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psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
October 01, 2013 - New Patient Mistakenly Checked in as Another
Citation Text:
Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - Right? Left? Neither!
May 1, 2006
Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/right-left-neither
Case Objectives
Appreciate the role of Reason's Swiss Cheese Model in medical errors
Understand the process of analyzing a single error
Provide suggestions for …
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www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
January 01, 2024 - Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm
Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm
Cynthia F. Corbett, PhD, RN: Principal Investigator
Alice A. Dupler, JD, APRN-BC
Stephen M. Setter, PharmD, DVM, CGP
Ke…
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psnet.ahrq.gov/web-mm/crossing-borderline
June 01, 2022 - Crossing the Borderline
Citation Text:
Oldham JM. Crossing the Borderline. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-slides.html
January 01, 2016 - Using Quality Measures to Drive Improvement: Lessons from the CHIPRA Quality Demonstration
Presentation for the National Academy of State Health Policy’s Vanguard Network and CHIP Directors
Slide 1
Using Quality Measures to Drive Improvement: Lessons from the CHIPRA Quality Demonstration
Presentation fo…
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www.ahrq.gov/sites/default/files/2024-01/mastrangelo-report.pdf
January 01, 2024 - AHRQ Final Progress Report: Developing an Integrated Engineering-Based Model to Reduce Infections in the ICU
AHRQ Final Progress Report
Title: Developing an Integrated Engineering-Based Model to Reduce Infections in the ICU
PI: Christina Mastrangelo
Additional Team Members: Danielle Zerr & Shreyas Limaye
Org…
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psnet.ahrq.gov/node/49668/psn-pdf
October 01, 2012 - Buprenorphine and the Medically Ill Patient
October 1, 2012
McCance-Katz EF. Buprenorphine and the Medically Ill Patient. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
The Case
A 60-year-old man with a 15-year history of oxycodone dependence presented to a substance …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module2-transcript.pdf
June 01, 2017 - Transcript: Senior Leadership Podcast – What Does It Mean To Be Engaged?
AHRQ Safety Program for ICUs:
Preventing CLABSI and CAUTI
Transcript
Senior Leadership Podcast—What Does It Mean to Be Engaged?
Hosts
TJ Lewis
Louella Hung
Interviewees
Susan DeCamp-Freeze, R.N., B.S.N., M.B.A.
Senior D…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4a.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 4: Selecting Care Management Interventions (continued)
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Manag…
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psnet.ahrq.gov/node/49489/psn-pdf
September 01, 2005 - Double Trouble
September 1, 2005
Gurwitz JH. Double Trouble. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/double-trouble
Case Objectives
Appreciate the incidence of adverse drug events in older persons
List preventative measures that can be used to minimize medication errors in this population
Encourage…
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psnet.ahrq.gov/node/33886/psn-pdf
August 01, 2019 - Medical Scribes and Patient Safety
August 1, 2019
Woodcock D, Bergstrom R. Medical Scribes and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
Perspective
Scribes have supported physicians for thousands of years.(1) However, little is known about how to…
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psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - Discharged with IV antibiotics: When issues arise, who
manages the complications?
February 26, 2020
Donnelley M, Gintjee TJ, Go J. Discharged with IV antibiotics: When issues arise, who manages the
complications? PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-…
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digital.ahrq.gov/ahrq-funded-projects/valuation-primary-care-integrated-telehealth
January 01, 2023 - Valuation of Primary Care-Integrated Telehealth
Project Final Report ( PDF , 211.47 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 st…
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meps.ahrq.gov/mepsweb/survey_comp/survey.jsp
July 18, 2025 - Medical Expenditure Panel Survey Survey Questionnaires
Skip to main content
An official website of the Department of Health & Human Services
More
Back
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - Module 4: Event Reporting, Event Investigation and Analysis
AHRQ Communication and Optimal Resolution Toolkit
Facilitator Notes
Say:
Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process.
Slide 1
Say:
Obje…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-18-assessing-readiness.pdf
September 01, 2015 - Module 18: Assessing Practice Readiness for Change
Primary Care
Practice Facilitation
Curriculum
Module 18: Assessing Practice Readiness for Change
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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psnet.ahrq.gov/node/836939/psn-pdf
April 27, 2022 - A Virtual Hospitalist Program to Address a Hospital’s
Challenges at the Start of the COVID-19 Pandemic
April 27, 2022
https://psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-
pandemic
Summary
In the early days of the COVID-19 pandemic, New York Presbyterian Weill …
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meps.ahrq.gov/survey_comp/survey.jsp
July 18, 2025 - Medical Expenditure Panel Survey Survey Questionnaires
Skip to main content
An official website of the Department of Health & Human Services
More
Back
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psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
June 28, 2023 - Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling
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January 31, 2024
Innovation
Contact
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www.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
August 01, 2014 - AHRQ Tribal Consultation Policy
Consultation plan to ensure input by tribal officials in development of regulatory and other policies with substantial direct effects on one or more tribes.
Each Federal department must have a process to ensure meaningful and timely input by tribal officials in development of r…