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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - A Mistaken Dose of Naloxone
Citation Text:
Cutler E, Gunawardena D. A Mistaken Dose of Naloxone . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/index.html
October 01, 2020 - What We Learned
The CHIPRA quality demonstration States are pursuing innovative strategies to improve health care for children.
Learn about the CHIPRA quality demonstration States' strategies, lessons learned, and outcomes from these National Evaluation products:
Final Summary
Final Project Report
Spe…
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - Add-on Case and the Missing Checklist
Citation Text:
Catchpole K. Add-on Case and the Missing Checklist. 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/preventable-transfer-hospital
March 31, 2022 - Preventable Transfer to the Hospital
Citation Text:
Agrawal G, Kashkouli P, Bakerjian D. Preventable Transfer to the Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - Annual Perspective
Updates in the Role of Health IT in Patient Safety
February 21, 2020
View more articles from the same authors.
Citation Text:
Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. Rockville …
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psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - On the Other Hand
Citation Text:
Henneman EA. On the Other Hand. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-0-introduction.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Introduction
Primary Care
Practice Facilitation
Curriculum
Introduction
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Primary Care Practice Facilitation Curriculum
Introduction
Prepared for:
Agency…
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-translate-data.doc
December 26, 2018 - Translate Data Complete Checklist
TalkingQuality
Note: You must use the UP and DOWN ARROW instead of TAB or SHIFT + TAB to fill out this form. This document contains forty-one links.
Your Project Checklist:
Translate Data Into Information
This document contains checklists for the following sections of Translate D…
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psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - The Hazards of Distraction: Ticking All the EHR Boxes
February 1, 2017
Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
Case Objectives
List the goals of having order sets in the electronic health record…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/measures-cancer-509.pdf
January 01, 2005 - Patient Experience Measures from the CAHPS Cancer Care Survey
CAHPS® Cancer Care Survey and Instructions
Patient Experience Measures from the CAHPS Cancer Care Survey
Document No. 509
2/15/2017
Patient Experience Measures from the
CAHPS® Cancer Care Survey
Introduction..................................…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-section-6a.pdf
July 27, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Open Access Scheduling for Routine and Urgent Appointments
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
6.A. Open A…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/cgcahps-webcast-brief-2014.pdf
January 01, 2014 - How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement
1
Issue Brief
How Two Provider Groups Are Using the CAHPS® Clinician & Group
Survey for Quality Improvement
This brief shares the experiences of two
provider groups using the 12-Month version of
the CAHPS Clinician & …
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psnet.ahrq.gov/node/49643/psn-pdf
December 01, 2011 - More Treatment—Better Care?
December 1, 2011
Redberg R. More Treatment—Better Care? PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/more-treatment-better-care
The Case
The patient is a 27-year-old female who presented to a 250-bed community hospital with numbness and
tingling of her hands and feet. She was …
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psnet.ahrq.gov/web-mm/discharge-against-medical-advice
July 01, 2017 - Discharge Against Medical Advice
Citation Text:
Hwang SW. Discharge Against Medical Advice. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - In Conversation with...Diane Rydrych, MA
June 1, 2007
Citation Text:
In Conversation with..Diane Rydrych, MA. PSNet [internet]. 2007.In Conversation with...Diane Rydrych, MA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department…
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psnet.ahrq.gov/node/49679/psn-pdf
March 01, 2013 - The Unfamiliar Catheter
March 1, 2013
Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/unfamiliar-catheter
The Case
A 28-year-old woman, 20 months post–bilateral lung transplant, presented to the emergency department
with sudden onset of severe shortness of breath…
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psnet.ahrq.gov/node/49544/psn-pdf
September 01, 2007 - Discharging Our Responsibility
September 1, 2007
Fonarow GC. Discharging Our Responsibility. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/discharging-our-responsibility
The Case
A 75-year-old man with a history of hypertension, coronary artery disease, and congestive heart failure
(CHF) presented to the …
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psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - Harm From Alarm Fatigue
December 1, 2015
Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/harm-alarm-fatigue
Case Objectives
Define alarm fatigue and describe potential errors that can occur due to alarm fatigue.
Identify federal and national agencies focusing on …
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psnet.ahrq.gov/node/49754/psn-pdf
February 01, 2016 - Picking Up the Cause of the Stroke
February 1, 2016
Chopra V. Picking Up the Cause of the Stroke. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/picking-cause-stroke
The Case
A 62-year-old man with poorly controlled diabetes was transferred to a tertiary care center from a
community hospital for management…
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psnet.ahrq.gov/node/49582/psn-pdf
April 01, 2009 - Breakage of a PICC Line
April 1, 2009
Dimov V. Breakage of a PICC Line. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/breakage-picc-line
Case Objectives
Appreciate the incidence and consequences of PICC line breakage.
Understand the risk factors for PICC line breakage.
Understand the treatment options in…