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psnet.ahrq.gov/node/42498/psn-pdf
December 30, 2014 - Electronic health record-based triggers to detect potential
delays in cancer diagnosis.
December 30, 2014
Murphy DR, Laxmisan A, Reis BA, et al. Electronic health record-based triggers to detect potential delays
in cancer diagnosis. BMJ Qual Saf. 2014;23(1):8-16. doi:10.1136/bmjqs-2013-001874.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/43857/psn-pdf
August 02, 2015 - A checklist-based intervention to improve surgical
outcomes in Michigan: evaluation of the Keystone
Surgery program.
August 2, 2015
Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in
Michigan: evaluation of the Keystone Surgery program. JAMA Surg. 2015;150(3):208…
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psnet.ahrq.gov/node/46424/psn-pdf
March 20, 2018 - Electronic triggers to identify delays in follow-up of
mammography: harnessing the power of big data in
health care.
March 20, 2018
Murphy DR, Meyer AND, Vaghani V, et al. Electronic Triggers to Identify Delays in Follow-Up of
Mammography: Harnessing the Power of Big Data in Health Care. J Am Coll Radiol. 2018;15(…
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psnet.ahrq.gov/node/43264/psn-pdf
June 18, 2014 - CDC central-line bloodstream infection prevention efforts
produced net benefits of at least $640 million during
1990–2008.
June 18, 2014
Scott D, Sinkowitz-Cochran R, Wise ME, et al. CDC central-line bloodstream infection prevention efforts
produced net benefits of at least $640 Million during 1990-2008. Health Af…
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psnet.ahrq.gov/node/43539/psn-pdf
March 26, 2015 - Challenges and remediation for Patient Safety Indicators
in the transition to ICD-10-CM.
March 26, 2015
Boyd AD, Yang YM, Li J, et al. Challenges and remediation for Patient Safety Indicators in the transition to
ICD-10-CM. J Am Med Inform Assoc. 2015;22(1):19-28. doi:10.1136/amiajnl-2013-002491.
https://psnet.ahr…
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psnet.ahrq.gov/node/73258/psn-pdf
May 12, 2021 - Rate of sepsis hospitalizations after misdiagnosis in adult
emergency department patients: a look-forward analysis
with administrative claims data using Symptom-Disease
Pair Analysis of Diagnostic Error methodology in an
integrated health system.
May 12, 2021
Horberg MA, Nassery N, Rubenstein KB, et al. Rate of s…
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psnet.ahrq.gov/node/61037/psn-pdf
January 01, 2021 - What safety events are reported for ambulatory care?
Analysis of incident reports from a patient safety
organization.
October 21, 2020
Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis
of incident reports from a patient safety organization. Jt Comm J Qual Patie…
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psnet.ahrq.gov/node/39355/psn-pdf
June 27, 2011 - Adverse events experienced by homecare patients: a
scoping review of the literature.
June 27, 2011
Masotti P, McColl MA, Green M. Adverse events experienced by homecare patients: a scoping review of
the literature. Int J Health Care Qual. 2010;22(2):115-125. doi:10.1093/intqhc/mzq003.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/43589/psn-pdf
November 17, 2014 - Exploring new avenues to assess the sharp end of patient
safety: an analysis of nationally aggregated peer review
data.
November 17, 2014
Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety:
an analysis of nationally aggregated peer review data. BMJ Qual Saf. 2014;23…
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psnet.ahrq.gov/node/845360/psn-pdf
March 29, 2023 - Demonstrating the value of a standardized cognitive
assessment tool through the use of interprofessional
rapid safety rounds.
March 29, 2023
Hayes M, Wheeling D, Kaul-Connolly S. Demonstrating the value of a standardized cognitive assessment
tool through the use of interprofessional rapid safety rounds. J Nurs Car…
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - Annual Perspective
Improving Diagnostic Safety and Quality
Jawad Al-Khafaji, MD, MHSA, Merton Lee, PhD, PharmD, Sarah Mossburg, RN, PhD
| April 26, 2023
View more articles from the same authors.
Citation Text:
Al-Khafaji J, Lee M, Mossburg S. Improving Di…
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - Hospital-Acquired Diabetic Ketoacidosis.
Citation Text:
Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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Format:
Google Scholar Bi…
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - SPOTLIGHT CASE
Delay in Treatment: Failure to Contact Patient Leads to Significant Complications
Citation Text:
Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departmen…
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psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
March 15, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Patient as a Team Member in Clinical Care
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Created By: Lorri Zipperer, Cybraria…
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - Difficult Encounters: A CMO and CNO Respond
October 1, 2009
Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
Case Objectives
Appreciate the risk of disruptive behavior and understand institutional respons…
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psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
March 01, 2005 - SPOTLIGHT CASE
CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure
Citation Text:
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human S…
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psnet.ahrq.gov/node/49813/psn-pdf
January 01, 2018 - Dying in the Hospital With Advanced Dementia
December 1, 2017
Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
Case Objectives
Recognize the importance of eliciting patient preferences and go…
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psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx
Spotlight
A Loss of Trust and a Missed Diagnosis
Source and Credits
• This presentation is based on the February 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.…
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - The conferences were outstanding in developing the passion, energy, and shared vision that we needed … Additionally, institutional leaders should consider using electronic triggers ( 10,11 ) and developing
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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - The LifePoint National Quality Program Provides
Structured Framework for Reducing Inpatient Harm
January 5, 2021
https://psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-
reducing-inpatient-harm
Summary
Building on the company’s experience as a Hospital Engagement Network…