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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - to help all senior executives understand the benefits of having real-world evidence to inform their decision-making … evidence builds, you are constantly getting information that you can feed to managers to support their decision-making
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psnet.ahrq.gov/issue/hospitals-save-money-safety-questioned
January 18, 2006 - Newspaper/Magazine Article
Hospitals save money, but safety is questioned.
Citation Text:
Hospitals save money, but safety is questioned. Klein A. Washington Post. December 11, 2005.
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psnet.ahrq.gov/issue/overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and-financially-what
March 29, 2010 - Newspaper/Magazine Article
Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it?
Citation Text:
Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it…
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psnet.ahrq.gov/issue/hazard-impatient-medicine
June 26, 2013 - Newspaper/Magazine Article
A hazard of impatient medicine.
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A hazard of impatient medicine. Gunderman R, Lynch J, Harrell H. The Atlantic. September 3, 2013.
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psnet.ahrq.gov/issue/what-surgeons-leave-behind-costs-some-patients-dearly
August 29, 2012 - Newspaper/Magazine Article
What surgeons leave behind costs some patients dearly.
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What surgeons leave behind costs some patients dearly. Eisler P.
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psnet.ahrq.gov/issue/military-care-pattern-errors-not-scrutiny
November 06, 2015 - Newspaper/Magazine Article
In military care, a pattern of errors but not scrutiny.
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In military care, a pattern of errors but not scrutiny. LaFraniere S, Lehren AW. New York Times. June 28, 2014.
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psnet.ahrq.gov/issue/health-literacy-tools-providers-medication-therapy-management
May 01, 2017 - Toolkit
Health Literacy Tools for Providers of Medication Therapy Management.
Citation Text:
Health Literacy Tools for Providers of Medication Therapy Management. Rockville, MD: Agency for Healthcare Research and Quality; July 2017.
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psnet.ahrq.gov/issue/healthcare-411-patient-perspective
October 23, 2019 - Government Resource
Healthcare 411.
Citation Text:
Healthcare 411. Rockville, MD: Agency for Healthcare Research and Quality. September 29, 2010.
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psnet.ahrq.gov/issue/hand-hygiene-compliance-patient-safety
October 19, 2022 - Commentary
Hand hygiene compliance for patient safety.
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Hand hygiene compliance for patient safety. Aziz A.
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psnet.ahrq.gov/issue/using-good-design-eliminate-medical-errors
December 09, 2020 - Newspaper/Magazine Article
Using good design to eliminate medical errors.
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Using good design to eliminate medical errors. Jaffe E.
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psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - The same kind of decision-making would occur in an outpatient setting, let us say, primary care.
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psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
September 27, 2023 - performed at the time of the initial evaluation. 10 A good example of the potential complexity of such decision-making
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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - performed at
the time of the initial evaluation.10 A good example of the potential complexity of such decision-making
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback
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February 28, 2024
Innovation
Conta…
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - Strategies to Improve Organizational Health Literacy.
Citation Text:
Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
January 01, 2018 - documentation has declined since the introduction of EHRs, many still rely solely on these flawed notes for decision … making, suggesting that progress notes are still considered the primary source of clinical communication
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - Patient Safety: A Perspective from Office Practice
Richard J. Baron, MD | May 1, 2009
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Citation Text:
Baron RJ. Patient Safety: A Perspective from Office Practice. PSNet [internet]. Rockville (MD…
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psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - indication, age, weight, renal function, loading phase, and maintenance phase
Computerized clinical decision … making at the time of order entry may promote adherence to guideline recommendations and mitigates the
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - Delayed Clozapine Prescription in an Elderly Man With
Dementia
July 2, 2019
Tsourounis C, Ghomeshi KK. Delayed Clozapine Prescription in an Elderly Man With Dementia. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
The Case
An 86-year-old man with neurode…
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - Can Research Help Us Improve the Medical Liability System?
Allen Kachalia, MD, JD | March 1, 2012
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Citation Text:
Kachalia A. Can Research Help Us Improve the Medical Liability System?. PSNet [in…