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digital.ahrq.gov/sites/default/files/docs/citation/r21hs028119-hartung-final-report-2024.pdf
January 01, 2024 - Prescription Drug Monitoring Program Integration in the Electronic Health Record - Final Report
Title Page
Title: Prescription Drug Monitoring Program Integration in the Electronic Health Record
Principal Investigator: Daniel Hartung, PharmD, MPH
Team Members: Steven Kassakian, MD; Sanae Ibrahimi, PhD; Michelle…
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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To?
Citation Text:
Rinderknecht T, Utter GH. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-patient-family-engagement.pdf
July 01, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review
Evidence-based Practice Center Rapid Response Protocol
Project Title: Making Healthcare Safer IV: Patient and Family
Engagement
Review Questions
1. What is the frequency and severity of harms addre…
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs024134-smith-final-report-2019.pdf
January 01, 2019 - Developing an Interactive, Patient-Centered mHealth Tool to Enhance Post-Cystectomy Care - Final Report
ACKNOWLEDGMENT OF AGENCY SUPPORT
$464,524
FINAL PROGRESS REPORT
TITLE OF PROJECT
Developing an Interactive, Patient-Centered mHealth Tool to Enhance Post…
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - Beyond the Hospital: the New Frontier of Patient Safety
August 22, 2014
Plews-Ogan M. Beyond the Hospital: the New Frontier of Patient Safety. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
Perspective
The frontier of patient safety outside the hospital has y…
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psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - SPOTLIGHT CASE
Peripheral IV in Too Long
Citation Text:
Fang C-T. Peripheral IV in Too Long. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
Google Scholar BibTeX EndNote X3 XML End…
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - Unintended Consequences of CPOE
October 1, 2016
Wears RL. Unintended Consequences of CPOE. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
Case Objectives
Explain how technology, including computerized provider order entry, can transform, rather than
eliminate, hazards.
Recogni…
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psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2021 - SPOTLIGHT CASE
E-prescribing: E for error?
Citation Text:
Ashton EW. E-prescribing: E for error?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
Google Scholar BibTeX EndNote X3 XM…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015316-blair-final-report-2008.pdf
January 01, 2008 - Title Page
Grant Final Report
Grant ID: 5UC1HS015316
Taconic Health Information Network & Community
(THINC)
Inclusive dates: 09/30/04 - 03/31/08
Principal Investigator:
A. John Blair, III, MD
Team members:
Rainu Kaushal, MD (Co-Principal Investigator)
Lisa M. Kern, MD (Investiga…
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?
Citation Text:
Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
C…
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psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
May 01, 2018 - SPOTLIGHT CASE
Medication Reconciliation: Whose Job Is It?
Citation Text:
Poon EG. Medication Reconciliation: Whose Job Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
Googl…
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psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
January 29, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia
Citation Text:
Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and…
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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
November 10, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Interdisciplinary teamwork
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet T…
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hcup-us.ahrq.gov/reports/statbriefs/sb115.pdf
June 01, 2011 - Statistical Brief #115: All-Cause Readmissions by Payer and Age, 2008
1
From
June 2011
All-Cause Readmissions by Payer
and Age, 2008
Lauren M. Wier, M.P.H., Marguerite Barrett, M.S., Claudia
Steiner, M.D., M.P.H., and H. Joanna Jiang, Ph.D.
Introduction
Hospital readmissions have been ide…
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout
Citation Text:
Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
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hcup-us.ahrq.gov/reports/factsandfigures/2009/highlights.jsp
January 01, 2009 - HCUP Facts and Figures 2009: Statistics on Hospital-Based Care in the United States
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Cont…
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors
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March 3, 2021
Innovation…
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hcup-us.ahrq.gov/reports/statbriefs/sb70.pdf
April 01, 2009 - Statistical Brief #70: Hospitalizations for Eating Disorders from 1999 to 2006
HEALTHCARE COST AND
UTILIZATION PROJECT
Agency for Healthcare
Research and Quality
STATISTICAL BRIEF #70
April 2009
Highlights
Eating disorder related
hospitalizations increased 18
percent from 1999−2000 to
…
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.
Citation Text:
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…
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hcup-us.ahrq.gov/reports/statbriefs/sb26.pdf
February 01, 2007 - HCUP Statistical Brief #126: Hospital Stays for Circulatory Diseases, 2004
HEALTHCARE COST AND
UTILIZATION PROJECT
Agen
Res
February 2007
In 200
six ho
million
tory d
reaso
U.S. H
condit
On av
circula
costly
gency
and re
death
condit
While
gency
cent fo
perce
circula
emerg
Coron
t…