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psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution
March 01, 2023 - Review
The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution?
Citation Text:
Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Co…
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psnet.ahrq.gov/issue/usability-and-accessibility-publicly-available-patient-safety-databases
May 12, 2021 - Study
Usability and accessibility of publicly available patient safety databases.
Citation Text:
Sheehan JG, Howe JL, Fong A, et al. Usability and accessibility of publicly available patient safety databases. J Patient Saf. 2022;18(6):565-569. doi:10.1097/pts.0000000000001018.
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psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name
March 25, 2020 - Review
The impact of adverse events on clinicians: what's in a name?
Citation Text:
Wu AW, Shapiro J, Harrison R, et al. The Impact of Adverse Events on Clinicians: What's in a Name? J Patient Saf. 2020;16(1):65-72. doi:10.1097/PTS.0000000000000256.
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Format:
DO…
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psnet.ahrq.gov/issue/consumer-directed-technologies-improve-medication-management-and-safety
December 29, 2014 - Commentary
Consumer-directed technologies to improve medication management and safety.
Citation Text:
Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029.
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Fo…
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psnet.ahrq.gov/issue/flaw-medicine-addressing-racial-and-gender-disparities-critical-care
June 16, 2010 - Commentary
The flaw of medicine: addressing racial and gender disparities in critical care.
Citation Text:
Hilton EJ, Goff KL, Sreedharan R, et al. The flaw of medicine: addressing racial and gender disparities in critical care. Anesthesiol Clin. 2020;38(2):357-368. doi:10.1016/j.anclin.…
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psnet.ahrq.gov/issue/what-covid-19-teaches-us-about-implicit-bias-pediatric-health-care
March 25, 2020 - Commentary
What COVID-19 teaches us about implicit bias in pediatric health care.
Citation Text:
Mulchan SS, Wakefield EO, Santos M. What COVID-19 teaches us about implicit bias in pediatric health care. J Ped Psychol. 2021;46(2):138-143. doi:10.1093/jpepsy/jsaa131.
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F…
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psnet.ahrq.gov/issue/parent-participation-morbidity-and-mortality-review-parent-and-physician-perspectives
May 18, 2022 - Study
Parent participation in morbidity and mortality review: parent and physician perspectives.
Citation Text:
de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review: parent and physician perspectives. J Patient Exp. 2022;9:2374373522110…
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psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
November 30, 2012 - Study
Classic
Missed diagnoses of acute cardiac ischemia in the emergency department.
Citation Text:
Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-1170. doi:10.…
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psnet.ahrq.gov/Information/Privacy
May 23, 2025 - Privacy Policy
Thank you for visiting AHRQ PSNet.
The site is produced by an editorial team at the University of California, Davis under a contract from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services.
We collect no personal information about you when you visit …
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psnet.ahrq.gov/issue/physician-satisfaction-transition-cpoe-paper-based-prescription
January 06, 2018 - Study
Physician satisfaction with transition from CPOE to paper-based prescription.
Citation Text:
Griffon N, Schuers M, Joulakian M, et al. Physician satisfaction with transition from CPOE to paper-based prescription. Int J Med Inform. 2017;103:42-48. doi:10.1016/j.ijmedinf.2017.04.007.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/PatientsGuideToTeachBack.pdf
June 02, 2025 - A Patient's Guide to Teach-Back
A Patient’s Guide to Teach-Back
What is teach-back?
Teach-back is a way for you to tell your
provider (a doctor, nurse, or other person
you see at your health care visit) in your
own words what you understood. …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/bepreparedpt_famguide.pdf
June 02, 2025 - Be Prepared! A Guide for Patients and Families
Be Prepared!
A Guide for Patients and Families
How can you prepare for appointments?
We are using two new tools to help you prepare for appointments and be an active member of the
health care team.
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The Patient Prep Card
helps you think about what
you want t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/clinician-info-poster.pdf
June 02, 2025 - Microsoft Word - Be_Prepared_for_Providers.V8.docx
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/staff-info-poster.pdf
June 02, 2025 - Microsoft Word - Be_Prepared_for_Practice_Staff.V8.docx
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/evidencenow-baseline.pdf
February 01, 2017 - AHRQ’s EvidenceNOW: Setting the Target for Improving Heart Health in America
AHRQ’s EvidenceNOW: Setting the Target
for Improving Heart Health in America
AHRQ’s EvidenceNOW, a Federal grant initiative, funds seven regional
cooperatives to help more than 1,500 smaller primary care practices
and 5,000 clinicians bui…
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psnet.ahrq.gov/issue/patient-safety-operating-room-part-1-and-part-2
October 19, 2022 - Review
Patient safety in the operating room—part 1 and part 2.
Citation Text:
Poore SO, Sillah NM, Mahajan AY, et al. Patient safety in the operating room: II. Intraoperative and postoperative. Plast Reconstr Surg. 2012;130(5):1048-58. doi:10.1097/PRS.0b013e318267d531.
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psnet.ahrq.gov/issue/resident-physicians-advice-seeking-and-error-making-social-networks-approach
July 13, 2010 - Study
Resident physicians' advice seeking and error making: a social networks approach.
Citation Text:
Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333.
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psnet.ahrq.gov/issue/reducing-falls-and-fall-related-injuries-mental-health-1-year-multihospital-falls
January 25, 2023 - Commentary
Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative.
Citation Text:
Quigley PA, Barnett SD, Bulat T, et al. Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. J Nurs Care Qual…
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psnet.ahrq.gov/issue/impact-senior-clinical-review-patient-disposition-emergency-department
August 28, 2024 - Study
Impact of senior clinical review on patient disposition from the emergency department.
Citation Text:
White AL, Armstrong PAR, Thakore S. Impact of senior clinical review on patient disposition from the emergency department. Emerg Med J. 2010;27(4):262-5, 296. doi:10.1136/emj.200…
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digital.ahrq.gov/2019-year-review/research-summary/health-information-exchange-streamlines-communication-between
January 01, 2019 - Health Information Exchange Streamlines Communication Between Poison Control Centers and Emergency Departments
The research team created the first HIE capability between a poison control center (PCC) and ED to reduce errors, improve decision making, and improve continuity of care for poisonings, including drug ove…