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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - March 7, 2018
Rapid learning of adverse medical event disclosure and apology.
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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - SPOTLIGHT CASE
Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care
Citation Text:
Lucier DJ, Greenwald JL. Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/node/49431/psn-pdf
January 01, 2004 - Crushing Chest Pain: A Missed Opportunity
January 1, 2004
Graber ML. Crushing Chest Pain: A Missed Opportunity. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
Case Objectives
Appreciate the challenges of diagnosing aortic dissection
Describe a Bayesian approach to dia…
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psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - Don’t Wait to Collect an Accurate Weight: A Case of
Subtherapeutic Insulin Therapy
August 28, 2024
Newton B, Seitz R. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insul…
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digital.ahrq.gov/sites/default/files/docs/citation/r00hs022408-lyles-final-report-2019.pdf
January 01, 2019 - Engaging Diverse Patients in Using an Online Patient Portal - Final Report
Engaging Diverse Patients in Using an Online Patient Portal
Principal Investigator: Courtney Rees Lyles, BA PhD
Organization:
University of California, San Francisco
UC…
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psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - persistent HIT antibodies, as our
patient most likely had, who are re-challenged with heparin can develop rapid-onset
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy
Citation Text:
Newton B, Seitz R. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review11/asymptomatic-bacteriuria-in-adults-screening-2008
July 15, 2008 - It would be useful to identify a rapid test with a high negative predictive value for asymptomatic bacteriuria
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psnet.ahrq.gov/node/851099/psn-pdf
June 28, 2023 - The patient experienced acute arterial thrombosis with resulting
hand ischemia but responded to rapid
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psnet.ahrq.gov/node/49553/psn-pdf
January 01, 2008 - Rapid classification of positive blood cultures.
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
September 15, 2025 - importance of leadership support, assembling a multidisciplinary team, maintaining a narrow focus to foster rapid
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psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
February 01, 2007 - SPOTLIGHT CASE
Crushing Chest Pain: A Missed Opportunity
Citation Text:
Graber ML. Crushing Chest Pain: A Missed Opportunity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google …
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psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
March 01, 2005 - SPOTLIGHT CASE
CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure
Citation Text:
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human S…
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - This rapid transition is a good thing.
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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - For example, unidirectional mobile applications intended for rapid information gathering and simple communication
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hcup-us.ahrq.gov/reports/statbriefs/sb130.pdf
March 01, 2012 - However, they can attain high
speeds with rapid acceleration raising concerns for their safety,
particularly
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
September 01, 2015 - Meetings are enjoyable and the group makes rapid
progress. … can do when you suddenly experience a strong
feeling (e.g., anger, defensiveness, humiliation) in response … The discipline of shifting from “knowing that you are right”
to curiosity about your response allows
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/interim-pcortf-snac-report.pdf
October 01, 2022 - In many cases, a single theme emerged
across multiple meetings in response to different discussion … Section 4.1 Health Equity
Subcommittee members raised themes around health equity both in response … of the barriers to achieving the full
potential of PCORTF investments will require a coordinated response … She is
currently funded as part of the National Institutes of Health’s Rapid Acceleration of
Diagnostics … She was most recently Senior
Advisor to the Pandemic Response Unit for the State of Oregon, where
she
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digital.ahrq.gov/sites/default/files/docs/page/09-0069-EF_1.pdf
June 01, 2009 - user
change plans (automatic or on demand)
Low Automatic: timing, autonomy
and user control over
response … On demand: speed, ease of
access, autonomy and user
control over response
While some of these … it automatically; presenting alerts so they are not interruptive; or turning
off or not requiring a response … than inaccurate recommendations or intrinsic system flaws.91,92 In
fact, The Joint Commission, in response … labeling a heart rate as
15
http:content.81
“tachycardia” (abnormally rapid
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017034-chrischilles-final-report-2011.pdf
January 01, 2011 - omitted several measures from the followup survey that were included in the baseline
survey due to low response … The median value was 5.1 for
older participants and 5.3 younger participants for average response to … On average, only six of 16 responses were above 5
(median possible response) for older participants. … trial, older adults had
to first respond to a brief mailed screening questionnaire about computer use (response … 67.5% of screening
questionnaire respondents), and complete a baseline mailed questionnaire (48.9% response