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psnet.ahrq.gov/node/33597/psn-pdf
April 10, 2024 - Long-term Care and Patient Safety
April 10, 2024
Bakerjian D. Long-term Care and Patient Safety. PSNet [internet]. 2024.
https://psnet.ahrq.gov/primer/long-term-care-and-patient-safety
Background
For many years, the patient safety field focused on improving safety in hospital and ambulatory care
settings. More re…
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psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - Missing Trauma
Citation Text:
Jurkovich GJ. Missing Trauma. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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…
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psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
January 07, 2015 - Dropping the Ball Despite an Integrated EMR
Citation Text:
Karsh B-T. Dropping the Ball Despite an Integrated EMR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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digital.ahrq.gov/sites/default/files/docs/survey/health-e-access-telemedicine-interview-guide%20.pdf
June 16, 2021 - Health-E-Access Telemedicine Interview Guide
Health E-Access Telemedicine Interview Guide
University of Rochester, Rochester NY
This is an interview guide designed to be conducted with physicians in an ambulatory setting.
The tool includes questions to assess user’s perceptions of telehealth…
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hcup-us.ahrq.gov/db/vars/age/nedsnote.jsp
May 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NEDS Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
…
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psnet.ahrq.gov/node/838972/psn-pdf
October 27, 2022 - The Unhappy Patient Leaves Against Medical Advice.
October 27, 2022
Nichols A. The Unhappy Patient Leaves Against Medical Advice. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
The Case
A 61-year-old woman was placed on bedrest following major surgery. Her posto…
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psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
February 24, 2021 - SPOTLIGHT CASE
Is the "Surgical Personality" a Threat to Patient Safety?
Citation Text:
Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
January 24, 2018 - Primary Workaround, Secondary Complication
Citation Text:
Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/49417/psn-pdf
October 01, 2003 - Lost in the Black Hole
October 1, 2003
Wachter R. Lost in the Black Hole. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/lost-black-hole
The Case
A 38-year-old married, monogamous female came to the emergency department with aseptic meningitis.
She had a remote history of gonorrhea, no environmental exposu…
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psnet.ahrq.gov/web-mm/painful-dilemma
September 01, 2013 - A Painful Dilemma
Citation Text:
Davison SN. A Painful Dilemma. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - New Oral Anticoagulants
December 1, 2013
Fang MC. New Oral Anticoagulants. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/new-oral-anticoagulants
Case Objectives
Review properties of newer target-specific oral anticoagulants (TSOACs) such as dabigatran,
rivaroxaban, and apixaban.
State key perioperative c…
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psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - Chest Tube Complications
Citation Text:
Santhosh L, Broaddus C. Chest Tube Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - Video to Improve Patient Safety: Clinical and Educational Uses
Yan Xiao, PhD; Colin F. Mackenzie, MB, ChB; and F. Jacob Seagull, PhD | May 1, 2015
View more articles from the same authors.
Citation Text:
Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient S…
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psnet.ahrq.gov/node/49403/psn-pdf
June 01, 2003 - Missed Appendicitis
June 1, 2003
Adams JG. Missed Appendicitis. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/missed-appendicitis
Case Objectives
Appreciate the variable presentations of appendicitis
List complications of missed appendicitis
Understand the advantages and disadvantages of CT in diagnosing…
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - Lapse in Antibiotics Leads to Sepsis
Citation Text:
Levy MM. Lapse in Antibiotics Leads to Sepsis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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digital.ahrq.gov/sites/default/files/docs/publication/developmentmethodskeyinformantinterviewsreport.pdf
July 10, 2012 - Commercial Success
Participants described strategies they use to influence a product’s success as occurring
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa4.pdf
January 01, 2018 - NHANES 2016
Composite measure: Emergency department visits with a principal diagnosis related to co-
occurring … MEPS 2016
Composite measure: Emergency department visits with a principal diagnosis related to co-
occurring … MEPS 2016
Composite measure: Emergency department visits with a principal diagnosis related to co-
occurring
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/fatty-acids-cardiovascular-disease_executive.pdf
August 01, 2016 - There is no naturally occurring source
of SDA that, per serving, provides amounts of n-3 FA
approaching … Naturally occurring sources of SDA—hemp and echium
seed oils—are not consumed by the general population … recommendations
or reference values for intakes of EPA and DHA were
warranted, either through naturally occurring
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/rotator-cuff-tear-surveillance-140925.pdf
February 01, 2014 - The
factors affecting stiffness occurring with
rotator cuff tear. … that Arthroscopic rotator Stiffness (assessed with Among all patients, 39 (32.7%)
al.25 stiffness occurring … that Arthroscopic rotator Stiffness (assessed with Among all patients, 39 (32.7%)
al.25 stiffness occurring
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hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2010-2015.pdf
January 01, 2015 - example, if
studying 30-day readmissions with the 2014 NRD, the index event might be limited to those
occurring