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psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - Diagnosing a Missed Diagnosis
Citation Text:
Reilly JB, Webster C. Diagnosing a Missed Diagnosis. 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/perils-contrast-media
March 01, 2007 - SPOTLIGHT CASE
The Perils of Contrast Media
Citation Text:
Sadat U, Solomon R. The Perils of Contrast Media. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
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psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
July 31, 2023 - Procedure Complications – Who is Responsible for Follow up?
Citation Text:
Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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effectivehealthcare.ahrq.gov/sites/default/files/hawley-presentation.pdf
May 29, 2025 - Hawley-notes-151016 copy - Teresa
This idea of focusing on patient-centered medical care has been one that’s come to
the forefront in the last decade and we’ve heard a lot about that.
1
…
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meps.ahrq.gov/data_files/publications/st482/stat482.shtml
November 01, 2015 - STATISTICAL BRIEF #482:
Specialist Need and Access among Adults with Multiple Chronic Conditions, U.S. Civilian Noninstitutionalized Population, 2012
Skip to main content
An official website of the Department of He…
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - Patient Advocacy in Patient Safety: Have Things
Changed?
June 1, 2014
Haskell H. Patient Advocacy in Patient Safety: Have Things Changed? PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
Perspective
In 1981, a cancer patient named Paula Carroll founded…
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - Nurse Staffing Ratios: The Crucible of Money, Policy,
Research, and Patient Care
August 1, 2009
Rich V. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care. PSNet
[internet]. 2009.
https://psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
Case…
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - In Conversation with…William B. Munier, MD, MBA
July 1, 2011
In Conversation with…William B. Munier, MD, MBA. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
Editor's note: William B. Munier, MD, MBA, is the Director of the Center for Quality Improvement and
Pati…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
The Importance of MRSA Prevention
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
The Importance of MRSA Prevention
SAY:
Welcome to this presentation on the Importance of Methicillin-Resistant Staphylococcus aureus (MRSA) Prevention. This presentation will ou…
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psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - Errors in Sepsis Management
May 1, 2015
Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/errors-sepsis-management
Case Objectives
Define sepsis, severe sepsis, and septic shock.
Describe the severe sepsis/septic shock resuscitation bundle.
Recognize commonly encou…
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www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
PATIENT
SAFETY
e
Issue Brief 20
Learning from AHRQs’ Diagnostic Safety
Culture Survey at a Tertiary Care Health
System in Brazil: A Case Study
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e
Issue Brief 2…
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psnet.ahrq.gov/node/49864/psn-pdf
June 01, 2019 - Speaking Up for Patient Safety: What They Don't Tell You
in Training About Feedback and Burnout
June 1, 2019
Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About
Feedback and Burnout. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/speaking-patient-safety-…
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psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - False Assumptions Result in a Missed Pneumothorax
after Bronchoscopy with Transbronchial Biopsy.
October 27, 2022
Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy
with Transbronchial Biopsy. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/false-assumptions-resul…
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psnet.ahrq.gov/node/33718/psn-pdf
October 01, 2011 - In Conversation With… Paul G. Shekelle, MD, MPH, PhD
October 1, 2011
In Conversation With… Paul G. Shekelle, MD, MPH, PhD. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
Editor's note: Dr. Shekelle is director of the Southern California Evidence-Based Practice Cen…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-2.pdf
March 01, 2018 - Summary of 2nd Comparative Health Systems Performance Initiative Workshop
ISSUE BRIEF A Summary of the Second
Annual Workshop of AHRQ’s
Comparative Health System
Performance Initiative
Summary
As part of the Comparative Health
System Performance (CHSP)
Initiative, the Agency for Healthcare
Research and Qual…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-nh-linkage-techdoc.pdf
January 01, 2021 - Compendium of U.S. Health Systems, 2021, Nursing Home Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2021, Nursing Home Linkage File, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Depa…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/3-sorra-sops-hospital-survey-2-0-webcast.pdf
July 20, 2020 - AHRQ Webcast Introducing the New SOPS Hospital Survey 2.0 - Sorra
AHRQ Surveys on Patient Safety Culture™
Hospital Survey Version 2.0
Joann Sorra, PhD
Project Director, AHRQ Surveys on Patient Safety Culture User Network, Westat
12
HSOPS 2.0 Development Team
• Westat Research Team:
Theresa Famolaro, MPS, MS, …
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psnet.ahrq.gov/node/33696/psn-pdf
June 01, 2010 - In Conversation with…Pat Croskerry, MD, PhD
June 1, 2010
In Conversation with…Pat Croskerry, MD, PhD. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
Editor's note: Pat Croskerry, MD, PhD, is a professor in emergency medicine at Dalhousie University in
Halifax, Nova…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
November 01, 2019 - Antibiotic Stewardship Program Development: Part 2
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Antibiotic Stewardship Program
Development: Part 2
Acute Care
Slide Title and Commentary Slide Number and Slide
Title Slide
Antibiotic …
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psnet.ahrq.gov/node/73302/psn-pdf
May 26, 2021 - In Conversation With... Chris Cebollero, BS, CCEMT-P
May 26, 2021
In Conversation With.. Chris Cebollero, BS, CCEMT-P. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
Editor’s Note: Chris Cebollero, BS, CCEMT-P, is the President and CEO of Cebollero & Associates
C…