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psnet.ahrq.gov/node/73379/psn-pdf
June 09, 2021 - How medical jargon can make COVID health disparities
even worse.
June 9, 2021
Kritz F. Health Shots. National Public Radio; May 24, 2021.
https://psnet.ahrq.gov/issue/how-medical-jargon-can-make-covid-health-disparities-even-worse
Health literacy efforts address challenges related to both language and effecti…
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psnet.ahrq.gov/node/72651/psn-pdf
January 20, 2021 - Racial disparities in maternal mortality.
January 20, 2021
KM B. Racial disparities in maternal mortality. New York Univ Law Rev. 2020;95(5):1229-1318.
https://psnet.ahrq.gov/issue/racial-disparities-maternal-mortality
Maternal death or harm is disproportionately experienced by women of color in the United States. …
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psnet.ahrq.gov/node/38027/psn-pdf
October 15, 2008 - Assessing the Evidence Base for Context-Sensitive
Effectiveness and Safety of Patient Safety Practices:
Developing Criteria.
October 15, 2008
US Department of Health and Human Services; HHS; Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-eff…
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psnet.ahrq.gov/node/47107/psn-pdf
June 20, 2018 - Challenges in communication from referring clinicians to
pathologists in the electronic health record era.
June 20, 2018
Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists
in the Electronic Health Record Era. J Pathol Inform. 2018;9:8. doi:10.4103/jpi.jpi_70_1…
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psnet.ahrq.gov/node/36046/psn-pdf
June 21, 2006 - The Future of Emergency Care in the United States Health
System.
June 21, 2006
Institute of Medicine. Washington DC; National Academies Press: 2007.
https://psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
In September 2003, an Institute of Medicine (IOM) committee began a detailed examinatio…
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psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relating-use-health-it-and-ehrs
December 18, 2013 - Book/Report
Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs.
Citation Text:
Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Washington, DC: Office of the National Coordinator for Heal…
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psnet.ahrq.gov/issue/va-pauses-16b-oracle-cerner-ehr-deployments-indefinitely-address-error-ridden-early-rollout
September 14, 2022 - Newspaper/Magazine Article
VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout.
Citation Text:
VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. Muoio D. Fierce Healthcare. April 21, 2023.
Copy…
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psnet.ahrq.gov/node/46965/psn-pdf
March 28, 2018 - The other opioid crisis: hospital shortages lead to patient
pain, medical errors.
March 28, 2018
Bartolone P. Kaiser Health News. March 16, 2018.
https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
Drug shortages may require clinicians, pharmacists, and hospitals to…
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psnet.ahrq.gov/node/36133/psn-pdf
April 16, 2010 - Low literacy impairs comprehension of prescription drug
warning labels.
April 16, 2010
Davis TC, Wolf MS, Bass PF, et al. Low literacy impairs comprehension of prescription drug warning labels.
J Gen Intern Med. 2006;21(8):847-51.
https://psnet.ahrq.gov/issue/low-literacy-impairs-comprehension-prescription-drug-wa…
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psnet.ahrq.gov/issue/overcoming-diagnostic-errors-medical-practice
March 15, 2017 - Commentary
Overcoming diagnostic errors in medical practice.
Citation Text:
Bordini BJ, Stephany A, Kliegman RM. Overcoming Diagnostic Errors in Medical Practice. J Pediatr. 2017;185. doi:10.1016/j.jpeds.2017.02.065.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X…
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psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent-public-health-challenge
May 04, 2016 - Book/Report
Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge.
Citation Text:
Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Washington, DC: United States Government Accountability O…
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psnet.ahrq.gov/node/60243/psn-pdf
April 22, 2020 - COVID-19: peer support and crisis communication
strategies to promote institutional resilience.
April 22, 2020
Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote
Institutional Resilience. Ann Intern Med. 2020;172(12):822-823. doi:10.7326/m20-1236.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/46595/psn-pdf
November 01, 2017 - Randomised controlled trial to assess the effect of a Just-
in-Time training on procedural performance: a proof-of-
concept study to address procedural skill decay.
November 1, 2017
Branzetti JB, Adedipe AA, Gittinger MJ, et al. Randomised controlled trial to assess the effect of a Just-in-
Time training on proced…
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psnet.ahrq.gov/node/50852/psn-pdf
January 29, 2020 - Failure mode and effects analysis to reduce risk of
heparin use.
January 29, 2020
Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin
use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229.
https://psnet.ahrq.gov/issue/failure-mode-and-effect…
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psnet.ahrq.gov/node/40816/psn-pdf
March 21, 2017 - Professionalism: a necessary ingredient in a culture of
safety.
March 21, 2017
Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt
Comm J Qual Patient Saf. 2011;37(10):447-55.
https://psnet.ahrq.gov/issue/professionalism-necessary-ingredient-culture-safety
Di…
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psnet.ahrq.gov/node/867590/psn-pdf
January 22, 2025 - Evaluation of Measure Dx, a resource to accelerate
diagnostic safety learning and improvement.
January 22, 2025
Bradford A, Tran A, Ali KJ, et al. Evaluation of Measure Dx, a resource to accelerate diagnostic safety
learning and improvement. J Gen Intern Med. . 2024;Epub Oct 22. doi:10.1007/s11606-024-09132-8.
htt…
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psnet.ahrq.gov/node/60576/psn-pdf
June 10, 2020 - Patient safety over power hierarchy: a scoping review of
healthcare professionals' speaking-up skills training.
June 10, 2020
Kim S, Appelbaum NP, Baker N, et al. Patient Safety Over Power Hierarchy: A Scoping Review of
Healthcare Professionals' Speaking-up Skills Training. J Healthc Qual. 2020;42(5):249-263.
doi:…
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psnet.ahrq.gov/node/37292/psn-pdf
May 24, 2015 - Guilty, afraid, and alone — struggling with medical error.
May 24, 2015
Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med.
2007;357(17):1682-3.
https://psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error
Disclosure of medical errors remains an important a…
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psnet.ahrq.gov/node/46598/psn-pdf
March 20, 2018 - Fatigue risk management: the impact of anesthesiology
residents' work schedules on job performance and a
review of potential countermeasures.
March 20, 2018
Wong LR, Flynn-Evans E, Ruskin KJ. Fatigue Risk Management: The Impact of Anesthesiology Residents'
Work Schedules on Job Performance and a Review of Potentia…
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psnet.ahrq.gov/node/45244/psn-pdf
August 01, 2016 - Sleep science, schedules, and safety in hospitals:
challenges and solutions for pediatric providers.
August 1, 2016
Rosenbluth G, Landrigan CP. Sleep science, schedules, and safety in hospitals: challenges and solutions
for pediatric providers. Pediatr Clin North Am. 2012;59(6):1317-28. doi:10.1016/j.pcl.2012.09.00…