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psnet.ahrq.gov/node/49851/psn-pdf
January 01, 2019 - One Bronchoscopy, Two Errors
January 1, 2019
Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
The Case
A 67-year-old man with a history of hypertension was admitted to the intensive care unit (ICU) with hypoxic
respiratory failure…
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-dissemination
January 01, 2022 - Research Dissemination
The dissemination of DHR-funded research findings is critical to the transfer of successful digital healthcare knowledge, tools, and strategies that improve healthcare delivery, optimize clinician decision making, and engage patients and caregivers. Throughout the year…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/financial-sustainability
January 01, 2019 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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The Academy
Integrating Behavioral Health & Primary Care
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.html
June 01, 2023 - Implementation Change Management
The change management process must be carefully and strategically organized to attain widespread acceptance. To achieve an environment truly committed to patient safety, a successful TeamSTEPPS implementation requires a change in unit and organizational culture. This culture mus…
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psnet.ahrq.gov/node/49622/psn-pdf
March 01, 2011 - Dropping the Ball Despite an Integrated EMR
March 1, 2011
Karsh B-T. Dropping the Ball Despite an Integrated EMR. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
The Case
A patient followed at a community-based clinic that is part of a large health care system with an
in…
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psnet.ahrq.gov/node/49683/psn-pdf
April 01, 2013 - Acute Care Admission of the Behavioral Health Patient
April 1, 2013
Weiss AP, Rosenbaum JF. Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
The Case
A 25-year-old man presented to the emergency department (E…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/aco-participation.pdf
January 01, 2019 - Health System Participation in Accountable Care Organizations (ACOs), 2016
1
Comparative
Health System
Performance
Initiative
Health System Participation
in Accountable Care
Organizations (ACOs), 2016
Data Highlight, No. 4 January 2019
Hospital participation in ACO contracts, by system membership
System hos…
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meps.ahrq.gov/data_files/publications/st290/stat290.pdf
August 01, 2010 - AHRQ Statistical Brief #290: The Uninsured in America, 1996-2009: Estimates for the U.S. Civilian Noninstitutionalized Population under Age 65
STATISTICAL BRIEF #290
August 2010
The Uninsured in America, 1996-2009: Estimates for the U.S.
Civilian Noninstitutionalized Population under Age 65
May C. Chu and Jeffrey …
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psnet.ahrq.gov/web-mm/did-we-forget-something
April 28, 2021 - Did We Forget Something?
Citation Text:
Gibbs VC. Did We Forget Something?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/nfq4s8fZc4JZeprE8FnQYW
August 01, 2010 - Ocular Prophylaxis of Gonococcal Ophthalmia Neonatorum: Evidence Update for the U.S. Preventive Services Task Force Reaffirmation Recommendation Statement
Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Evidence
Update for the U.S. Preventive Services Task Force Reaffirmation
Recommendation Statement
…
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psnet.ahrq.gov/web-mm/magnetic-deflection
November 18, 2016 - The Magnetic Deflection
Citation Text:
Kanal E. The Magnetic Deflection. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - Annual Perspective
The Weekend Effect
Sumant Ranji, MD | January 1, 2017
View more articles from the same authors.
Citation Text:
Ranji SR. The Weekend Effect. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Hea…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/data_improve_edu.jsp
October 01, 2014 - Race and Ethnicity Data Improvement Toolkit
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
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Espanol
FAQs
Email U…
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psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - If You Say So: Taking a Syringe at Face Value in the Operating Room
Citation Text:
Lyndon A, Lim S. If You Say So: Taking a Syringe at Face Value 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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meps.ahrq.gov/data_files/publications/st141/stat141.pdf
September 01, 2006 - Statistical Brief #141: Changes in Children’s Health Insurance Status, 1996–2005: Estimates for the U.S. Civilian Noninstitutionalized Population under Age 18
Medical Expenditure Panel Survey
Agen
Res
1
September 2006
Changes in Children’s Health Insurance
Status, 1996–2005: Estima…
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psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - Add-on Case and the Missing Checklist
August 1, 2017
Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
The Case
A 65-year-old woman was admitted for evaluation of abdominal pain and weight loss. Based on diagnostic
data and ima…
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psnet.ahrq.gov/node/74242/psn-pdf
January 07, 2022 - The Next Step: Use of a Pre-Operative Checklist to
Prevent Missteps
January 7, 2022
Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet
[internet]. 2022.
https://psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
The Case
A 52-year-old woman w…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Past Research on Patient Perceptions of Safety and Diagnostic Mishaps
Previous Page Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remedia…
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - Mistaken Identity
October 1, 2008
Hall LW. Mistaken Identity. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/mistaken-identity
The Case
An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status
and a reported fall. After finding tenderness in her left hip, the p…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/dental/about/measures-dental-plan-709.pdf
December 27, 2017 - Reporting Measures for the CAHPS Clinician & Group Survey (Four-Point Scale)
Patient Experience Measures from the CAHPS Dental Plan Survey
CAHPS® Dental Plan Survey
Document No. 709
Updated 12/27/2017
Patient Experience Measures from the
CAHPS® Dental Plan Survey
Types of Measures ........................…