment Screening Tool, HealthyHearts NYC (PDF, 239 KB, 15 pages)
This document provides an example of an EvidenceNOW Cooperative's recruitment screening tool.
Institution of origin: New York University School of Medicine
…
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/recruitment-flyer-nw.html
March 01, 2021 - EvidenceNOW: Recruitment Flyer
Northwest Cooperative
Resource: EvidenceNOW: Recruitment Flyer, Healthy Hearts Northwest (PDF, 1.37 MB, 2 pages)
This document provides an example of an EvidenceNOW Cooperative's recruitment flyer.
Institution of origin: Group Health Cooperative
Permissions: Used with …
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/recruitment-flyer-chcanys-ny.html
March 01, 2021 - EvidenceNOW: Recruitment Flyer
New York Cooperative
Resource: Recruitment Flyer—New York City Cooperative (PDF, 194 KB, 1 page)
This document provides an example of an EvidenceNOW Cooperative's recruitment flyer that includes information about the initiative, benefits from participation, and cost.
Insti…
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www.ahrq.gov/hai/tools/mvp/other-resources.html
March 01, 2017 - Other Resources
This section has links that provide additional evidence-based information and recommendations for preventing ventilator-associated events in mechanically ventilated patients.
National Healthcare Safety Network Surveillance for Ventilator-Associated Events
"Wake Up and Breathe" protocol from …
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/interview-protocol-provider-ny.html
March 01, 2021 - EvidenceNOW: Interview Protocol - Physicians
New York City Cooperative
Resource: Provider (PCIP) Qualitative Interview Guide (PDF, 116.3 KB, 3 pages)
This interview protocol was used by an EvidenceNOW Cooperative's staff to interview providers from participating practices. Domains include: internal pract…
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psnet.ahrq.gov/node/42871/psn-pdf
September 13, 2016 - Diagnosis.
September 13, 2016
Graber ML, Plebani M, eds. Berlin, Germany: Society to Improve Diagnosis in Medicine and DeGruyter.
ISSN: 2194-802X.
https://psnet.ahrq.gov/issue/diagnosis
This journal offers multidisciplinary research and commentary covering such topics as diagnostic error,
clinical reasoning, and …
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psnet.ahrq.gov/node/39343/psn-pdf
March 03, 2010 - Maalox Total Relief and Maalox Liquid Products:
Medication Use Errors.
March 3, 2010
MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; February 17, 2010.
https://psnet.ahrq.gov/issue/maalox-total-relief-and-maalox-liquid-products-medication-use-errors
This announcement alerts consumers and hea…