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psnet.ahrq.gov/node/46363/psn-pdf
December 13, 2017 - Exploring how nursing schools handle student errors and
near misses.
December 13, 2017
Disch J, Barnsteiner J, Connor S, et al. CE: Original Research: Exploring How Nursing Schools Handle
Student Errors and Near Misses. Am J Nurs. 2017;117(10):24-31.
doi:10.1097/01.NAJ.0000525849.35536.74.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/34675/psn-pdf
June 26, 2015 - The heart of darkness: the impact of perceived mistakes
on physicians.
June 26, 2015
Christensen JF, Levinson W, Dunn PM. The heart of darkness: the impact of perceived mistakes on
physicians. J Gen Intern Med. 1992;7(4):424-31.
https://psnet.ahrq.gov/issue/heart-darkness-impact-perceived-mistakes-physicians
The …
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psnet.ahrq.gov/node/47722/psn-pdf
January 23, 2019 - Opening the Door to Change. NHS Safety Culture and the
Need for Transformation.
January 23, 2019
Newcastle upon Tyne, UK: Care Quality Commission; December 2018.
https://psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation
The term never events was originally coined to describe rare,…
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psnet.ahrq.gov/node/74166/psn-pdf
March 14, 2022 - Preventing home medication administration errors.
March 14, 2022
Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics.
2021;148(6):e2021054666. doi:10.1542/peds.2021-054666.
https://psnet.ahrq.gov/issue/preventing-home-medication-administration-errors
Children with comp…
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psnet.ahrq.gov/node/41438/psn-pdf
January 03, 2017 - Implementing SBAR across a large multihospital health
system.
January 3, 2017
Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system.
Jt Comm J Qual Patient Saf. 2012;38(6):261-8.
https://psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/psopswebinartrans.pdf
October 29, 2013 - was team-oriented was
the place that we did the training and then we transplanted the people that we trained
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-primary-care-screening-for-and-treatment-of/depression-in-adults-screening
January 26, 2016 - reference standard, which was defined as a structured or semistructured diagnostic interview with a trained … screening, such as clinician training and supports, treatment protocols, or counseling with specially trained … option for every depressed woman because some will not want such therapy, some will not have access to trained … additional treatment supports (eg, treatment protocols, care management, and availability of specially trained
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
June 01, 2012 - , registered
nurses, nurse practitioners, and doctors are there almost all the time, and they are
trained
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psnet.ahrq.gov/node/49610/psn-pdf
October 01, 2010 - "Recurrent" Appendicitis
October 1, 2010
Greenberg CC. "Recurrent" Appendicitis. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/recurrent-appendicitis
The Case
An 85-year-old man presented to the emergency department (ED) with right lower quadrant pain. On
physical examination, the patient showed rebound t…
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www.ahrq.gov/prevention/resources/vision/resources/vision4.html
October 01, 2002 - Chapter 4
Vision Rehabilitation: Care and Benefit Plan Models: Literature Review
Appendix. Disability Primer
Definition of Disability and Goals of Rehabilitation
The Rehabilitation Act of 1973, as amended, defines an individual with a disability as
any person who (i) has a physical or mental impairm…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back_quickstart_full.pdf
September 15, 2016 - Implementation Quick Start Guide: Teach-back
Implementation
Quick Start Guide
Teach-Back
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Table of Contents
What Is Teach-Back? .....................................................................................…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2024.pdf
July 26, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare: March 2024 Meeting
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
March 2024 Meeting
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations request…
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psnet.ahrq.gov/node/49784/psn-pdf
February 01, 2017 - Safeguarding Diagnostic Testing at the Point of Care
February 1, 2017
Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
The Case
A 23-year-old woman presented to the family medicine clinic for…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook
October 01, 2025 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
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The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - Walking Patient, Missing Drain
Citation Text:
Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar BibTeX EndNote …
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - Building a Safety Program Using Principles of Resilience Engineering
Sudeep Hegde, PhD; Ann M. Bisantz, PhD; and Rollin J. Fairbanks, MD, MS | June 1, 2019
View more articles from the same authors.
Citation Text:
Hegde S, Fairbanks RJ, Bisantz A. Building a Safety…
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hcup-us.ahrq.gov/team/NationwideDUA.pdf
May 31, 2025 - HCUP Nationwide Data Use Agreement
Data Use Agreement for HCUP Nationwide Databases 1
DATA USE AGREEMENT for the
Nationwide Databases from the
Healthcare Cost and Utilization Project
Agency for Healthcare Research and Quality
8/20/2023
This Data Use Agreement (“Agreement”) governs the disclosure and use of data…
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - However improved the systems were, they may not have been able to compensate for the poorly trained staffers
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psnet.ahrq.gov/perspective/conversation-charles-ornstein
October 01, 2009 - However improved the systems were, they may not have been able to compensate for the poorly trained staffers
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/stakeholders-engagement-others_research-2012-1.pdf
January 01, 2012 - This service may eventually form the basis for an
Australia-wide registry of trained cancer consumer … In fall 2010, CVN
reported, ―over 60 trained and informed consumer representatives sitting at 116 decisionmaking … Utilize trained and neutral facilitators.