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psnet.ahrq.gov/node/37378/psn-pdf
February 24, 2011 - Medication discrepancies in resident sign-outs and their
potential to harm.
February 24, 2011
Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to
harm. J Gen Intern Med. 2007;22(12):1751-5.
https://psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs…
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psnet.ahrq.gov/node/47204/psn-pdf
July 18, 2018 - The burden of opioid-related mortality in the United
States.
July 18, 2018
Gomes T, Tadrous M, Mamdani MM, et al. The burden of opioid-related mortality in the United States.
JAMA Netw Open. 2018;1(2):e180217. doi:10.1001/jamanetworkopen.2018.0217.
https://psnet.ahrq.gov/issue/burden-opioid-related-mortality-unite…
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psnet.ahrq.gov/node/44953/psn-pdf
March 09, 2016 - Patient safety room of horrors: a novel method to assess
medical students and entering residents' ability to identify
hazards of hospitalisation.
March 9, 2016
Farnan JM, Gaffney S, Poston JT, et al. Patient safety room of horrors: a novel method to assess medical
students and entering residents' ability to identi…
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psnet.ahrq.gov/node/42686/psn-pdf
April 16, 2019 - Improving the quality of health care: what's taking so
long?
April 16, 2019
Chassin MR. Improving The Quality Of Health Care: What’s Taking So Long? Health Aff.
2013;32(10):1761-1765. doi:10.1377/hlthaff.2013.0809.
https://psnet.ahrq.gov/issue/improving-quality-health-care-whats-taking-so-long
Almost a decade-and…
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psnet.ahrq.gov/node/44805/psn-pdf
January 27, 2016 - NHS Safety Thermometer Reports.
January 27, 2016
Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. 2012-2017.
https://psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-
2014-november-2015
The NHS Safety Thermometer was a tool developed by …
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psnet.ahrq.gov/node/838919/psn-pdf
January 01, 2024 - Delayed diagnosis of serious paediatric conditions in 13
regional emergency departments.
October 26, 2022
Michelson KA, McGarghan FLE, Patterson EE, et al. Delayed diagnosis of serious paediatric conditions in
13 regional emergency departments. BMJ Qual Saf. 2024;33(5):293-300. doi:10.1136/bmjqs-2022-015314.
https…
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psnet.ahrq.gov/node/49614/psn-pdf
November 01, 2010 - Reconciling Records
November 1, 2010
Singh H, Sittig DF, Layden M. Reconciling Records. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/reconciling-records
The Cases
Case 1. A patient receiving care at a Veterans Affairs (VA) outpatient clinic was admitted to a local
teaching hospital. When discharged, h…
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psnet.ahrq.gov/node/61080/psn-pdf
October 28, 2020 - Preventing Complications during Aneurysm Clipping –
the Role of Neuromonitoring.
October 28, 2020
DeLemos C. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
June 02, 2025 - Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Case Study of Using the QI Toolkit for Quality Improvement
What is the purpose of this tool? This tool provides a case study from one hospital that
participated in the field test and evaluation of the QI Toolkit. It offers …
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psnet.ahrq.gov/node/49453/psn-pdf
July 01, 2004 - Bowel Prep
July 1, 2004
Nelson D. Bowel Prep. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/bowel-prep
The Case
The patient is a 73-year-old woman who 20 years ago underwent treatment for breast cancer. At her
daughter's suggestion, the patient requested referral for colonoscopy, as she understood there w…
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psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
June 01, 2014 - Mixup Beyond the Medication Label
Citation Text:
Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar BibTeX EndNote …
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meps.ahrq.gov/data_files/publications/st442/stat442.shtml
June 01, 2014 - STATISTICAL BRIEF #442:
Changes in Osteoporosis Medication Use and Expenditures among Women (Age ≥ 50), United States, 2000 to 2011
Skip to main content
An official website of the Department of Health & Human Service…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.263_slideshow.ppt
March 01, 2012 - Spotlight Case July 2008
Spotlight Case
Postdischarge Follow-Up Phone Call
*
*
Source and Credits
This presentation is based on the March 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Michelle Mourad, MD, and Stephanie Rennke, MD; Divi…
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digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-transcript-081811.pdf
June 16, 2021 - MEDICATION MANAGEMENT USING HEALTH IT FOR THE CARE OF ELDERLY PATIENTS
______________________________________________________________________________________
Medication Management using Health IT for the Care of Elderly Patients Transcript.doc Page 1 of 20
TRANSCRIPT OF AUDIO FILE:
MEDICATION MANAGEME…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024538-adelman-final-report-2022.pdf
January 01, 2022 - This new set of
measures enables epidemiologic analysis of electronic order errors, informs design of preventive … reasons for errors and
mechanisms of recovery provides information essential to design effective preventive
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psnet.ahrq.gov/issue/assessing-clinical-handover-between-paramedics-and-trauma-team
January 19, 2011 - Study
Assessing clinical handover between paramedics and the trauma team.
Citation Text:
Evans S, Murray A, Patrick I, et al. Assessing clinical handover between paramedics and the trauma team. Injury. 2010;41(5):460-4. doi:10.1016/j.injury.2009.07.065.
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Format:
…
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psnet.ahrq.gov/issue/broselow-tape-effective-medication-dosing-instrument-review-literature
April 09, 2009 - Review
The Broselow tape as an effective medication dosing instrument: a review of the literature.
Citation Text:
Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review of the literature. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.…
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psnet.ahrq.gov/issue/potential-drug-interactions-hospitalized-cancer-patients
June 07, 2016 - Study
Potential for drug interactions in hospitalized cancer patients.
Citation Text:
Riechelmann RP, Moreira F, Smaletz Ò, et al. Potential for drug interactions in hospitalized cancer patients. Cancer Chemother Pharmacol. 2005;56(3). doi:10.1007/s00280-004-0998-4.
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…
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psnet.ahrq.gov/issue/why-do-gdps-fail-recognise-oral-cancer-argument-oral-cancer-checklist
March 13, 2024 - Commentary
Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist.
Citation Text:
Dave B. Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. Br Dent J. 2013;214(5):223-5. doi:10.1038/sj.bdj.2013.214.
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…
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psnet.ahrq.gov/issue/gaps-pediatric-clinician-communication-and-opportunities-improvement
March 24, 2011 - Study
Gaps in pediatric clinician communication and opportunities for improvement.
Citation Text:
Woods D, Holl JL, Angst DB, et al. Gaps in pediatric clinician communication and opportunities for improvement. J Healthc Qual. 2008;30(5):43-54.
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Format:
Goog…