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psnet.ahrq.gov/node/49602/psn-pdf
April 01, 2010 - Anticoagulation: Held Too Long
April 1, 2010
Dunn AS. Anticoagulation: Held Too Long. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
The Case
A 68-year-old woman with a history of mitral valve replacement with a mechanical valve was admitted with
abdominal pain. Because of the…
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psnet.ahrq.gov/node/49455/psn-pdf
July 01, 2004 - The Worst Headache
July 1, 2004
Edlow JA. The Worst Headache. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/worst-headache
The Case
A 48-year-old woman with a history of migraine headaches and hypertension presented to her outpatient
clinic with a 4-day history of headache. While shopping 4 days earlier, …
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psnet.ahrq.gov/node/49450/psn-pdf
June 01, 2004 - The Wrong Shot: Error Disclosure
June 1, 2004
Gallagher TH, Levinson W. The Wrong Shot: Error Disclosure. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
Case Objectives
Describe the rationale for disclosing harmful errors to patients.
Describe the specific information that patie…
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psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - Diagnosing Diagnostic Mistakes
May 1, 2005
McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
Learning Objectives
Understand the biases that may contribute to overcalling medical errors
Describe the impact of conside…
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hcup-us.ahrq.gov/reports/statbriefs/sb114.pdf
May 01, 2011 - Statistical Brief #114: Sports Related Concussions, 2008
From
HEALTHCARE COST AND Agency for Healthcare
UTILIZATION PROJECT Research and Quality
May 2011
Sports Related Concussions, 2008
Lan Zhao, Ph…
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement
Citation Text:
Vuyyuru S, Kapa N. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
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psnet.ahrq.gov/web-mm/worst-headache
July 01, 2016 - The Worst Headache
Citation Text:
Edlow JA. The Worst Headache. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/web-mm/result-stopped-here
December 01, 2006 - The Result Stopped Here
Citation Text:
Astion ML. The Result Stopped Here. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
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psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - SPOTLIGHT CASE
Delay in Initiating Antibiotics Results in Fatal Error
Citation Text:
Bellini LM. Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation …
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hcup-us.ahrq.gov/reports/methods/2010_05.pdf
January 01, 2010 - C
HCUP Methods Series
kbr33831
Contact Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
http://www.hcup-us.ahrq.gov
For Technical Assistance with HCUP Products:
Email: hcup@ahrq.gov
or
Phone: 1-86…
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www.ahrq.gov/data/apcd/envscan/context.html
June 01, 2017 - underutilization or allowing regulators to identify geographic areas where unusual pricing patterns may be occurring
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/general-operations
August 01, 2024 - Families, and Their Caregivers
Other Common Issues Among Individuals With OUD
Co-Occurring
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psnet.ahrq.gov/web-mm/missed-pneumonia
June 01, 2005 - pneumonia and are associated with a 3.7–6.5-fold increased risk of mortality.( 8 ) Isolated effusions, occurring
-
digital.ahrq.gov/sites/default/files/docs/publication/p20hs015364-jones-final-report-2005.pdf
January 01, 2005 - A
key element was to assure that privacy rules would not prevent these services from occurring.
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psnet.ahrq.gov/web-mm/autopsy-revelation
December 01, 2007 - instance, the estimates generated by this analysis indicated that conducting autopsies in all deaths occurring
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digital.ahrq.gov/sites/default/files/docs/survey/baseline-clinician-survey-keystone-health-information-exchange-keyhie.pdf
September 26, 2011 - their effectiveness □1 □2 □3 □4 □5
c) Our procedures and systems are good at
preventing errors from occurring
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psnet.ahrq.gov/web-mm/reaction-dye
March 01, 2007 - corticosteroid premedication reduces the number of adverse reactions, but does not completely prevent them from occurring
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - individuals who are not frequent ED users.( 2 ) Individuals with frequent ED visits often have underlying co-occurring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-ig.pdf
June 02, 2025 - If multiple
meetings are occurring without progress by the team toward
making decisions about implementing
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www.ahrq.gov/sites/default/files/2024-04/naughton-report.pdf
January 01, 2024 - within 30 days prior to death increased for the Medicare population, as did the proportion of deaths occurring