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psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - Diagnosing a Missed Diagnosis
Citation Text:
Reilly JB, Webster C. Diagnosing a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/latent-tuberculosis-infection-screening
May 02, 2023 - Clinicians should understand the evidence but individualize decision-making to the specific patient or … Clinicians should understand the evidence but individualize decision-making to the specific patient or
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
July 01, 2023 - happen next
Discuss observations with appropriate team members to establish shared understanding
Better decision … making
Support the patient, self, and other team members
2
Hospital AIM Team
Leads
SPPC-II
SCRIPT
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
April 21, 2008 - Patient Safety Learning Pilot: Narratives from the Frontlines
Patient Safety Learning Pilot: Narratives from
the Frontlines
Shirley E. Kellie, MD, MSc; James B. Battles, PhD; Nancy M. Dixon, PhD;
Harold S. Kaplan, MD; Barbara Rabin Fastman, MHA
Abstract
Although patient safety experts have focused on event…
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effectivehealthcare.ahrq.gov/sites/default/files/ch_9-user-guide-to-ocer_130129.pdf
September 21, 2012 - 129
Abstract
The feasibility of a study often rests on whether the projected number of accrued patients is adequate
to address the scientific aims of the study. Accordingly, a rationale for the planned study size should
be provided in observational comparative effectiveness research (CER) study protocols. This chap…
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effectivehealthcare.ahrq.gov/sites/default/files/s5.pdf
October 01, 2007 - ORIGINAL ARTICLE
Emerging Methods in Comparative Effectiveness
and Safety
Symposium Overview and Summary
Kathleen N. Lohr, PhD
Background: Interest in new methods for comparative effective-
ness, drug and patient safety, and related studies is burgeoning. The
advent of Medicare Part D for outpatient prescription dr…
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - SPOTLIGHT CASE
Order Interrupted by Text: Multitasking Mishap
Citation Text:
Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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www.ahrq.gov/news/events/nac/2019-11-nac/nacmtg01121-minutes.html
March 01, 2020 - Meeting Minutes, November 2019
Minutes from the November 21, 2019, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of July 24, 2019, Meeting Summary
AHRQ Accomplishments
Budget Update
Challenges and Opportunities To L…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/colon-cancer-gene-profiling_technical-brief.pdf
December 01, 2012 - clinical decision
regarding
adjuvant therapy
Outcome:
Survival
Recurrence 2 1 3
Decision … -
making
Treatment/
other tests Patients with
Stage II colon
cancer for whom
adjuvant … Use of
biomarkers and surrogate endpoints in drug
development and regulatory decision
making: criteria
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - SPOTLIGHT CASE
Unintended Consequences of CPOE
Citation Text:
Wears RL. Unintended Consequences of CPOE. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-integration-self-management-support
January 01, 2023 - Health Information Technology to Support Integration of Self-Management Support in Primary Care Delivery
Project Description
Annual Summaries
Project Details -
Completed
Contract Number
10-663F-10
Funding Mechanism(s)
Inter-Agency…
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psnet.ahrq.gov/issue/crisis-undiagnosed-cancers-emerging-pandemics-second-year
November 30, 2022 - Newspaper/Magazine Article
A crisis of undiagnosed cancers is emerging in the pandemic’s second year.
Citation Text:
A crisis of undiagnosed cancers is emerging in the pandemic’s second year. Eldeib D. ProPublica. May 4, 2021.
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psnet.ahrq.gov/issue/another-tragic-parenteral-nutrition-compounding-error
June 10, 2018 - Newspaper/Magazine Article
Another tragic parenteral nutrition compounding error.
Citation Text:
Another tragic parenteral nutrition compounding error. ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.
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psnet.ahrq.gov/issue/eliminate-bias-some-seek-out-doctors-their-own-race-or-ethnicity
December 11, 2019 - Newspaper/Magazine Article
To eliminate bias, some seek out doctors of their own race or ethnicity.
Citation Text:
To eliminate bias, some seek out doctors of their own race or ethnicity. Glicksman E. Washington Post. December 11, 2021.
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psnet.ahrq.gov/issue/guidance-safe-medical-staffing-report-working-party
February 08, 2011 - Government Resource
Guidance on Safe Medical Staffing: Report of a Working Party.
Citation Text:
Guidance on Safe Medical Staffing: Report of a Working Party. London, UK: Royal College of Physicians; 2018. ISBN: 9781860167270.
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psnet.ahrq.gov/issue/ai-may-be-its-way-your-doctors-office-its-not-ready-see-patients
September 20, 2023 - Newspaper/Magazine Article
AI may be on its way to your doctor’s office, but it’s not ready to see patients.
Citation Text:
AI may be on its way to your doctor’s office, but it’s not ready to see patients. Tahir D. KFF Health News. May 12, 2023.
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psnet.ahrq.gov/issue/final-report-commission-care
September 29, 2017 - Book/Report
Final Report of the Commission on Care.
Citation Text:
Final Report of the Commission on Care. Washington, DC: Commission on Care; June 2016.
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psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
July 28, 2013 - Multi-use Website
2006 Update on Consumers' Views of Patient Safety and Quality Information.
Citation Text:
2006 Update on Consumers' Views of Patient Safety and Quality Information. Washington DC: Kaiser Family Foundation; 2006.
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psnet.ahrq.gov/issue/improving-patient-safety-office-institute-safety-office-based-surgery
August 13, 2014 - Newspaper/Magazine Article
Improving patient safety in the office: The Institute for Safety in Office-Based Surgery.
Citation Text:
Improving patient safety in the office: The Institute for Safety in Office-Based Surgery. Urman RD, Shapiro FE. APSF Newsletter. 2011;3-4,9.
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psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes
October 05, 2022 - Book/Report
Improving Education—A Key to Better Diagnostic Outcomes.
Citation Text:
Improving Education—A Key to Better Diagnostic Outcomes. Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0026-1-EF
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