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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
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Issue Brief 8
Distributed Cognition and the Rol…
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - Beyond the Hospital: the New Frontier of Patient Safety
Margaret Plews-Ogan, MD, MS | August 22, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Plews-Ogan M. Beyond the Hospital: the New Frontier of Patient Safety. PSNet …
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psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - SPOTLIGHT CASE
An Inadvertent Bolus of Norepinephrine.
Citation Text:
Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
Copy Citation
F…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
January 01, 2004 - Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System
207
Ten Considerations for Easing
the Transition to a Web-based
Patient Safety Reporting System
Sharon K. Ulep, Sheryl L. Moran
Abstract
Moving to a Web-based system for tracking patient safety events is a goal o…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022364-ralston-final-report-2018.pdf
January 01, 2018 - Understanding and Honoring Patients with Multiple Chronic Conditions - Final Report
Title Page
Title of Project: Understanding and Honoring Patients with Multiple Chronic Conditions
Principal Investigator…
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hcup-us.ahrq.gov/reports/race/NASHPDisparitiesReport.pdf
January 01, 2020 - 10 Centers for Disease Control and Prevention, “Perspectives in Disease Prevention and Health
Promotion … • For more than a decade, Rhode Island has funded Minority Health Promotion
Centers, minority-serving … community-based organizations, to develop and
implement health promotion and disease prevention activities
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effectivehealthcare.ahrq.gov/sites/default/files/arthritis-horizon-scan-high-impact-1512.pdf
December 29, 2015 - interventions, rehabilitative interventions,
behavioral health interventions, and public health and health promotion
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelpForm.pdf
August 01, 2012 - Tobacco Use and Help with Quitting Among Adolescents measure complements other Prevention and
Health Promotion … Service - care for children with special health care needs/chronic conditions No
g.Service – health promotion
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digital.ahrq.gov/sites/default/files/docs/survey/iq-health-patient-enrollment.pdf
June 16, 2021 - IQHealth: Patient Enrollment Experience and Expectations
IQHealth: Patient's Enrollment Experience and Expectations
University of Missouri, Columbia MO
This is a questionnaire designed to be completed by patients in a home setting.
The tool includes questions to assess the current state of personal health records …
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psnet.ahrq.gov/node/50931/psn-pdf
February 26, 2020 - Timely diagnosis of esophageal perforation
February 26, 2020
Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
The Case
A man with mixed connective tissue disease on low-dose prednisone and methotrexate pre…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes
Case Studies
These case studies follow three nursing home facilities that implemented the On-Time Pressure Ulcer Prevention Program.
Select for more AHRQ Impact Case Studies .
Contents
New York Nursing Facility Sees 56 Percent Drop in Pressure Ulcers with AHRQ-Fu…
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www.ahrq.gov/sites/default/files/publications/files/haify11.pdf
January 01, 2011 - AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011
Introduction
Healthcare-associated infections (HAIs)
are infections that people acquire while
they are receiving treatment for another
condition in a health care setting. They
are costly, deadly, and largely
preventable. A core part of the Ag…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/models-care-adult-survivors-childhood-cancer-evidence-summary.pdf
February 01, 2022 - Evidence Summary_Models of Care That Include Primary Care for Adult Survivors of Childhood Cancer: A Realist Review
Evidence Report
Models of Care That Include Primary Care
for Adult Survivors of Childhood Cancer: A
Realist Review
Evidence Summary
Main Points
Background and Purpose
Childhood…
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psnet.ahrq.gov/web-mm/double-dose-transfer
November 01, 2012 - Double Dose at Transfer
Citation Text:
Hackman JL. Double Dose at Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - Establishing a Safety Culture: Thinking Small
December 1, 2006
Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
Perspective
Safety cultures are the holy grail in any risky industry. Like all holy grails, th…
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psnet.ahrq.gov/node/33848/psn-pdf
December 01, 2017 - The Evolution of Patient Safety in Surgery
December 1, 2017
Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
Perspective
In 1979, 20 years before the Institute of Medicine's To Err Is Human report (1) catalyzed the cr…
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psnet.ahrq.gov/node/33679/psn-pdf
January 01, 2009 - Disclosure of Medical Error
January 1, 2009
Kachalia A. Disclosure of Medical Error. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/disclosure-medical-error
Perspective
Disclosure of medical error is inextricably linked to today's patient safety efforts. Health care experts
advocate that greater discl…
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psnet.ahrq.gov/node/33850/psn-pdf
January 01, 2018 - EHR Copy and Paste and Patient Safety
January 1, 2018
Dean SM. EHR Copy and Paste and Patient Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
Perspective
Although the ability to copy and paste text is a central benefit of computing in general, and electronic…
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psnet.ahrq.gov/node/49578/psn-pdf
January 01, 2009 - Hospital Admission Due to High-Dose Methotrexate Drug
Interaction
January 1, 2009
Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet
[internet]. 2009.
https://psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
The Case
A 40-year-old wo…
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psnet.ahrq.gov/node/49505/psn-pdf
March 01, 2006 - Collegiality vs. Competence
March 1, 2006
Sagin T. Collegiality vs. Competence. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/collegiality-vs-competence
The Case
A 91-year-old man with coronary artery disease was taken to the operating room (OR) for semi-elective
repair of a 10-cm abdominal aortic aneurys…