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psnet.ahrq.gov/node/49461/psn-pdf
September 01, 2004 - Reaction to Dye
September 1, 2004
Cohan R. Reaction to Dye. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/reaction-dye
The Case
A patient was referred to urology after having several episodes of gross hematuria. The urologist thought
that the patient might have a renal mass and sent him to radiology for a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
September 01, 2009 - Hospital Survey on Patient Safety Culture: Background and Information for Translators
Agency for Healthcare Research and Quality (AHRQ)
Hospital Survey on Patient Safety Culture
Background and Information for Translators
September 2009
Purpose and Use of This Document
In this document, w…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
November 01, 2019 - Identifying Targets for Improvement in Antibiotic Decision Making
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Identifying Targets for Improvement in
Antibiotic Decision Making
Acute Care
Slide Title and Commentary Slide Number and Slid…
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www.ahrq.gov/research/findings/final-reports/ssi/ssi4.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Chapter 4. Assessing Surgeon Acceptance of Risk Adjustment Models
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executiv…
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digital.ahrq.gov/ahrq-funded-projects/meaningful-drug-interaction-alerts
February 28, 2023 - Meaningful Drug Interaction Alerts
Project Final Report ( PDF , 323.31 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this…
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digital.ahrq.gov/sites/default/files/docs/page/2006Estrin_Trk4_051311comp.pdf
March 08, 2006 - Creating an Environment of Consensus –The challenges of implementing a governance structure to run an HIE
Creating an Environment of
Consensus – The challenges
of implementing a
governance structure to run
an HIE
Funding: AHRQ Contract 290-04-0006; State of Tennessee; Vanderbilt University.
This presentation…
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www.ahrq.gov/sites/default/files/2024-01/wessell-report.pdf
January 01, 2024 - Final Progress Report: Dissemination of the PPRNet Model for Improving Medication Safety
1. TITLE PAGE
Final Progress Report
Dissemination of the PPRNet Model for Improving Medication Safety
Principal Investigator: Andrea M. Wessell, PharmD
Team Members: Steven M. Ornstein, MD
Ruth G. Jenkins, PhD
Lynne S. Neme…
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www.ahrq.gov/ncepcr/reports/2025-annual-report/healthcare-systems.html
August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024
Healthcare Systems and Infrastructure
Previous Page Next Page
Table of Contents
AHRQ’s Investments in Primary Care Research for 2023 and 2024
Acknowledgements and Authors
Message from the Director of AHRQ’s National Center for Excel…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-stewardship.pdf
September 01, 2022 - Implementation Guide for Ambulatory Care Antibiotic Stewardship
AHRQ Safety Program for Improving Antibiotic Use
Introduction
Developing or improving antibiotic stewardship activities in ambulatory practices can take time. If you
are just starting to implement antibiotic stewardship activities in your practice, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/module2-obtaining-organizational-buy-in-support.pptx
August 14, 2015 - Module 2: Communication and Optimal Resolution (CANDOR) Toolkit Module 2: Obtaining Organizational Buy-in and Support
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 2: Obtaining Organizational
Buy-in and Support
Module 2 of the CANDOR Toolkit describes the importance of obtaining organizational supp…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-slides.html
December 01, 2017 - Infectious Complications Related to the Catheter Other Than CAUTI
Slide Presentation
Slide 1
Infectious Complications Related to the Catheter Other than CAUTI
Mohamad Fakih, MD, MPH
Medical Director, Infection Prevention and Control
St. John Hospital and Medical Center
Professor of Medicine
Wayne St…
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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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psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
December 01, 2005 - An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up
Robert M. Wachter, MD | June 1, 2012
View more articles from the same authors.
Citation Text:
Wachter R. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up. …
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psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - The Case for Patient Flow Management
Citation Text:
Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
Google Scholar BibTeX EndNote X…
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psnet.ahrq.gov/web-mm/missed-pneumonia
June 01, 2005 - Missed Pneumonia
Citation Text:
Rohde JM, Flanders S. Missed Pneumonia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules
Citation Text:
Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
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hcup-us.ahrq.gov/reports/statbriefs/sb3.jsp
April 01, 2006 - Statistical Brief #3
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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psnet.ahrq.gov/issue/untold-story-cyberattack-hospital-and-dying-woman
August 25, 2021 - Newspaper/Magazine Article
The untold story of a cyberattack, a hospital and a dying woman.
Citation Text:
The untold story of a cyberattack, a hospital and a dying woman. Ralston W. Wired Magazine. November 11, 2020.
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psnet.ahrq.gov/issue/pathways-patient-safety
May 06, 2015 - Toolkit
Pathways for Patient Safety.
Citation Text:
Pathways for Patient Safety. Chicago, IL: Health Research and Educational Trust, Institute for Safe Medication Practices, Medical Group Management Association; 2009.
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psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new
May 06, 2015 - Book/Report
Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development.
Citation Text:
Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Deve…