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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
February 01, 2012 - Spotlight Case July 2008
Spotlight Case
E-prescribing: E for Error?
1
2
Source and Credits
This presentation is based on the February 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Elisa W. Ashton, PharmD, Assistant Clinical Professor, Departm…
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psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - In Conversation With... Jeffrey Shuren, MD, JD
May 28, 2020
In Conversation With.. Jeffrey Shuren, MD, JD. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
Editor’s note: Jeffrey Shuren, MD, JD is the Director of the Center for Devices and Radiological Health at
the Food…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-section-2-tech-specs.pdf
January 01, 2012 - CHIPRA 136: Section 2 Technical Specifications
MEASURE 1
A. Description
This measure characterizes care that precedes Emergency Department (ED)
visits with asthma for children ages 2-21 who can be identi…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-2.pdf
November 12, 2010 - ADHD: Available Information on Impact and Gaps/Variations in Care
Attention Deficit/Hyperactivity Disorder:
Available Information on Impact and Gaps/Variations in Care
Impact of Topic
Prevalence:
In a study by Visser et al, researchers …
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psnet.ahrq.gov/node/49839/psn-pdf
August 01, 2018 - Mixup Beyond the Medication Label
August 1, 2018
Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
The Case
An 80-year-old man was admitted to a hospital for recurrent hypoglycemia. He had been seen at another
hospi…
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psnet.ahrq.gov/node/49428/psn-pdf
January 01, 2004 - To Resuscitate or Not?
January 1, 2004
Wu AW, Pronovost P. To Resuscitate or Not? PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/resuscitate-or-not
The Case
A critically ill end-stage AIDS patient was hospitalized for end-of-life care. Given the state of his disease,
his code status was Do Not Resuscitate/…
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psnet.ahrq.gov/node/49830/psn-pdf
May 01, 2018 - Suicide Risk in the Hospital
May 1, 2018
Mills PD. Suicide Risk in the Hospital. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/suicide-risk-hospital
The Case
A 37-year-old woman with a past medical history of depression, anxiety, and posttraumatic stress disorder
presented to the emergency department (ED)…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-ref.html
September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
References
Previous Page
Table of Contents
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Learning From Diagnostic Errors
The Potential of …
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psnet.ahrq.gov/node/33681/psn-pdf
March 01, 2009 - The Role of Health Literacy in Patient Safety
March 1, 2009
Wolf MS, Bailey SC. The Role of Health Literacy in Patient Safety. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
Perspective
Clear health communication is increasingly recognized as essential for promoting …
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/refs.html
October 01, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
References
Previous Page Next Page
Table of Contents
Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Executive Summary
Introduction
Methods
Overview of the 14 Transform…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-audit-tool-userguide.pdf
April 01, 2021 - USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities
USER GUIDE: Hand Hygiene Observational Audit Data
Tracking Tool for Use in Skilled Nursing Facilities
Introduction
This user guide provides step-by-step instructions for nursing home staff to use the Hand Hygien…
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psnet.ahrq.gov/node/33761/psn-pdf
February 01, 2014 - Interruptions and Distractions in Health Care: Improved
Safety With Mindfulness
February 1, 2014
Beyea SC. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness. PSNet
[internet]. 2014.
https://psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulne…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/implement-staff-vaccination-program.pdf
March 01, 2022 - Implementing a Staff Vaccination Program in Your Nursing Home
Implementing a Staff Vaccination Program
in Your Nursing Home
COVID-19 vaccines help protect nursing home residents who are vulnerable to illness and death if they
become infected with the virus that causes COVID-19. Healthcare staff who are vaccinated…
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program1.html
April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs
Chapter 1. Environmental Scan
Previous Page Next Page
Table of Contents
Environmental Scan of Patient Safety Education and Training Programs
Introduction
Chapter 1. Environmental Scan
Chapter 2. Electronic Searchable Catalog …
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/StNCYDfuKfxc2LpwtaN8et
February 01, 2004 - Screening for Hepatitis B Virus Infection: A Brief Evidence Update
Methods
This brief update is based on a review of
English-language articles published in MEDLINE®,
the Cochrane Library, and the National Guideline
Clearinghouse between 1994 and 2001. The search
was further limited to Abridged Index Medicus
publicat…
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digital.ahrq.gov/ahrq-funded-projects/advancing-population-and-public-health-reporting-and-outcomes-vaccination-data-exchange-approve
January 01, 2024 - Advancing Population and Public Health Reporting and Outcomes With Vaccination Data Exchange (APPROVE)
Project Final Report ( PDF , 428.15 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and …
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www.ahrq.gov/news/newsletters/e-newsletter/956.html
May 01, 2025 - Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture, TeamSTEPPS®
Issue Number
956
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
May 6, 2025
AHRQ Stats: Proportionate Healthcare Expenditures Among High Spenders Between 2018 a…
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - Electronic Health Records
December 15, 2024
Electronic Health Records. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/electronic-health-records
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
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meps.ahrq.gov/data_files/publications/st501/stat501.pdf
March 01, 2017 - Statistical Brief #501: Children's Usual Source of Care: Insurance, Income, and Racial/Ethnic Disparities, 2004-2014
1
STATISTICAL BRIEF #501
March 2017
Children's Usual Source of Care: Insurance, Income, and Racial/Ethnic
Disparities, 2004-2014
Naomi Zewde, PhD and Terceira Berdahl, PhD
Introduction
Having a usua…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/Adult_Med_Eng_HP51_2152a.pdf
October 01, 2020 - CAHPS Health Plan Survey Adult Medicaid Survey 5.1
CAHPS Health Plan Survey
Version: Adult Medicaid Survey 5.1
Language: English
Notes
• Release of 5.1 version: The CAHPS team updated this survey in the fall of 2020. To
reflect the fact that patients are receiving health care in person, by phone, and by vide…