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psnet.ahrq.gov/issue/diagnosis-ectopic-pregnancy
April 26, 2023 - Book/Report
The Diagnosis of Ectopic Pregnancy.
Citation Text:
The Diagnosis of Ectopic Pregnancy. Farnborough, UK: Healthcare Safety Investigation Branch; March 2020.
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psnet.ahrq.gov/issue/disease-management-mid-decade-evolution-toward-patient-safety
January 28, 2010 - Commentary
Disease management: a mid-decade evolution toward patient safety.
Citation Text:
Disease management: a mid-decade evolution toward patient safety. Heckinger E; Chappell H; Downes D; Fitzner K.
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psnet.ahrq.gov/issue/european-union-network-patient-safety-and-quality-care
August 04, 2021 - Multi-use Website
European Union Network for Patient Safety and Quality of Care.
Citation Text:
European Union Network for Patient Safety and Quality of Care. European Union Network for Patient Safety and Quality of Care; PaSQ.
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psnet.ahrq.gov/issue/difficulty-identifying-alzheimers-makes-misdiagnosis-easy
January 30, 2019 - Newspaper/Magazine Article
Difficulty identifying Alzheimer's makes misdiagnosis easy.
Citation Text:
Difficulty identifying Alzheimer's makes misdiagnosis easy. Ackerman T. Houston Chronicle. November 23, 2012.
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psnet.ahrq.gov/issue/fda-begins-inquiry-after-death-and-illness-saline-bags-meant-training
October 17, 2012 - Newspaper/Magazine Article
FDA begins inquiry after death and illness from saline bags meant for training.
Citation Text:
FDA begins inquiry after death and illness from saline bags meant for training. Tavernise S. New York Times. January 15, 2015.
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psnet.ahrq.gov/issue/disclosure-medical-errors-involving-gametes-and-embryos
April 22, 2020 - Commentary
Disclosure of medical errors involving gametes and embryos.
Citation Text:
Disclosure of medical errors involving gametes and embryos. Ethics Committee of the American Society for Reproductive Medicine. Fertil Steril. 2016;106:59-63.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/case-study-key.html
March 01, 2017 - Antibiotic Stewardship: Case Study Facilitator Key
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Instructions:
Divide into small groups of two to three people.
Ask each group to work through each part of the case scenario, pausing for discussion before moving to the next section.
Us…
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psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued
May 13, 2020 - Newspaper/Magazine Article
Man falls off surgical table; St. Joseph's Hospital sued.
Citation Text:
Man falls off surgical table; St. Joseph's Hospital sued. Smith ML; Wolfe WA.
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digital.ahrq.gov/sites/default/files/docs/citation/cds-artifact-enhancement.pdf
December 01, 2018 - CDS Artifact Enhancement Based on Pilot Implementation. Factors to Consider in Managing Chronic Pain:
CDS Artifact Enhancement Based on Pilot
Implementation
Factors to Consider in Managing Chronic Pain:
A Pain Management Summary
Prepared for:
Ag…
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cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - CDS Artifact Enhancement Based on Pilot Implementation. Factors to Consider in Managing Chronic Pain:
CDS Artifact Enhancement Based on Pilot
Implementation
Factors to Consider in Managing Chronic Pain:
A Pain Management Summary
Prepared for:
Ag…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
January 01, 2003 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities
395
Using Probabilistic Risk Assessment
to Model Medication System Failures
in Long-term Care Facilities
Sharon Conrow Comden, David Marx, Margaret Murphy-Carley, Misti Hale
Abstract
Objectives: State agenc…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/dementia-databases-methods_research.pdf
May 01, 2008 - Haloperidol also is rarely prescribed to residents
with dementia in LTC facilities. … utilization rates are not adjusted for potential
confounding factors, we cannot conclude the drugs were prescribed
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effectivehealthcare.ahrq.gov/sites/default/files/pulmonary-horizon-scan-high-impact-1406.pdf
June 01, 2014 - PULMONARY with "Discussions" in Exec Summary
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 13: Pulmonary Disease, Including Asthma
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither…
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psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention
Citation Text:
Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. 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/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital
Citation Text:
Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - Norepinephrine Dosing Error Associated with Multiple
Health System Vulnerabilities
May 26, 2021
Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health
System Vulnerabilities. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-mult…
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effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1312.pdf
December 01, 2013 - as a Schedule IV
drug, which removed the prescribing limitations (FDA approved, but not able to be prescribed … Denmark, as of December 2013, liraglutide “is not approved for weight management
and should not be prescribed … As an option prescribed after diet and exercise has failed and before surgical intervention,
liraglutide … and administration background thought that the availability of an effective
medication that can be prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-testing-summary.pdf
June 02, 2025 - In general, measures assessed
three areas: potential overuse, management of children newly prescribed
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015280-hsu-final-report-2008.pdf
January 01, 2008 - adherence as measured by proportion of days covered (PDC), and treatment
intensification as measured by prescribed … Assessing drug adherence and prescribed drug regimens can be useful process measures.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-slides.pptx
September 01, 2022 - antibiotic allergies before prescribing antibiotics
Recognize types of reactions to antibiotics commonly prescribed