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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - Delayed Breast Cancer Diagnosis: A False Sense of
Security.
December 23, 2020
Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
The Case
A 60-year-old woman was se…
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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - SPOTLIGHT CASE
Medication Reconciliation With a Twist (or Dare We Say, a Patch?)
Citation Text:
Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
September 27, 2023 - SPOTLIGHT CASE
Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation
Citation Text:
Bourgeois JA, Xiong G. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation. PSNet [internet]. Rockville (MD): Agency for Health…
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - Missed Opportunities for Suicide Risk Assessment
November 27, 2019
Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
Disclosure of Relevant Financial Relationships: As a provider accredited by the Acc…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hospital-length-of-stay-disposition-comments_0.pdf
September 20, 2021 - Disposition of Comments_Technical Brief No. 40: Interventions To Decrease Hospital Length of Stay
Technical Brief Disposition of Comments Report
Title: Interventions To Decrease Hospital Length of Stay
Draft report available for public comment from September 23, 2020, to November 10, 2020.
C…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024350-wernz-final-report-2018.pdf
January 01, 2018 - Evidence-based Contingency Planning for Electronic Health Record Downtime - Final Report
1
Title Page
Title of Project:
Evidence-based Contingency Planning for Electronic Health Record Downtime
Principal Investigator and Team Members:
PI: Christian Wernz, PhD
Co-I: Raj Ratwani, PhD
Co-I: Terry Fai…
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meps.ahrq.gov/data_files/publications/st359/stat359.shtml
February 01, 2012 - STATISTICAL BRIEF #359:
The Concentration of Health Care Expenditures and Related Expenses for Costly Medical Conditions, 2009
Skip to main content
An official website of the Department of Health & Human Services
…
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www.ahrq.gov/sites/default/files/2024-01/hollingsworth-report.pdf
January 01, 2024 - Final Progress Report: Effects of Physician Social Networks on Surgical Quality, Safety, and Costs
Title: Effects of Physician Social Networks on Surgical
Quality, Safety, and Costs
Principal Investigator: John M. Hollingsworth, MD, MS
Team Members: Brahmajee K. Nallamothu, MD, MPH (Mentor)
Jason Owen-Smith, PhD …
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psnet.ahrq.gov/node/49553/psn-pdf
January 01, 2008 - Contaminated or Not? Guidelines for Interpretation of
Positive Blood Cultures
January 1, 2008
Weinstein MP. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures. PSNet
[internet]. 2008.
https://psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
The…
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psnet.ahrq.gov/node/33828/psn-pdf
March 01, 2017 - In Conversation With… Mary Dixon-Woods, DPhil
March 1, 2017
In Conversation With… Mary Dixon-Woods, DPhil. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
Editor's note: Dr. Dixon-Woods is RAND Professor of Health Services Research at Cambridge University
and Deputy …
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psnet.ahrq.gov/node/33873/psn-pdf
February 01, 2019 - In Conversation With… Susan E. Skochelak, MD, PhD
February 1, 2019
In Conversation With… Susan E. Skochelak, MD, PhD. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
Editor's note: Dr. Skochelak is the Group Vice President for Medical Education at the American Medica…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
June 02, 2025 - Module 2: How To Manage Change
Module 2: How To Manage Change
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve …
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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - Antiseizure Medication Disorder
May 1, 2007
Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
Case Objectives
Appreciate the challenges of safe use of antiepileptic medications.
Identify phenytoin toxicity.
Understand the pharmaco…
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - Missing a Large Vessel Occlusion Stroke in a Patient with
a History of Seizures.
July 8, 2022
Keenan KJ, Nishijima DK. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizure…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-nh-linkage-techdoc.pdf
January 01, 2022 - Compendium of U.S. Health Systems, 2022, Nursing Home Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2022, Nursing Home Linkage File, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Depa…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-nh-linkage-techdoc.pdf
January 01, 2020 - Compendium of U.S. Health Systems, 2020, Nursing Home Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2020, Nursing Home Linkage File, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Depa…
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Learn From Defects Tool—Perioperative Setting
AHRQ Safety Program for Surgery
What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall.
Problem statement: …
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
December 01, 2017 - Program Overview: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Onboarding
Program Overview
Slide 2: Mead Quotation
"Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it is the only thing that ever has."
—Ma…
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - In Conversation With… Matthew Weinger, MD
August 1, 2018
In Conversation With… Matthew Weinger, MD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
Editor's note: Dr. Weinger is Director of the Center for Research and Innovation in Systems Safety and
Professor of Anesthes…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
AHRQ Publication No. 17-0003-19-EF
May 2017
SAY:
The Safe Medication Administration bundle
provides information on high-alert medications
commonly used in labor and d…