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psnet.ahrq.gov/node/49559/psn-pdf
April 01, 2008 - The Forgotten Drip
April 1, 2008
Josephson AS. The Forgotten Drip. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/forgotten-drip
The Case
A 45-year-old man was brought to the emergency department by his friends because of a 1-day history of a
severe headache and "bizarre behavior." A computed tomography (C…
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psnet.ahrq.gov/node/49509/psn-pdf
April 01, 2006 - Insert Omission
April 1, 2006
Darney P. Insert Omission. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/insert-omission
The Case
A multiparous woman presented to the gynecology clinic requesting intrauterine contraceptive (IUC)
placement (Figure). She was appropriately counseled on the risks and benefits o…
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www.ahrq.gov/news/newsletters/e-newsletter/960.html
June 01, 2025 - Study Reveals Sharp Decline in Mothers’ Mental Health
Issue Number
960
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
June 3, 2025
AHRQ Stats: U.S. Adults Treated for Diet-Related Conditions An average of 84.1 million adults were treated for at least one ma…
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psnet.ahrq.gov/node/49541/psn-pdf
August 21, 2007 - Mark My Tooth
August 21, 2007
Smith RA. Mark My Tooth. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/mark-my-tooth
The Case
A 45-year-old healthy man was scheduled to have two teeth extracted for progressive dental caries. The
patient underwent the extractions, awoke from the anesthesia, and then realized…
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digital.ahrq.gov/ahrq-funded-projects/machine-learning-validation-medication-regimen-complexity-critical-care
March 31, 2025 - Machine Learning Validation of Medication Regimen Complexity for Critical Care Pharmacist Resource Prediction
Project Description
Publications
Research Story
Creating a visualization tool that applies innovative machine learning prediction methods may improve health…
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - Triggers and Trigger Tools
Citation Text:
Triggers and Trigger Tools. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/50699/psn-pdf
November 26, 2019 - Patient Safety in Frail Older Patients
November 26, 2019
Wald HL, Hall KK, Fitall E. Patient Safety in Frail Older Patients. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
Background
Older patients are at a particular risk of experiencing a patient safety event. Stud…
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digital.ahrq.gov/sites/default/files/docs/publication/action-cp-cds-tool-specifications.pdf
June 16, 2021 - Care Planning Clinical Decision Support Tool Specifications
Care Planning Clinical Decision Support Tool Specifications
Purpose:
The CP-CDS tool was designed to:
• Facilitate the care and treatment of patients by assisting in the identification of patients who
are at ris…
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psnet.ahrq.gov/web-mm/allergy-holter
May 01, 2008 - Allergy to Holter
Citation Text:
Williams M. Allergy to Holter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
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…
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psnet.ahrq.gov/node/33675/psn-pdf
October 01, 2008 - Identifying Adverse Events Not Present on Admission:
Can We Do It?
October 1, 2008
Naessens JM. Identifying Adverse Events Not Present on Admission: Can We Do It? PSNet [internet].
2008.
https://psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
Perspective
Interest is growi…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 14A: Outcome Indicators by County Supply of Health Care Providers
Previous Page Next Page
Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid …
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www.ahrq.gov/hai/clabsi-tools/appendix-3.html
March 01, 2018 - Appendix 3. Guidelines to Prevent Central Line-Associated Blood Stream Infections
Tools for Reducing Central Line-Associated Blood Stream Infections
These tools will help your unit implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI). When used with the CUS…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
July 01, 2013 - Slide 1
Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI
*
Barbara Meyer Lucas, MD, MHSA
Project Consultant
Michigan Health & Hospital Association
Keystone Center for Patient Safety and Quality
Milisa Manojlovich, PhD, RN, CCRN
Associate Professor
Division of Nursing Business & Hea…
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hcup-us.ahrq.gov/datainnovations/ICD10Imp_Romano_NAHDO_October2016.pdf
October 27, 2016 - Slide 1
ICD-10 IMPLEMENTATION:
OPPORTUNITIES AND CHALLENGES
FOR HEALTH DATA ORGANIZATIONS
1
Patrick S. Romano, MD MPH
Professor of Medicine and Pediatrics
UC Davis School of Medicine
Co-Editor in Chief, HSR
October 27, 2016
Outline
• Examples of opportunities and challenges in
ICD-10-CM/PCS specificatio…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/challenging-patient-behaviors-and-concerns
January 01, 2021 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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psnet.ahrq.gov/web-mm/reconciling-records
September 01, 2017 - Reconciling Records
Citation Text:
Singh H, Sittig DF, Layden M. Reconciling Records. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/node/850678/psn-pdf
June 14, 2023 - Advance Alert Monitor Program: An Automated Early
Warning System for Adults At Risk for In-Hospital Clinical
Deterioration
June 14, 2023
https://psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-
risk-hospital
Summary
To address a well-documented hospital adverse outco…
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs015364-jones-final-report-2005.pdf
January 01, 2005 - Health Improvement Collaboration in Cherokee County, OK
Grant Final Report
Grant ID: 1P20HS015364-01
Health Improvement Collaboration in Cherokee
County, OK
Inclusive dates: 09/30/04 - 09/29/05
Principal Investigator:
Mark Jones
Team members:
Brian Woodliff
Melissa Gower
*
Linda Ax…
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - How to Identify and Manage Problem Behaviors
December 1, 2009
Rosenstein AH, O'Daniel M. How to Identify and Manage Problem Behaviors. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
Perspective
The 1999 Institute of Medicine report highlighted the need for heal…
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psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
October 01, 2013 - New Patient Mistakenly Checked in as Another
Citation Text:
Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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