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psnet.ahrq.gov/node/49836/psn-pdf
July 01, 2018 - Primary Workaround, Secondary Complication
July 1, 2018
Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
The Case
A young adult with a progressive neurological disorder presented to a hospital emerg…
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 24, 2024
Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/zero…
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Diffusion of Responsibility Leads to Danger
October 1, 2018
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
The Case
A 70-year-old man was sent to the emergency department (ED) from a nursing facility…
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psnet.ahrq.gov/node/49854/psn-pdf
February 01, 2019 - Diagnostic Failure: The Growing Deficit
February 1, 2019
Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
The Case
A 65-year-old woman with a history of diabetes and hypertension was admitted to a hospital's telem…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-maine-state-snapshot.pdf
January 01, 2018 - Spotlight on Maine -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from Maine’s experience from February
2010 to February 2016 with the quality demonstration
funded by the Centers for Medicare & Med…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Partnering With a Senior Executive
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Partnering With a Senior Executive
Long-Term Care
SAY:
Thank you for joining us. This presentation is titled “Partnering With a Senior Executive.” This is our f…
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psnet.ahrq.gov/node/49629/psn-pdf
June 01, 2011 - Say It Again
June 1, 2011
Henriksen K, Hall KK. Say It Again. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/say-it-again
The Case
A 72-year-old man was admitted to the hospital with community-acquired pneumonia and hyponatremia.
During his third hospital night, the on-call physician was contacted by the c…
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psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - Risk Management and Patient Safety
December 1, 2010
Manuel BM, McCarthy JL, Berry WR, et al. Risk Management and Patient Safety. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/risk-management-and-patient-safety
Perspective
In 1990, a Harvard-based research team reported the incidence of medical errors …
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-7-formulation-task-force-recommendations
June 21, 2025 - Procedure Manual Section 7. Formulation of Task Force Recommendations
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Table of Contents
7.1 General Principles for Making Recommendations
7.2 Recommendation Grades
7.…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/nfq4s8fZc4JZeprE8FnQYW
August 01, 2010 - Ocular Prophylaxis of Gonococcal Ophthalmia Neonatorum: Evidence Update for the U.S. Preventive Services Task Force Reaffirmation Recommendation Statement
Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Evidence
Update for the U.S. Preventive Services Task Force Reaffirmation
Recommendation Statement
…
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hcup-us.ahrq.gov/team/StateDUA.pdf
May 31, 2025 - HCUP State Data Use Agreement
Data Use Agreement for HCUP State Databases 1
DATA USE AGREEMENT for the
State Databases from the
Healthcare Cost and Utilization Project
Agency for Healthcare Research and Quality
8/20/2023
This Data Use Agreement (“Agreement”) governs the disclosure and use of data in the HCUP St…
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meps.ahrq.gov/survey_comp/hc_survey/saq_paq/ChildPAQ_SPN.pdf
September 17, 2024 - Child Spanish Questionnaire
ERGMEncuesta de Registro de Gastos Médicos
La Salud y el Cuidado
de Salud de su Hijo(a)
¿Cuáles son sus experiencias con
el cuidado de salud de su hijo(a)?
La Agencia de Investigación y Calidad del Cuidado de Salud y
El Centro Nacional de Estadística de Salud del Servicio de Salud Púb…
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psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
March 12, 2021 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport
Citation Text:
MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/masks-surveillance-2-report.pdf
October 01, 2020 - Masks for Prevention of COVID-19 in Community and Healthcare Settings: Surveillance Report
Surveillance Report: October 2020
Masks for Prevention of COVID-19 in
Community and Healthcare Settings:
Surveillance Report
Background
This surveillance report summarizes the search and update for the rapid review and li…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/planningtool.pdf
June 02, 2025 - Dissemination Planning Tool
Development of a Planning
Tool to Guide Dissemination
of Research Results
Advances in Patient Safety:
From Research to Implementation.
Vol. 4, Programs, Tools, and Products.
Rockville, MD: Agency for Healthcare and
Research Quality; 2005.
Article Exhibit
Westat Authors:
Debora…
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digital.ahrq.gov/sites/default/files/docs/publication/r13hs022817-chen-final-report-2014.pdf
January 01, 2014 - Workshop on Interactive Systems in Healthcare 2013: Bridging Communities - Final Report
WORKSHOP ON INTERACTIVE SYSTEMS IN
HEALTHCARE (WISH) 2013: BRIDGING COMMUNITIES
Yunan Chen MD, P…
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021780-casarett-final-report-2014.pdf
January 01, 2014 - CHOICE: Coalition of Hospices Organized to Investigate Comparative Effectiveness - Final Report
Grant Final Report
Grant ID: R21HS021780
CHOICE: Coalition of Hospices Organized to
Investigate Comparative Effectiveness
Inclusive Project Dates: 01/01/2012 – 09/30/2014
Principal Investigator: …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/urinary-incontinence-treatment_research-protocol.pdf
September 30, 2010 - Washington, DC: US Government Printing Office,
2007. NIH Publication No. 07-5512. … Urologic diseases in America project: urinary
incontinence in women-national trends in hospitalizations, office … On some specific reports, such as reports
requested by the Office of Medical Applications of Research
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effectivehealthcare.ahrq.gov/sites/default/files/ch_8-user-guide-to-ocer_130129.pdf
October 01, 2013 - benefits managers fit within the payment system
for prescription drugs
From the Congressional Budget Office … , based in part on General Accounting Office, Pharmacy Benefit Managers:
Early Results on Ventures with … Electronic medical
record/electronic health record systems of
office-based physicians: United States
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fullreport.pdf
March 01, 2018 - Care coordination is generally provided within the context of the outpatient primary care office,
so … Health IT Standards
Are the data elements in this measure supported explicitly by the Office of the … Pediatric Quality Measures Program (PQMP) Candidate Measure
Submission Form (CPCF) was approved by the Office