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psnet.ahrq.gov/node/844771/psn-pdf
September 11, 2019 - Raising and responding to frontline concerns in
healthcare.
September 11, 2019
Mannion R, Davies H. Raising and responding to frontline concerns in healthcare. BMJ. 2019;366:l4944.
doi:10.1136/bmj.l4944.
https://psnet.ahrq.gov/issue/raising-and-responding-frontline-concerns-healthcare
Psychological safety empower…
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psnet.ahrq.gov/node/41296/psn-pdf
April 11, 2012 - I-PASS, a mnemonic to standardize verbal handoffs.
April 11, 2012
Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs.
Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966.
https://psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs
Poor communication at…
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hcup-us.ahrq.gov/reports/statbriefs/sb216-Mental-Substance-Use-Disorder-ED-Visit-Trends.jsp
December 01, 2016 - four urban-rural designations are as follows:
Large metropolitan areas with at least 1 million residents … Small metropolitan areas with fewer than 1 million residents
Micropolitan areas with cities of at … least 10,000 residents
Areas that are neither metropolitan nor micropolitan (cities with fewer than … 10,000 residents)
Median community-level income
Median community-level income is the median
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - pressure and issues associated with acute coronary syndrome management and the workload of cross-covering residents … January 23, 2019
Adverse event reporting: harnessing residents to improve patient safety
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psnet.ahrq.gov/node/866356/psn-pdf
July 24, 2024 - To forgive, divine.
July 24, 2024
Johnson V. To forgive, divine. N Engl J Med. 2024;391(1):6-7. doi:10.1056/nejmp2402006.
https://psnet.ahrq.gov/issue/forgive-divine
Resident physicians are vulnerable to psychological harm when they have made a mistake. This
commentary shares one resident’s experiences with error.…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T2-Antibiotic_Use_Tracking_Sheet_Final.xlsx
October 01, 2016 - Sheet1
Nursing Home Antimicrobial Stewardship Guide
Toolkit 2. Monitor and Sustain Stewardship
Tool 2. Antibiotic Use Tracking Sheet
Month:
Resident Name/Identifier Room # Admit Date Admit From Onset Date Urinary Tract Infection Respiratory Skin/Soft Tissue Gastrointestinal Other Infection (Specify) Signs & Sympt…
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psnet.ahrq.gov/node/862614/psn-pdf
February 14, 2024 - Systemic failures in nursing home care--a scoping study.
February 14, 2024
Sturmberg JP, Gainsford L, Goodwin N, et al. Systemic failures in nursing home care—A scoping study. J
Eval Clin Pract. 2024. doi:10.1111/jep.13961.
https://psnet.ahrq.gov/issue/systemic-failures-nursing-home-care-scoping-study
Nursing home…
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hcup-us.ahrq.gov/reports/methods/MS2018-03PopDenomDataTablesAppA_v2.xlsx
August 16, 2018 - 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000
Large metropolitan areas with at least 1 million residents … 154,950,524 152,424,045 150,561,933 148,719,266
Small metropolitan areas with less than 1 million residents
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hcup-us.ahrq.gov/reports/statbriefs/sb218-Malnutrition-Readmissions-2013.pdf
January 01, 2013 - Metropolitan:
• Large Central Metropolitan: includes metropolitan areas with 1 million or more residents … • Large Fringe Metropolitan: includes counties of metropolitan areas with 1 million or more
residents … • Medium and Small Metropolitan: includes areas with 50,000 to 999,999 residents
Nonmetropolitan … Micropolitan and Noncore: includes nonmetropolitan counties (i.e., counties with no town greater
than 50,000 residents
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psnet.ahrq.gov/issue/patient-safety-4
September 21, 2022 - Special or Theme Issue
On Patient Safety.
Citation Text:
On Patient Safety. Rickert J, Järvinen TLN, Lee MJ, et al. Clin Orthop Relat Res. 2013-2024.
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psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0
January 01, 2019 - Toolkit
Diagnostic Safety Toolkit.
Citation Text:
Diagnostic Safety Toolkit.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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Save
Save to your library
Print
Down…
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psnet.ahrq.gov/issue/quantitative-analysis-adverse-events-neurosurgery
September 25, 2019 - Study
Quantitative analysis of adverse events in neurosurgery.
Citation Text:
Houkin K, Baba T, Minamida Y, et al. Quantitative analysis of adverse events in neurosurgery. Neurosurgery. 2009;65(3):587-94; discussion 594. doi:10.1227/01.NEU.0000350860.59902.68.
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Forma…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - Apply this to 5-10 residents each month.
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psnet.ahrq.gov/web-mm/specimen-almost-lost
September 21, 2022 - Specimen Almost Lost
Citation Text:
Hehe YK. Specimen Almost Lost. 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/node/49725/psn-pdf
January 01, 2015 - Haste Makes Care Unsafe
January 1, 2015
Eichhorn JH. Haste Makes Care Unsafe. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
The Case
An 80-year-old man with a history of coronary artery disease and atrial fibrillation underwent a combined
elective coronary artery bypass graft (CABG…
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psnet.ahrq.gov/node/49637/psn-pdf
October 01, 2011 - The Dropped "No"
October 1, 2011
Johnson AJ. The Dropped "No". PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/dropped-no
The Case
A 62-year-old man with a history of cirrhosis was admitted with increasing abdominal girth and swelling in
his legs. Because the leg swelling was somewhat more pronounced in his…
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hcup-us.ahrq.gov/reports/methods/2019-02Appendix_v2.xlsx
January 01, 2019 - 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000
Large metropolitan areas with at least 1 million residents … 154,950,524 152,424,045 150,561,933 148,719,266
Small metropolitan areas with less than 1 million residents
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psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - Specimen Almost Lost
November 1, 2017
Hehe YK. Specimen Almost Lost. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/specimen-almost-lost
The Case
A 29-year-old woman presented to the hospital with a rash that had spread across her legs and abdomen.
She was admitted to the medicine service for further evalu…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-7.pdf
June 02, 2025 - Tables 11-14
Table 11. Mean (Standard Deviation) Proportion in Racial Groups within Sampled ZIP Codes of Residence‡
Sampled Group
Description
American
Indian or
Alaska
Native
Mean (SD)‡
Asian
Mean (SD)‡
Black or
African
American
Mean (SD)‡
Native
Hawaiian or
Other…
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hcup-us.ahrq.gov/reports/statbriefs/sb228-Breast-Reconstruction-For-Mastectomy.jsp
October 01, 2017 - following:
Urban:
Large Metropolitan: includes metropolitan areas with 1 million or more residents … Small Metropolitan: includes metropolitan areas with fewer than 1 million residents
Rural: … is a member of the Council of Teaching Hospitals, or has a ratio of full-time equivalent interns and residents