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psnet.ahrq.gov/web-mm/not-miscarriage
June 01, 2005 - available, this history would have been readily apparent and the repeat ultrasound could have been directed
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psnet.ahrq.gov/perspective/safety-retail-pharmacy
May 11, 2016 - Preventive Strategies in the Community Pharmacy
Over the past decade, considerable attention has been directed
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psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
July 01, 2003 - In addition to system-wide interventions, educational interventions directed at individual physicians
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psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - With paper charting, the focus of mitigating confusion was directed at creating unique identifiers (
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psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - more directly in the ordering process, prevention strategies can include educational interventions directed
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psnet.ahrq.gov/node/49396/psn-pdf
April 01, 2003 - visit for her urticaria 2 weeks later, the physician asked if patient was taking her
medications as directed
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psnet.ahrq.gov/node/49430/psn-pdf
January 01, 2004 - Computerized algorithm-directed triage in the emergency
department.
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psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - He directed public verbal abuse at residents when their performance failed to meet his
unsparing standards
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psnet.ahrq.gov/node/40033/psn-pdf
September 29, 2017 - Health Literacy Research: Current Status and Future
Directions.
September 29, 2017
Paasche-Orlow MK, Wilson EAH, McCormack L, eds. J Health Comm. 2010;15(suppl 2):1-225.
https://psnet.ahrq.gov/issue/health-literacy-research-current-status-and-future-directions
This special issue presents findings from a 2009 confe…
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psnet.ahrq.gov/node/38117/psn-pdf
September 29, 2017 - Advances in Patient Safety: New Directions and
Alternative Approaches.
September 29, 2017
Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-
4).
https://psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
The 115 articles freel…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
July 01, 2003 - PowerPoint Presentation
Spotlight Case July 2003
Code Status Confusion
webmm.ahrq.gov
Source and Credits
This presentation is based on the July 2003
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Bernard Lo, MD, Univers…
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psnet.ahrq.gov/node/36926/psn-pdf
September 09, 2011 - Distracting communications in the operating theatre.
September 9, 2011
Sevdalis N, Healey AN, Vincent CA. Distracting communications in the operating theatre. J Eval Clin Pract.
2007;13(3). doi:10.1111/j.1365-2753.2006.00712.x.
https://psnet.ahrq.gov/issue/distracting-communications-operating-theatre
Prior researc…
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psnet.ahrq.gov/node/47081/psn-pdf
September 02, 2018 - Beyond Dr. Google: the evidence on consumer-facing
digital tools for diagnosis.
September 2, 2018
Millenson ML, Baldwin JL, Zipperer L, et al. Beyond Dr. Google: the evidence on consumer-facing digital
tools for diagnosis. Diagnosis (Berl). 2018;5(3):95-105. doi:10.1515/dx-2018-0009.
https://psnet.ahrq.gov/issue/b…
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psnet.ahrq.gov/node/33665/psn-pdf
March 01, 2008 - In addition, procedures that were previously directed to interventional radiology are
now conducted
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psnet.ahrq.gov/node/46936/psn-pdf
April 11, 2018 - You've detailed your last wishes, but doctors may not see
them.
April 11, 2018
Lamas D.
https://psnet.ahrq.gov/issue/youve-detailed-your-last-wishes-doctors-may-not-see-them
Advance care planning can affect patient safety if the information is unheeded, unavailable, or unread.
Reporting on a physician's experienc…
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psnet.ahrq.gov/node/46752/psn-pdf
July 19, 2018 - Task errors by emergency physicians are associated with
interruptions, multitasking, fatigue and working memory
capacity: a prospective, direct observation study.
July 19, 2018
Westbrook JI, Raban MZ, Walter SR, et al. Task errors by emergency physicians are associated with
interruptions, multitasking, fatigue and…
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psnet.ahrq.gov/node/45034/psn-pdf
February 25, 2019 - Future directions for diagnostic decision support.
February 25, 2019
Carr S. ImproveDx. April 2016;3:1-3.
https://psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support
Clinical decision support systems are tools being used to augment clinical reasoning and diagnostic
accuracy. This newsletter article …
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psnet.ahrq.gov/node/43194/psn-pdf
May 21, 2014 - Communicating doses of pediatric liquid medicines to
parents/caregivers: a comparison of written dosing
directions on prescriptions with labels applied by
dispensed pharmacy.
May 21, 2014
Shah R, Blustein L, Kuffner E, et al. Communicating doses of pediatric liquid medicines to
parents/caregivers: a comparison of…
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psnet.ahrq.gov/node/47177/psn-pdf
January 23, 2019 - Effect of increased inpatient attending physician
supervision on medical errors, patient safety, and
resident education: a randomized clinical trial.
January 23, 2019
Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attending Physician Supervision on
Medical Errors, Patient Safety, and Resident Ed…
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psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
April 24, 2018 - With guided ongoing supervision and directed feedback, provider teams can use this framework to promote