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psnet.ahrq.gov/node/38734/psn-pdf
July 01, 2009 - Safety and efficiency considerations for the introduction
of electronic ordering in a blood bank.
July 1, 2009
Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of
electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;133(6):933-7. doi:10.1043/1543-2165-
…
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psnet.ahrq.gov/node/866934/psn-pdf
October 09, 2024 - How America’s health care system fails women in pain.
October 9, 2024
Neklason A. How America’s health care system fails women in pain. The Hill. September 23, 2024;
https://psnet.ahrq.gov/issue/how-americas-health-care-system-fails-women-pain
Appropriate treatment of pain is a complicated process vulnerable to rac…
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psnet.ahrq.gov/node/34816/psn-pdf
February 28, 2018 - Blaming others for threatening events.
February 28, 2018
Tennen H; Affleck G.
https://psnet.ahrq.gov/issue/blaming-others-threatening-events
This detailed review summarizes existing evidence on how people adapt to threatening events by blaming
others. Discussion includes a synthesis of past work and explanations f…
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psnet.ahrq.gov/node/45006/psn-pdf
April 06, 2016 - Quality and Patient Safety.
April 6, 2016
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/quality-and-patient-safety
The Agency for Healthcare Research and Quality has provided access to patient safety research,
information, and tools for nearly two decades. This website offers a wide rang…
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psnet.ahrq.gov/node/38846/psn-pdf
August 05, 2009 - Seeking a safer surgery: some states crack down on
doctors who perform unregulated outpatient procedures.
August 5, 2009
Landro L.
https://psnet.ahrq.gov/issue/seeking-safer-surgery-some-states-crack-down-doctors-who-perform-
unregulated-outpatient
This article discusses growing legal oversight on outpatient surg…
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psnet.ahrq.gov/node/45659/psn-pdf
November 16, 2016 - Misdiagnoses: a hidden risk of genetic testing.
November 16, 2016
Howard J. CNN. October 31, 2016.
https://psnet.ahrq.gov/issue/misdiagnoses-hidden-risk-genetic-testing
Although genetic testing can provide proactive assessment for disease, it can also result in unnecessary
care. This news article reports on the un…
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psnet.ahrq.gov/node/48128/psn-pdf
August 28, 2019 - Burnout in healthcare: the case for organisational
change.
August 28, 2019
Montgomery A, Panagopoulou E, Esmail A, et al. Burnout in healthcare: the case for organisational
change. BMJ. 2019;366:l4774. doi:10.1136/bmj.l4774.
https://psnet.ahrq.gov/issue/burnout-healthcare-case-organisational-change
Burnout has be…
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psnet.ahrq.gov/node/43720/psn-pdf
November 26, 2014 - Hamilton father misdiagnosed with lung cancer demands
answers.
November 26, 2014
Carville O. The Star. November 14, 2014.
https://psnet.ahrq.gov/issue/hamilton-father-misdiagnosed-lung-cancer-demands-answers
This news article reports on a case involving a patient who was misdiagnosed with terminal cancer and
touc…
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psnet.ahrq.gov/node/35982/psn-pdf
September 17, 2010 - Follow-up study of medication errors reported to the
Vaccine Adverse Event Reporting System (VAERS).
September 17, 2010
Varricchio F, Reed J, Group VAERSW. Follow-up study of medication errors reported to the vaccine
adverse event reporting system (VAERS). South Med J. 2006;99(5):486-9.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/34788/psn-pdf
March 28, 2005 - Cost of medication-related problems at a university
hospital.
March 28, 2005
Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE
https://psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
This study used retrospective chart review to determine estimated costs of defined medication-related
…
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psnet.ahrq.gov/node/45849/psn-pdf
February 22, 2017 - Monitoring teamwork: a narrative review.
February 22, 2017
Rutherford JS. Monitoring teamwork: a narrative review. Anaesthesia. 2017;72 Suppl 1:84-94.
doi:10.1111/anae.13744.
https://psnet.ahrq.gov/issue/monitoring-teamwork-narrative-review
Anesthesiology was an early adopter of teamwork as a safety improvement st…
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psnet.ahrq.gov/node/43020/psn-pdf
May 29, 2014 - Handoff practices in undergraduate medical education.
May 29, 2014
Liston BW, Tartaglia KM, Evans D, et al. Handoff practices in undergraduate medical education. J Gen
Intern Med. 2014;29(5):765-9. doi:10.1007/s11606-014-2806-0.
https://psnet.ahrq.gov/issue/handoff-practices-undergraduate-medical-education
This su…
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psnet.ahrq.gov/node/36026/psn-pdf
March 28, 2011 - Inter- and intra-rater reliability for classification of
medication related events in paediatric inpatients.
March 28, 2011
Kunac DL, Reith DM, Kennedy J, et al. Inter- and intra-rater reliability for classification of medication related
events in paediatric inpatients. Qual Saf Health Care. 2006;15(3):196-201.
ht…
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psnet.ahrq.gov/node/36075/psn-pdf
September 28, 2010 - Sample to sample carryover: a source of analytical
laboratory error and its relevance to integrated clinical
chemistry/immunoassay systems.
September 28, 2010
Armbruster DA, Alexander DB. Sample to sample carryover: a source of analytical laboratory error and its
relevance to integrated clinical chemistry/immunoas…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/YALMYpRCoRSu9nhPFGudEm
November 01, 2022 - Serologic Screening for Genital Herpes Infection: US Preventive Services Task Force Reaffirmation Recommendation Statement
Serologic Screening for Genital Herpes Infection
US Preventive Services Task Force
Reaffirmation Recommendation Statement
US Preventive Services Task Force
Summary of Recommendation
See the Sum…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Module 3. Falls Prevention
Previous Page Next Page
Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in a Resident's Cond…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/plasma-cell-dyscrasias-sflc-assay_disposition-comments.pdf
August 23, 2012 - Disposition of Comments Report for Serum Free Light Chain Analysis for the Diagnosis, Management, and Prognosis of Plasma-Cell Dyscrasias
Source: http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-
reports/?pageaction=displayproduct&productID=1229
Published Online: August 23, 2012
Comparative E…
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effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1312.pdf
December 01, 2013 - #14 SUBSTANCE ABUSE
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 14: Substance Abuse
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
www.ahrq.…
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digital.ahrq.gov/sites/default/files/docs/data-visualization-slides-053017.pdf
May 30, 2017 - A National Web Conference on Optimizing the Presentation and Visualization of Health Data for Patients and Providers - Slides
A National Web Conference
on Optimizing the Presentation
and Visualization of Health Data
for Patients and Providers
Presented by:
Brian J. Zikmund-Fisher, Ph.D.
Genevieve Melton-Meaux, …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-web-interactive-presentation.pdf
September 01, 2019 - Using open-ended questions, we
qualitatively assessed user perspectives on the usefulness of the tool