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  1. 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…
  2. 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. Copy Cit…
  3. 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. Copy Citation Format: DO…
  4. 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. Copy Citation Fo…
  5. 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.…
  6. 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. Copy Citation F…
  7. 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…
  8. 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.…
  9. 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 …
  10. 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.…
  11. 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. …
  12. 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. ■ ■ ■ The Patient Prep Card helps you think about what you want t…
  13. 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 …
  14. 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 …
  15. 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…
  16. 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. Copy Citation …
  17. 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. …
  18. 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…
  19. 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…
  20. 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…