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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/build-patient-understanding-setbacks-and-how-deal-them
June 01, 2022 - An official website of the Department of Health & Human Services
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www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
November 06, 2020 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary
Federal Interagency Workgroup on Improving Diagnostic
Safety and Quality in Healthcare
July 2020 …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/clabsi_invest-slides/CLABSI-Investigation-Walk-the-Process-Sept-14-2010-508.ppt
January 01, 2010 - Slide 1
CLABSI Investigation
Melinda Sawyer, RN, MSN, PCCN
David A. Thompson DNSc, MS, RN
I’d like to take the opportunity to thank you for having me speak to you today. When we began focusing on central line blood stream infections at JHH, in particular, when we began to focus on the evidence around insertion, I w…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p13-tawfik.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
P13: Developing a Prediction Model to Identify Health Clinics at High-Risk for Clinician Burnout
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Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Ac…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions5.html
June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
Inpatient-to-Outpatient Transitions
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Table of Contents
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to A…
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psnet.ahrq.gov/node/33811/psn-pdf
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A
Pharmacist's Perspective
June 1, 2016
Khudeira Z. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective. PSNet
[internet]. 2016.
https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
July 17, 2008 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data
The Association Between Pharmacist Support
and Voluntary Reporting of Medication Errors:
An Analysis of MEDMARX® Data
Katherine J. Jones, PT, PhD; Gary L. Cochran, PharmD, SM; Liyan Xu, MS; Anne …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
June 02, 2025 - On-Time Falls Prevention: Electronic Reports
On-Time Falls Prevention: Electronic Reports
Four types of reports are described here. Each section presents a sample report followed by
purpose, description, and users and potential uses. The types of reports are:
• On-Time Falls High-Risk Report.
• Quarterly Summar…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
Module 1
Introduction
TeamSTEPPS® for Diagnosis Improvement
Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover the introduction to the TeamSTEPPS for Diagnosis Improvement material that you will review with the course par…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-c-screening-2013
June 15, 2013 - Share to Facebook
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archived
Final Recommendation Statement
Hepatitis C: Screening
June 15, 2013
Recommendations made by the USPSTF are independent of the U.S. government. They should n…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/psoriasis-chronic_disposition-comments.pdf
November 27, 2012 - Disposition of Comments Report for Biologic and Nonbiologic Systemic Agents and Phottherapy for Treatment of Chronic Plaque Psoriasis
Source: http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-
reports/?pageaction=displayproduct&productID=1325
Published Online: November 27, 2012
Comparative…
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www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
January 01, 2024 - time, and use patient reports to develop and implement plans for preventing similar breakdowns from
occurring
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hcup-us.ahrq.gov/reports/statbriefs/sb158.jsp
July 01, 2013 - data can be used to chart the frequency of in-hospital events and to report the frequency of community-occurring … The order of the list is from the most to least frequently occurring cause overall. … Clostridium difficile infection was the most common ADE cause, occurring at a rate of 95 per 10,000 … The next two most frequently occurring ADE causes—antineoplastic drugs and steroids—each occurred at
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psnet.ahrq.gov/node/49748/psn-pdf
December 01, 2015 - Managing Ascites: Hazards of Fluid Removal
December 1, 2015
Moore K. Managing Ascites: Hazards of Fluid Removal. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
The Case
A 50-year-old man with longstanding alcoholic cirrhosis presented to the emergency department (ED) w…
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psnet.ahrq.gov/node/49449/psn-pdf
June 01, 2004 - Lethal Vertigo
June 1, 2004
Furman JM. Lethal Vertigo. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lethal-vertigo
The Case
A 64-year-old woman, with no prior medical history, complained of sudden onset of severe vertigo and
vomiting, without headache. Her initial blood pressure in the emergency departme…
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psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
January 25, 2017 - April 12, 2011
Managing the adverse event occurring during elective, ambulatory pediatric
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psnet.ahrq.gov/issue/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted
July 13, 2016 - June 30, 2021
Analysis of risk factors for patient safety events occurring in the emergency
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psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
April 12, 2011 - More
Related Resources
Analysis of risk factors for patient safety events occurring
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psnet.ahrq.gov/issue/risk-factors-hospital-admissions-associated-adverse-drug-events
October 18, 2018 - October 30, 2010
Medication errors occurring with the use of bar-code administration
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psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
March 04, 2011 - March 4, 2011
Systematic evaluation of errors occurring during the preparation of intravenous