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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - When health information technology is implemented with the patient in mind, the cumulative impact of
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psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - catheter more frequently than every 72–96 hours.( 6 ) On the other hand, it should also be kept in mind
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psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - pulmonologists who frequently administer immune suppressive medications, should keep Strongyloides in mind
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - disorder in a woman of childbearing age, it is a potentially lethal condition and so it should be kept in mind
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psnet.ahrq.gov/node/33680/psn-pdf
March 22, 2009 - are disempowered and may be used to having
problems with access to care, so it didn't even cross her mind
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - of hospital quality measures is typically undertaken with a number of explicit and implicit
aims in mind
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
April 19, 2023 - Intention to treat was the policy-relevant analysis in our mind.
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psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - Clinicians therefore need to maintain an open mind about the accuracy of their
initial diagnosis.
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psnet.ahrq.gov/node/33803/psn-pdf
January 01, 2015 - Peter
Pronovost comes to mind for CUSP, and Rick Boothman at Michigan for the liability one.
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psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
October 01, 2007 - The most important thing to keep in mind is that suicide risk is highest when multiple risk factors coexist
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - require significant financial investment, and must be implemented with the entire health
system in mind
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - range of different care improvement projects, including safety initiatives, with this framework in mind
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - of hospital quality measures is typically undertaken with a number of explicit and implicit aims in mind
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - In Conversation With… Timothy B. McDonald, MD, JD
April 1, 2019
Citation Text:
In Conversation With… Timothy B. McDonald, MD, JD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy C…
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - In Conversation with…Albert Wu, MD, MPH
May 1, 2011
Citation Text:
In Conversation with…Albert Wu, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Copy Citation
Format:
…
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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - Patient Safety Events Involving Opioid Dose Stacking
January 26, 2022
Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
Disclosure of Relevant Financial Relationships: As a provider ac…
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Patient Safety Events Involving Opioid
Dose Stacking
Source and Credits
• This presentation is based on the January 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…
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psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - “Copy and Paste” Notes and Autopopulated Text in the
Electronic Health Records
October 31, 2023
MacDonald S. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
Th…
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - Missed CANDOR Implementation Opportunities.
November 16, 2022
Schweitzer L. Missed CANDOR Implementation Opportunities. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
The Case
A 58-year-old man with a history of type 2 diabetes mellitus, hypertension, morbid obesit…
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psnet.ahrq.gov/node/49618/psn-pdf
February 01, 2011 - One Toxic Drug Is Not Like Another
February 1, 2011
Holmboe ES. One Toxic Drug Is Not Like Another. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
Case Objectives
Distinguish between the three distinct regulatory processes of board certification, medical licensure,
and credential…