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psnet.ahrq.gov/node/49718/psn-pdf
January 01, 2015 - Too Much, Too Fast
September 1, 2014
Tuot D. Too Much, Too Fast. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/too-much-too-fast
The Case
A 68-year-old man with amyotrophic lateral sclerosis (ALS) was admitted to the intensive care unit (ICU) for
fever, tachycardia, and increased respiratory secretions. H…
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psnet.ahrq.gov/node/33699/psn-pdf
August 01, 2010 - Operationalizing Patient Safety at Academic Medical
Centers
August 1, 2010
Chakraborti C, Kahn MJ, Krane K. Operationalizing Patient Safety at Academic Medical Centers. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
Perspective
Academic medical…
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - Pocket Syringe Swap
May 1, 2011
Kulli JC. Pocket Syringe Swap. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/pocket-syringe-swap
The Case
A 58-year-old man, scheduled for aortoiliac artery bypass graft, had an epidural catheter placed for
postoperative pain management. Surgery proceeded uneventfully under…
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psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - Liver Biopsy: Proceed With Caution
August 21, 2014
Rockey DC. Liver Biopsy: Proceed With Caution. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
The Case
A 42-year-old woman with a history of multiple malignancies, including osteosarcoma and recurrent breast
cancer, presented t…
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psnet.ahrq.gov/web-mm/outbreak
January 29, 2015 - Outbreak
Citation Text:
Rothman R, Stapleton S. Outbreak. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - Patient and Family Engagement for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Patient and Family Engagement for Perinatal Safety
Say:
The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand w…
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digital.ahrq.gov/ahrq-funded-projects/emergency-community-implementing-social-needs-assessment-and-referral
January 01, 2024 - From Emergency to Community: Implementing a Social Needs Assessment and Referral Infrastructure Using Health Information Technology
Project Final Report ( PDF , 700.28 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are r…
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www.ahrq.gov/ncepcr/tools/obesity/obpcp1.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Chapter 1: Attaining Zoning and Building Permits
Previous Page Next Page
Table of Contents
Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Acknowledgements
Support
Foreword
O…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-table-1-tech-specs.pdf
June 02, 2025 - Section 2, Table 1, Technical Specifications and Scoring for Caregiver Survey
Indicator ID
Table 1: Detailed Measure Specifications and Scoring for FECC Caregiver Survey Indicators
All are on 0-100 scale, where higher is better. Survey response items should be coded to reflect that. For dicho…
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psnet.ahrq.gov/web-mm/check-anesthesia-machine
August 01, 2006 - Check the Anesthesia Machine
Citation Text:
Saddawi-Konefka D, Cooper JB. Check the Anesthesia Machine. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/model.html
October 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Model State Enhancement Efforts
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Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
…
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psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
September 15, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Diagnostic Errors Case Studies
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Created By: Maria Mirica, PRIDE Group
…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-safety-practices-rapid-protocol.pdf
September 09, 2022 - Potential Harms Resulting from Patient-Clinician Real-Time Clinical Encounters using Video-based Telehealth: A Rapid Evidence Review
Evidence-based Practice Center Rapid Review Protocol
Project Title: Potential Harms Resulting from Patient-Clinician Real-Time
Clinical Encounters using Video-based Te…
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psnet.ahrq.gov/web-mm/collegiality-vs-competence
August 28, 2024 - Collegiality vs. Competence
Citation Text:
Sagin T. Collegiality vs. Competence. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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www.ahrq.gov/ncepcr/reports/grants-impact/model-state.html
February 01, 2017 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Model State Enhancement Efforts
Previous Page Next Page
Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
…
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hcup-us.ahrq.gov/reports/statbriefs/sb158.jsp
July 01, 2013 - the following data collection Partners from across the United States:
Alaska State Hospital and Nursing … Home Association
Arizona Department of Health Services
Arkansas Department of Health
California
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hcup-us.ahrq.gov/reports/statbriefs/sb165.jsp
October 01, 2013 - following data collection Partners from across the United States:
Alaska State Hospital and Nursing … Home Association
Arizona Department of Health Services
Arkansas Department of Health
California
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hcup-us.ahrq.gov/reports/statbriefs/sb160.jsp
August 01, 2013 - following data collection Partners from across the United States:
Alaska State Hospital and Nursing … Home Association
Arizona Department of Health Services
Arkansas Department of Health
California
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hcup-us.ahrq.gov/reports/statbriefs/sb157.pdf
March 01, 2013 - the following data collection Partners from
across the United States:
Alaska State Hospital and Nursing … Home Association
Arizona Department of Health Services
Arkansas Department of Health
California Office
-
hcup-us.ahrq.gov/reports/statbriefs/sb127.jsp
February 01, 2012 - the following data collection Partners from across the United States:
Alaska State Hospital & Nursing … Home Association
Arizona Department of Health Services
Arkansas Department of Health
California