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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
January 01, 2004 - “Near-miss” Reporting System Development and Implications for Human Subjects Protection
181
“Near-miss” Reporting System
Development and Implications
for Human Subjects Protection
Harvey J. Murff, Daniel W. Byrne, Paul A. Harris,
Daniel J. France, Christa Hedstrom, Robert S. Dittus
Abstract
Background: R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_ut-tachysystole.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario or Uterine Tachysystole In Site Simulation
AHRQ Safety Program for Perinatal Care
Sample Scenario for Uterine Tachysystole In Situ Simulation
Sample Scenario for Uterine Tachysystole In Situ Simulation
Purpose of the tool: The Uterine Tachysystole In Situ Simul…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-ut-tachysystole.html
July 01, 2023 - Sample Scenario for Uterine Tachysystole In Situ Simulation
AHRQ Safety Program for Perinatal Care
Purpose of the tool: The Uterine Tachysystole In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the …
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digital.ahrq.gov/medical-condition/otitis-media
January 01, 2023 - Otitis Media
Adoption of electronic medical record-based decision support for otitis media in children.
Citation
Fiks AG, Zhang P, Localio AR, et al. Adoption of electronic medical record-based decision support for otitis media in children. Health Serv Res 2015 Apr;50(2):489-5…
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cdsic.ahrq.gov/cdsic/source-credibility
July 01, 2023 - :
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HHS.gov
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CDS Home
CDS Innovation Collaborative
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/node/60851/psn-pdf
August 26, 2020 - Situativity: A Family of Social Cognitive Theories for
Clinical Reasoning and Error.
August 26, 2020
Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344.
https://psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
Challenges to effective clinical reas…
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psnet.ahrq.gov/node/854637/psn-pdf
October 18, 2023 - A scoping review of clinical handover mnemonic devices.
October 18, 2023
Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health
Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065.
https://psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices
Cogniti…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/mgmt-hnhc-patients-protocol.pdf
November 07, 2019 - One systematic review stratified interventions as home-based, clinic-based,
and primary care augmentation … components and
processes, targeting
HNHC patients
• Payer level
• Health care system
level
• Provider/clinic … among HNHC
patients
Harms of interventions
Patient: Increased barriers
to necessary care
Provider/clinic
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digital.ahrq.gov/health-it-tools-and-resources/clinical-decision-support-cds/cds-innovation-collaborative
August 15, 2025 - CDS Innovation Collaborative (CDSiC)
Searchable Resources Library The Clinical Decision Support Innovation Collaborative (CDSiC) was a stakeholder-driven collaborative dedicated to advancing patient-centered clinical decision support (PC CDS). The CDSiC developed a wide range of resources …
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digital.ahrq.gov/ahrq-funded-projects/engaging-patients-enable-interoperable-lung-cancer-decision-support-scale
July 31, 2025 - Engaging Patients to Enable Interoperable Lung Cancer Decision Support at Scale
Project Description
Publications
Improving shared decision making for lung cancer screening by adapting and disseminating an interoperable clinical decision support tool and patient-facing app…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/genetic-testing-developmental-disabilities_research-protocol.pdf
September 30, 2014 - Risk assessment models in genetics clinic
for array comparative genomic
hybridization: clinical information
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digital.ahrq.gov/program-overview/research-stories/clinical-decision-support-innovation-collaborative-including-patients-voice-care
January 01, 2023 - The Clinical Decision Support Innovation Collaborative: Including the Patient’s Voice in Care
Theme:
Engaging and Empowering Patients and Caregivers
Subtheme:
Empowering Patients and Caregivers to Improve Patient-Centered Care
The Clinical Decision Support Innovation Collaborative will int…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd5.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Continuity of Care Practices Survey—Practice Level [CCPS-P]
Previous Page Next Page
Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was the Clinical-Community Relationships Measu…
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digital.ahrq.gov/principal-investigator/lavallee-danielle
January 01, 2023 - Lavallee, Danielle
Developing Design Principles to Integrate Patient-Reported Outcomes (PROs) Into Clinical Practice Through Health Information Technology: Data, User Experience, and Workflow Requirements for PRO Dashboards - Final Report
Citation
Lavallee D. Developing Desig…
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psnet.ahrq.gov/node/44065/psn-pdf
July 16, 2015 - Nurses' use of computerized clinical guidelines to
improve patient safety in hospitals.
July 16, 2015
Hovde B, Jensen KH, Alexander GL, et al. Nurses' Use of Computerized Clinical Guidelines to Improve
Patient Safety in Hospitals. West J Nurs Res. 2015;37(7):877-98. doi:10.1177/0193945915577430.
https://psnet.ahrq…
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psnet.ahrq.gov/node/35975/psn-pdf
June 14, 2011 - A root cause analysis of clinical error: confronting the
disjunction between formal rules and situated clinical
activity.
June 14, 2011
Iedema RAM, Jorm C, Braithwaite J, et al. A root cause analysis of clinical error: confronting the disjunction
between formal rules and situated clinical activity. Soc Sci Med. 20…
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psnet.ahrq.gov/node/46666/psn-pdf
March 28, 2018 - Effectiveness of a clinical knowledge support system for
reducing diagnostic errors in outpatient care in Japan: a
retrospective study.
March 28, 2018
Shimizu T, Nemoto T, Tokuda Y. Effectiveness of a clinical knowledge support system for reducing
diagnostic errors in outpatient care in Japan: A retrospective stud…
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psnet.ahrq.gov/node/837973/psn-pdf
August 31, 2022 - Acute clinical deterioration and consumer escalation: the
understanding and perceptions of hospital staff.
August 31, 2022
Thiele L, Flabouris A, Thompson C. Acute clinical deterioration and consumer escalation: the
understanding and perceptions of hospital staff. PLoS ONE. 2022;17(6):e0269921.
doi:10.1371/journal…
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psnet.ahrq.gov/node/41191/psn-pdf
March 21, 2012 - Reviewing the impact of computerized provider order
entry on clinical outcomes: the quality of systematic
reviews.
March 21, 2012
Weir C, Staggers N, Laukert T. Reviewing the impact of computerized provider order entry on clinical
outcomes: The quality of systematic reviews. Int J Med Inform. 2012;81(4):219-31.
d…
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psnet.ahrq.gov/node/45956/psn-pdf
March 15, 2017 - Discrepancies between clinical diagnoses and autopsy
findings in critically ill children: a prospective study.
March 15, 2017
Carlotti APCP, Bachette LG, Carmona F, et al. Discrepancies Between Clinical Diagnoses and Autopsy
Findings in Critically Ill Children: A Prospective Study. Am J Clin Pathol. 2016;146(6):701…