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psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
December 09, 2020 - One Bronchoscopy, Two Errors
Citation Text:
Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/49609/psn-pdf
October 01, 2010 - Dangerous Dialysis
October 1, 2010
Holley JL. Dangerous Dialysis . PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/dangerous-dialysis
Case Objectives
List common errors that occur in dialysis units.
Describe steps that can be taken by dialysis units to prevent these common errors.
Describe the role of the …
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psnet.ahrq.gov/web-mm/dropped-no
October 30, 2019 - The Dropped "No"
Citation Text:
Johnson AJ. The Dropped "No". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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…
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psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
April 24, 2018 - The Fluidity of Diagnostic "Wet Reads"
Citation Text:
Lee CS, Hess CP. The Fluidity of Diagnostic "Wet Reads". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX EndNote X3 …
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psnet.ahrq.gov/node/49871/psn-pdf
August 10, 2019 - Renal Failure Due to Benign Prostatic Hyperplasia
August 10, 2019
Barry MJ, Garnick MB. Renal Failure Due to Benign Prostatic Hyperplasia. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
The Case
A 65-year-old man was referred to urology for a 5-year history of …
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psnet.ahrq.gov/node/73650/psn-pdf
August 25, 2021 - Coming up for Err: Missed Diagnosis in a Patient with
Recurrent Pneumothorax
August 25, 2021
Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent
Pneumothorax. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumoth…
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psnet.ahrq.gov/node/841469/psn-pdf
December 14, 2022 - Strongyloides: A Hidden Traveler and Potentially Lethal
Missed Diagnosis.
December 14, 2022
Carlile N, Smith CL, Maguire JH, et al. Strongyloides: A Hidden Traveler and Potentially Lethal Missed
Diagnosis. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-mi…
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - Patient Identification Errors: A Systems Challenge
Citation Text:
Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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meps.ahrq.gov/data_files/publications/st494/stat494.pdf
October 01, 2016 - AHRQ Statistical Brief #493: Insurance Coverage of Ambulatory Care Visits in 2011-13 and 2014, by Medicaid Expansion Status
1
October 2016
Insurance Coverage of Ambulatory Care Visits in the Last Six
Months of 2011-13 and 2014, by Medicaid Expansion Status
Thomas M. Selden, PhD, Salam Abdus, PhD, and Patricia S. K…
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psnet.ahrq.gov/node/49612/psn-pdf
November 01, 2010 - Treatment Challenges After Discharge
November 1, 2010
Coffey C. Treatment Challenges After Discharge. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
Case Objectives
Understand types and frequencies of adverse events occurring between patient discharge from the
hospital …
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Approach to Improving Patient Safety: Communication
March 10, 2021
Schnipper JL, Fitall E, Hall KK, et al. Approach to Improving Patient Safety: Communication . PSNet
[internet]. 2021.
https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
Introduction
Each one of the countless necessa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-1.pdf
May 02, 2016 - Team-Based Primary Care: Convergence of Improving Engagement, Safety, and Enhanced Joy in Practice
Case Study
Problem Addressed
A typical primary care visit is not always a satisfying
encounter for either the provider or the patient. Providers
feel stressed by the need for efficiency and the demands of
electronic…
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psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something
May 01, 2019 - Liver Failure After Chemotherapy: Did We Forget Something?
Citation Text:
Lubel J. Liver Failure After Chemotherapy: Did We Forget Something?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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G…
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psnet.ahrq.gov/node/46063/psn-pdf
May 17, 2017 - "We can't get along without each other": qualitative
interviews with physicians about device industry
representatives, conflict of interest and patient safety.
May 17, 2017
Gagliardi AR, Lehoux P, Ducey A, et al. "We can't get along without each other": Qualitative interviews with
physicians about device industry …
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psnet.ahrq.gov/node/42196/psn-pdf
May 15, 2013 - Prospective memory in the ICU: the effect of visual cues
on task execution in a representative simulation.
May 15, 2013
Grundgeiger T, Sanderson PM, Orihuela B, et al. Prospective memory in the ICU: the effect of visual cues
on task execution in a representative simulation. Ergonomics. 2013;56(4):579-89.
doi:10.10…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/kickoffagenda_recreated.pdf
March 07, 2008 - Virginia Health Information
Adding Clinical Data to Statewide Administrative Data
Kickoff Meeting
March 7, 2008
Draft Agenda
8:30 AM
8:45 AM
Welcome and Introductions
Project Objectives,
Requirements, and Potential
Benefits to Participants
Michael Lundberg, Executive
Director, Virginia…
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effectivehealthcare.ahrq.gov/sites/default/files/lavallee-text.pdf
October 13, 2011 - Supporting Patient and Consumer Involvement in Patient-Centered Outcomes Research
…
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effectivehealthcare.ahrq.gov/sites/default/files/cf_intro_ehc_cf_overview_1012.pdf
October 13, 2011 - Slide 1
Community Forum
Supporting Patient and Consumer
Involvement in Patient-Centered
Outcomes Research
Danielle Lavallee
AHRQ Community Forum
October 13, 2011
Community Forum
Community Forum Community Forum
Provide a brief overview of the Agency for Healthcare Research and
Quality (AHR…
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psnet.ahrq.gov/node/35244/psn-pdf
December 17, 2008 - Representative case series from public hospital
admissions 1998 II: surgical adverse events.
December 17, 2008
Briant R, Morton J, Lay-Yee R, et al. Representative case series from public hospital admissions 1998 II:
surgical adverse events. N Z Med J. 2005;118(1219):U1591.
https://psnet.ahrq.gov/issue/representat…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/kHT3WGUaG2wTz2pF_ke7bn
Evidence Gaps Research Taxonomy Table: Screening for Osteoporosis to Prevent Fractures
1
Evidence Gaps Research Taxonomy Table
Research to Address Evidence Gaps in Preventive Services for the USPSTF
Topic: Screening for Osteoporosis to Prevent Fractures
To fulfill its mission to improve health by making…