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psnet.ahrq.gov/sites/default/files/2025-01/ACPE%20Home%20Study%20Activity%20Announcement%20-%20Mismanagement%20of%20Acute%20Decompensated%20Heart%20Failure.pdf
January 01, 2025 - HTTPS://PSNET.AHRQ.GOV 1
AHRQ’S PATIENT SAFETY NETWORK (PSNET) SPOTLIGHT CASE
SERIES:
MISMANAGEMENT OF ACUTE DECOMPENSATED HEART FAILURE
WITH HYPERTENSIVE EMERGENCY
INITIAL RELEASE DATE: JANAURY 1, 2025
EXPIRATION DATE: JULY 31, 2027
SPEAKERS:
Jaenic Lee, MD
Resident Physician
Department of In…
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digital.ahrq.gov/sites/default/files/docs/medicaid/health-it-acronyms.pdf
April 30, 2013 - Acronyms
This page provides explanations of many abbreviations (acronyms) used throughout the site. It is
organized in alphabetical order.
AHIC American Health Information Community
AHIMA American Health Information Management Association
AHRQ Agency for Healthcare Research and Quality
ANSI American Natio…
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psnet.ahrq.gov/issue/front-line-ownership-generating-cure-mindset-patient-safety
November 10, 2010 - Special or Theme Issue
Front-Line Ownership: Generating a Cure Mindset for Patient Safety.
Citation Text:
Front-Line Ownership: Generating a Cure Mindset for Patient Safety. Kitts J, ed. Healthcare Papers. 2013;13:1-82.
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psnet.ahrq.gov/issue/monday-mornings
January 09, 2018 - Book/Report
Monday Mornings.
Citation Text:
Monday Mornings. Gupta S. New York, NY: Grand Central Publishing; 2012. ISBN: 9780446583855.
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psnet.ahrq.gov/issue/nearly-90-major-medical-mistakes-logged-utah-hospitals-2008
July 02, 2009 - Newspaper/Magazine Article
Nearly 90 major medical mistakes logged at Utah hospitals in 2008.
Citation Text:
Nearly 90 major medical mistakes logged at Utah hospitals in 2008. May H. Salt Lake Tribune. June 26, 2009.
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psnet.ahrq.gov/issue/improving-patient-care-through-safe-health-it
August 12, 2020 - Book/Report
Classic
Improving Patient Care Through Safe Health IT.
Citation Text:
Improving Patient Care Through Safe Health IT. Philadelphia, PA: Pew Charitable Trusts; December 2017.
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psnet.ahrq.gov/issue/rx-reality-clinicians-confront-medical-gaslighting
May 29, 2024 - Audiovisual
Rx for reality: clinicians confront medical gaslighting.
Citation Text:
Rx for reality: clinicians confront medical gaslighting. Booth G, ed. Anamnesis. MedPage Today. March 1, 2024.
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psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
September 30, 2015 - Newspaper/Magazine Article
'Alarm fatigue’ a factor in 2nd death.
Citation Text:
'Alarm fatigue’ a factor in 2nd death. Kowalczyk L. Boston Globe. September 21, 2011.
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psnet.ahrq.gov/issue/drug-shortages-forcing-hard-decisions-rationing-treatments
March 16, 2016 - Newspaper/Magazine Article
Drug shortages forcing hard decisions on rationing treatments.
Citation Text:
Drug shortages forcing hard decisions on rationing treatments. Fink S. New York Times. January 29, 2016.
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psnet.ahrq.gov/issue/ahrq-projects-prevent-healthcare-associated-infections-fiscal-year-2011
May 07, 2014 - Fact Sheet/FAQs
AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011.
Citation Text:
AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011. Rockville, MD: Agency for Healthcare Research and Quality; October 2011. AHRQ Publication No. 09-P0…
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psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
February 12, 2020 - Government Resource
Patient Safety Improvement Act of 2020.
Citation Text:
Patient Safety Improvement Act of 2020. SB 3380. 116th Congress (2020).
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psnet.ahrq.gov/issue/checklists-improve-patient-safety
July 31, 2013 - Book/Report
Checklists to Improve Patient Safety.
Citation Text:
Checklists to Improve Patient Safety. Chicago, IL: Health Research & Educational Trust; June 2013.
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psnet.ahrq.gov/issue/ahrq-risk-informed-intervention-development-and-implementation-safe-practices-ambulatory-care
December 24, 2008 - Grant Recipient
AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care.
Citation Text:
AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care. Rockville, MD: Agency for Healthcare Research and…
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psnet.ahrq.gov/issue/calibrate-dx-resource-improve-diagnostic-decisions
September 08, 2021 - Toolkit
Calibrate Dx: A Resource to Improve Diagnostic Decisions.
Citation Text:
Calibrate Dx: A Resource to Improve Diagnostic Decisions. Rockville, MD: Agency for Healthcare Research and Quality; October 2022. AHRQ Publication no. 22(23)-0047-2-EF.
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psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
August 24, 2016 - Newspaper/Magazine Article
Patient alarms often unheard, unheeded.
Citation Text:
Patient alarms often unheard, unheeded. Kowalczyk L. Boston Globe. February 13–14, 2011.
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psnet.ahrq.gov/issue/medical-misdiagnoses-put-pressure-patients-stay-engaged
October 05, 2016 - Newspaper/Magazine Article
Medical misdiagnoses put pressure on patients to stay engaged.
Citation Text:
Medical misdiagnoses put pressure on patients to stay engaged. Innes S. Arizona Daily Star. September 12, 2016.
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psnet.ahrq.gov/issue/safety-quality-and-informatics-leadership-program
May 01, 2015 - Course Material/Curriculum
Safety Quality and Informatics Leadership Program.
Citation Text:
Safety Quality and Informatics Leadership Program. Harvard Medical School, Boston, MA
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psnet.ahrq.gov/issue/unaccountable-what-hospitals-wont-tell-you-and-how-transparency-can-revolutionize-health-care
July 07, 2021 - Book/Report
Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care.
Citation Text:
Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. Makary M. New York, NY: Bloomsbury Press; 2012. ISBN: 9781608198368…
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psnet.ahrq.gov/issue/capturing-more-emergency-department-errors-anonymous-web-based-reporting-system
July 22, 2019 - Commentary
Capturing more emergency department errors via an anonymous web-based reporting system.
Citation Text:
Capturing more emergency department errors via an anonymous web-based reporting system. Khare RK; Uren B; Wears RL.
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psnet.ahrq.gov/issue/prep-stop-block
March 14, 2018 - Tools/Toolkit
Prep, Stop, Block.
Citation Text:
Prep, Stop, Block. RA-UK, the Faculty of Pain Medicine, RCoA Simulation and NHS Improvement
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