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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-5.html
June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action
A Path Forward for Diagnostic Safety Improvement Leadership
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Table of Contents
Leadership To Improve Diagnosis: A Call to Action
Diagnostic Safety as a Challenge for Healthcare Leadership
Why Are Leaders Essential to Diagno…
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psnet.ahrq.gov/node/836727/psn-pdf
March 09, 2022 - A family and hospital's journey and commitment to
improving diagnostic safety.
March 9, 2022
Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving
diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091.
https://psnet.ahrq.gov/issue/family-an…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/breathe-michigan
January 01, 2023 - Breathe Michigan Screening Survey
This is a questionnaire designed to be completed by African American adults with chronic care needs in patient homes. The tool includes questions to assess the current state of patient-generated health data.
Survey Document
Breathe Michigan Screening Survey
…
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digital.ahrq.gov/ahrq-funded-projects/incorporating-health-information-technology-workflow-redesign/publication
January 01, 2023 - Incorporating Health Information Technology Into Workflow Redesign--Summary Report Appendix F: Tool Compendium.
Citation
Carayon P, Karsh B-T, Cartmill RS, et al. Incorporating Health Information Technology Into Workflow Redesign--Summary Report Appendix F: Tool Compendium. (Prepared by the Center for…
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psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
June 30, 2021 - The surgical team members all have to work with each other, they have to communicate, and they have to
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psnet.ahrq.gov/perspective/covid-19-and-built-environment
June 30, 2021 - The surgical team members all have to work with each other, they have to communicate, and they have to
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effectivehealthcare.ahrq.gov/sites/default/files/06_devdelays_autism_potential_high_impact_june_2012.pdf
January 01, 2012 - #06 Developmental Delays ADHD, and Autism
AHRQ Healthcare Horizon Scanning System – Potential High
Impact Interventions Report
Priority Area 06: Developmental Delays, ADHD, and
Autism
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5…
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psnet.ahrq.gov/web-mm/surprise-wire
July 15, 2020 - Surprise Wire
Citation Text:
Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/node/49637/psn-pdf
October 01, 2011 - The Dropped "No"
October 1, 2011
Johnson AJ. The Dropped "No". PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/dropped-no
The Case
A 62-year-old man with a history of cirrhosis was admitted with increasing abdominal girth and swelling in
his legs. Because the leg swelling was somewhat more pronounced in his…
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psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
October 01, 2003 - Hospital Admission Due to High-Dose Methotrexate Drug Interaction
Citation Text:
Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Cit…
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psnet.ahrq.gov/periodic-issue/periodic-issue-473
March 25, 2025 - March 5, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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www.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-slides.html
March 01, 2017 - Patient and Family Involvement in Care of Mechanically Ventilated Patients: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Patient and Family Involvement in Care of Mechanically Ventilated Patients
Slide 2: Le…
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www.ahrq.gov/cpi/about/mission/strategic-plan/CHStratPlan.html
December 01, 1999 - Strategic Plan: Children as a Priority Population
Describes AHRQ's Strategic Plan goals and objectives for including children in research as a priority population.
Vision
To establish the Agency for Healthcare Research and Quality (AHRQ) as one of the Nation's key public organizations for improving the qual…
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - Annual Perspective
Handoffs and Transitions
Niraj Sehgal, MD, MPH | January 22, 2014
View more articles from the same authors.
Citation Text:
Sehgal NL. Handoffs and Transitions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
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psnet.ahrq.gov/perspective/disclosure-medical-error
January 01, 2009 - Providers should also understand and communicate that while the disclosure of the event may occur in
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.pdf
February 08, 2018 - significantly increases the likelihood of learning, innovation, and sustainability.3,4
Hospital leaders communicate
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - My goal is always to be transparent and communicate medication errors to my staff.
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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - Wrong Route for Nutrients
July 1, 2008
Scott-Cawiezell JR. Wrong Route for Nutrients. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/wrong-route-nutrients
The Case
An 82-year-old man living in a skilled nursing facility (SNF) had not been eating or drinking well for about 6
months. He had lost weight and d…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
July 01, 2011 - Spotlight Case July 2008
Spotlight Case
Watch the Warfarin!
1
2
Source and Credits
This presentation is based on the July 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Raman Khanna, MD, and Margaret Fang, MD, MPH; University of California, Sa…
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effectivehealthcare.ahrq.gov/sites/default/files/investing_elwyn_presentation.pdf
January 01, 2009 - Elwyn_Presentation_REVISED_FINAL
Source:
Eisenberg
Center
Conference
Series
2009,
Translating
Information
Into
Action:
Improving
Quality
of
Care
Through
Interactive
Media,
Effective
Health
Care
Program
Web
site
(http://www.effectivehealt…