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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - high-risk residents, the visiting nurse and area agency on aging case manager typically follow up on any recommendations
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - Breakdowns in patient education can
occur when conflicting recommendations are made.
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psnet.ahrq.gov/node/33792/psn-pdf
September 01, 2015 - While there
could be recommendations, for example if you have an app that enables you to examine your
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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - SPOTLIGHT CASE
Some Patients Can't Wait: Improving Timeliness of Emergency Department Care
Citation Text:
Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of…
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries
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July 8, 2022
Innovation
Contact
…
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - enter critical information (including copying and pasting previous history from the EHR) and share recommendations
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psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
January 01, 2008 - National speakers plus our own OB Task Force leadership presented the results and recommendations.
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psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
February 01, 2014 - The Institute for Safe Medication Practices recently provided a number of practice recommendations for
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - April 8, 2020
Reconciling medications at admission: safe practice recommendations and
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - National speakers plus our own OB Task Force leadership presented the results and recommendations.
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psnet.ahrq.gov/issue/hqi-and-hospital-council-annual-conference
October 25, 2006 - United States Meeting/Conference
HQI and Hospital Council Annual Conference.
Citation Text:
Hospital Quality Institute. The Everline Resort & Spa, Lake Tahoe, Olympic Valley, CA, October 15-16, 2023.
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psnet.ahrq.gov/issue/exploring-harmful-effects-health-care
January 25, 2023 - Commentary
Exploring the harmful effects of health care.
Citation Text:
Kilo CM. Exploring the Harmful Effects of Health Care. JAMA. 2009;302(1). doi:10.1001/jama.2009.957.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
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psnet.ahrq.gov/issue/challenging-status-quo-focusing-patient-safety-and-joy-work
December 01, 2021 - Commentary
Challenging the status quo: focusing on patient safety and joy at work.
Citation Text:
Peach AG. Challenging the Status Quo: Focusing on Patient Safety and Joy at Work. J Perianesth Nurs. 2016;31(6):535-538. doi:10.1016/j.jopan.2016.08.008.
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psnet.ahrq.gov/issue/international-drug-name-confusion
September 30, 2020 - Commentary
International drug name confusion.
Citation Text:
Levien TL.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/node/73515/psn-pdf
August 01, 2022 - Missouri Quality Initiative (MOQI) Reduces
Hospitalizations Among Nursing Home Residents
July 28, 2021
https://psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-
home-residents
Summary
The MOQI seeks to reduce avoidable hospitalization among nursing home residents b…
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psnet.ahrq.gov/node/49718/psn-pdf
January 01, 2015 - Too Much, Too Fast
September 1, 2014
Tuot D. Too Much, Too Fast. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/too-much-too-fast
The Case
A 68-year-old man with amyotrophic lateral sclerosis (ALS) was admitted to the intensive care unit (ICU) for
fever, tachycardia, and increased respiratory secretions. H…
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - Turn the Other Cheek
Citation Text:
Starling J. Turn the Other Cheek. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/periodic-issue/periodic-issue-472
February 26, 2025 - February 26, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repor…
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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - Saved by ECMO
Citation Text:
Weiss NA. Saved by ECMO . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/node/49523/psn-pdf
November 01, 2006 - Urinary Retention Dilemma
November 1, 2006
Joseph AC. Urinary Retention Dilemma. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/urinary-retention-dilemma
The Case
Following an elective thyroidectomy, a 56-year-old man with a history of benign prostatic hypertrophy
(BPH) and urinary hesitancy returned to th…