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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - Syringe Swap During Regional Block: A Case of
Medication Error and Recovery
January 31, 2024
Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - Fecal Contamination of the Peritoneum from
Laparoscopic Trocar Injury: A Routine Operation Goes
Wrong.
October 27, 2022
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine
Operation Goes Wrong. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/fecal-contamination-…
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - Challenges of Diabetes Management and Medication
Reconciliation
August 5, 2022
Lee S, Molla M. Challenges of Diabetes Management and Medication Reconciliation . PSNet [internet].
2022.
https://psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
The Cases
Case #1: A 53-year-old man …
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psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
July 21, 2025 - Breadcrumb
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Diagnostic Safety Improvement
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNe…
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psnet.ahrq.gov/print/pdf/node/854855
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Patient as a Team Member in Clinical Care
Curated Library
Foundations
Patient Engagement for Patient Safety: The Why, What, and How of Patient Engagement for Improving
Patient Safety.
Kendir C, Fujisawa R, Brito Fernandes O, et al. Paris, F…
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psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
March 15, 2025 - Breadcrumb
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/assessing/takeheart-summary-presentation.pptx
April 26, 2023 - AHRQ Slide Template-Regular
TAKEheart:
AHRQ’s Initiative to Increase Patient Participation in Cardiac Rehabilitation
What We Planned, What Happened, and What We Learned
Michael Harrison and Dina Moss
April 26, 2023
(Edited 5-25-23)
Dina was COR and implementation lead; Michael was co-COR and evaluation/disseminati…
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www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century
Private Sector Efforts in Value-Based Purchasing and Quality Improvement
Previous Page
Table of Contents
The Challenge and Potential for Assuring Quality Health Care for the 21st Century
From Quality Measures to Qu…
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digital.ahrq.gov/electronic-medical-record-systems
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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digital.ahrq.gov/sites/default/files/docs/citation/r13hs027528-clark-final-report-2021.pdf
January 01, 2021 - Telehealth and Emergency Medicine: A Consensus Conference to Map the Intersection of Emergency Medicine and Telehealth - Final Report
1. Title Page
Title
Telehealth and Emergency Medicine: A Consensus Conference t…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023306-harle-final-report-2020.pdf
January 01, 2020 - Designing User-Centered Decision Support Tools for Chronic Pain in Primary Care
FINAL PROGRESS REPORT
Title of Project: Designing User-Centered Decision Support Tools for Chronic Pain
in Primary Care
Principal Investigator and Team Members:
Christopher Harle (PI)
Basia An…
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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - SPOTLIGHT CASE
Triple Handoff
Citation Text:
Vidyarthi A. Triple Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
May 01, 2007 - Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility
Clinical Impact of an Anticoagulation Screening
Service at a Pediatric Tertiary Care Facility
Kathy M. Harney, MS, RN, PNP; Patricia A. Branowicki, MS, RN, CNAA;
Margaret McCabe, DNSc, RN, APRN, BC; Kathleen Houlahan, M…
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psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - Challenges of Diabetes Management and Medication Reconciliation
Citation Text:
Lee S, Molla M. Challenges of Diabetes Management and Medication Reconciliation . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - intraoperative bleeding, 2)
failure of the system to acknowledge staff raising concerns, 3) failure to recognize
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - Recognize when it is appropriate to engage patients in advance care planning discussions.
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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - November 29, 2023
Patient safety's missing link: using clinical expertise to recognize
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psnet.ahrq.gov/web-mm/lost-transition
November 17, 2010 - First, most clinicians recognize that a delay in reporting a test often means the result is abnormal
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015409-overhage-final-report-2009.pdf
January 01, 2009 - We recognize that
laboratory and radiology savings are two clear areas where savings may be found.
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psnet.ahrq.gov/node/43900/psn-pdf
February 11, 2015 - Once easily recognized, signs of measles now elude
young doctors.
February 11, 2015
Brown E, Lin RG II R, Xia R. Los Angeles Times. January 26, 2015.
https://psnet.ahrq.gov/issue/once-easily-recognized-signs-measles-now-elude-young-doctors
In light of the recent outbreak of measles in California, this newspaper ar…