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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Good Catch in the Operating Room
Citation Text:
Day J, Paige JT. Good Catch in the Operating Room. 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/web-mm/july-syndrome
July 01, 2011 - July Syndrome
Citation Text:
Young JQ. July Syndrome. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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D…
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psnet.ahrq.gov/web-mm/thin-air
March 01, 2006 - SPOTLIGHT CASE
Thin Air
Citation Text:
Gaba DM. Thin Air. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx
Spotlight
Code Status vs. Care Status
Source and Credits
• This presentation is based on the December 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Rebe…
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psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - The Hidden Danger of Unseen Intravenous Catheters
Citation Text:
Vadi MG, Malkin MR. The Hidden Danger of Unseen Intravenous Catheters. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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digital.ahrq.gov/sites/default/files/docs/page/UHIN_BusinessCaseReport.pdf
November 01, 2005 - Establishing a Business Case for Health Information Exchange (HIE)
…
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effectivehealthcare.ahrq.gov/sites/default/files/hawley-presentation.pdf
May 29, 2025 - Hawley-notes-151016 copy - Teresa
This idea of focusing on patient-centered medical care has been one that’s come to
the forefront in the last decade and we’ve heard a lot about that.
1
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
January 01, 2013 - Medication Reconciliation Technology to Improve Quality of Transitional Care - Final Report
Grant Final Report
Grant ID: R18HS018183
Medication Reconciliation Technology to Improve
Quality of Transitional Care
Inclusive Project Dates: 09/30/09 – 07/31/13
Principal Investigator:
Michael Weiner
Team Member…
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psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
May 01, 2011 - SPOTLIGHT CASE
The Wrong Shot: Error Disclosure
Citation Text:
Gallagher TH, Levinson W. The Wrong Shot: Error Disclosure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - The Consequences of Miscommunication Regarding a
Possible Artifact
June 30, 2021
Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
Disclosure of Relevant Financial Relationships…
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psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
January 29, 2020 - Delayed Recognition of a Positive Blood Culture
Citation Text:
Doernberg S. Delayed Recognition of a Positive Blood Culture. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - Inadequate Preanesthetic Evaluation, Airway Trouble
Citation Text:
Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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meps.ahrq.gov/data_files/publications/st482/stat482.shtml
November 01, 2015 - STATISTICAL BRIEF #482:
Specialist Need and Access among Adults with Multiple Chronic Conditions, U.S. Civilian Noninstitutionalized Population, 2012
Skip to main content
An official website of the Department of He…
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psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - CVC Placement: Speak Now or Do Not Use the Line
Citation Text:
Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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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…