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  1. Pocket Syringe Swap | PSNet

    psnet.ahrq.gov/web-mm/pocket-syringe-swap
    July 01, 2006 - Pocket Syringe Swap Citation Text: Kulli JC. Pocket Syringe Swap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

  2. Inflicting Confusion | PSNet

    psnet.ahrq.gov/web-mm/inflicting-confusion
    August 04, 2021 - Inflicting Confusion Citation Text: Scott FI, Lichtenstein GR. Inflicting Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  3. The Missing Suction Tip | PSNet

    psnet.ahrq.gov/web-mm/missing-suction-tip
    January 01, 2006 - SPOTLIGHT CASE The Missing Suction Tip Citation Text: Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 …

  4. Frequently Asked Questions: The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/faqs-final508.pdf
    June 02, 2025 - Frequently Asked Questions: The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Frequently Asked Questions Frequently Asked Questions | 1 Implementation 1. How do I g…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50769/psn-pdf
    February 15, 2017 - Cultural Competence and Patient Safety December 27, 2019 Brach C, Hall KK, Fitall E. Cultural Competence and Patient Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety Background   Culture can be defined as the “personal identification, language, thoughts, co…

  6. Are You Mrs. A? An Issue of Identification Over Telephone | PSNet

    psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
    January 01, 2016 - Are You Mrs. A? An Issue of Identification Over Telephone Citation Text: Adelman JS. Are You Mrs. A? An Issue of Identification Over Telephone. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49804/psn-pdf
    September 01, 2017 - Transfusion Thresholds in Gastrointestinal Bleeding September 1, 2017 Strate L, Swanson S. Transfusion Thresholds in Gastrointestinal Bleeding. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding Case Objectives Describe risk factors for poor outcome in patients w…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49677/psn-pdf
    February 01, 2013 - CVC Placement: Speak Now or Do Not Use the Line February 1, 2013 Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line The Case A 48-year-old woman with a history of hypertension, psychiatric illness, and a…

  9. Implementation Guide for Ambulatory Care Antibiotic Stewardship (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-stewardship.pdf
    September 01, 2022 - Implementation Guide for Ambulatory Care Antibiotic Stewardship AHRQ Safety Program for Improving Antibiotic Use Introduction Developing or improving antibiotic stewardship activities in ambulatory practices can take time. If you are just starting to implement antibiotic stewardship activities in your practice, …

  10. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - Spotlight Spotlight False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy Source and Credits • This presentation is based on the September 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by:…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33788/psn-pdf
    June 01, 2015 - In Conversation With… Christine Cassel, MD June 1, 2015 In Conversation With… Christine Cassel, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-christine-cassel-md Editor's note: Christine Cassel, MD, is President and CEO of the National Quality Forum (NQF). Dr. Cassel, one of the foun…

  12. Around the Block | PSNet

    psnet.ahrq.gov/web-mm/around-block
    March 04, 2020 - Around the Block Citation Text: Minichiello T. Around the Block. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60044/psn-pdf
    March 16, 2020 - Patient Safety in Medical, Nursing, and Other Clinical Education March 16, 2020 Howley LD, Hall KK, Fitall E. Patient Safety in Medical, Nursing, and Other Clinical Education . PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education Background Despit…

  14. Encoding and Processing Patient Allergy Information in EHRs | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/encoding-and-processing-patient-allergy-information-ehrs
    January 01, 2024 - Encoding and Processing Patient Allergy Information in EHRs Project Final Report ( PDF , 310.29 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of…

  15. Alcohol-Misuse-Drug-Therapy Clinician (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse-drug-therapy_clinician.pdf
    February 01, 2016 - Pharmacotherapy for Adults With Alcohol Use Disorder (AUD) in Outpatient Settings Focus of This Summary This is a summary of a systematic review evaluating the evidence regarding the efficacy, comparative effectiveness, and adverse effects of medications in adults with alcohol use disorder (AUD). The systematic revi…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33605/psn-pdf
    March 12, 2021 - Medication Administration Errors March 12, 2021 MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/medication-administration-errors Updated in March 2021. Originally published in January 2018 by researchers at the University of California, San Fra…

  17. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/865864
    January 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Diagnostic Error Curated Library Incidence of Diagnostic Errors 25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank. Tehrani ASS, Lee HW, Mathews SC, et al. BMJ Qua…

  18. Decision Making and Clinical Work of Test Result Followup in Health Information Technology Settings | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/decision-making-and-clinical-work-test-result-followup-health-information
    January 01, 2023 - Decision Making and Clinical Work of Test Result Followup in Health Information Technology Settings Project Final Report ( PDF , 364.79 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and d…

  19. Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report | CDS Connect

    cds.ahrq.gov/cdsconnect/source/expert-committee-recommendations-regarding-prevention-assessment-and-treatment
    January 01, 2007 - Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates

  20. Towards a Framework for Communicating Confidence in Methodological Recommendations for Systematic Reviews and Meta-Analyses | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/products/methodological-recommendations-framework-communications/research
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