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psnet.ahrq.gov/node/60201/psn-pdf
April 08, 2020 - Misdiagnosis, mistreatment, and harm - when medical
care ignores social forces.
April 8, 2020
Holmes SM, Hansen H, Jenks A, et al. Misdiagnosis, mistreatment, and harm - when medical care ignores
social forces. N Engl J Med. 2020;382(12). doi:10.1056/nejmp1916269.
https://psnet.ahrq.gov/issue/misdiagnosis-mistreat…
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psnet.ahrq.gov/node/846150/psn-pdf
March 15, 2023 - Patient and health care professional perspectives on
stigma in integrated behavioral health: barriers and
recommendations.
March 15, 2023
Phelan SM, Salinas M, Pankey T, et al. Patient and health care professional perspectives on stigma in
integrated behavioral health: barriers and recommendations. Ann Fam Med. 20…
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psnet.ahrq.gov/node/865704/psn-pdf
May 01, 2024 - Supporting error management and safety climate in
ambulatory care practices: the CIRSforte study.
May 1, 2024
Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care
practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-322. doi:10.1097/pts.0000000000001225.
…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-intro.pdf
May 18, 2023 - HCBS CAHPS Survey Database: What You Need to Know - INTRO
Participating in the 2022 CAHPS® Home and
Community-Based Services (HCBS CAHPS)
Survey Database: What You Need to Know
A Webcast Presented by the AHRQ CAHPS User Network
May 18, 2023
12:30 – 1:30 pm ET
2
Webcast Technical Info
• Audio issues
• Poor C…
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psnet.ahrq.gov/node/46706/psn-pdf
March 20, 2018 - Realizing e-prescribing's potential to reduce outpatient
psychiatric medication errors.
March 20, 2018
Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric
Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps.201700269.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/44356/psn-pdf
October 03, 2017 - Breaking the silence of the switch—increasing
transparency about trainee participation in surgery.
October 3, 2017
McAlister C. Breaking the Silence of the Switch--Increasing Transparency about Trainee Participation in
Surgery. N Engl J Med. 2015;372(26):2477-9. doi:10.1056/NEJMp1502901.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/46953/psn-pdf
September 12, 2018 - An integrative review exploring the perceptions of
patients and healthcare professionals towards patient
involvement in promoting hand hygiene compliance in the
hospital setting.
September 12, 2018
Alzyood M, Jackson D, Brooke J, et al. An integrative review exploring the perceptions of patients and
healthcare pr…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/01-listening-voice-of-patient-webcast-intro.pdf
May 08, 2024 - Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data Webcast - Introduction
Listening to the Voice of the Patient:
Using Multiple Feedback Methods to Complement
Consumer Assessment of Healthcare Providers and
Systems (CAHPS®) Survey Data
A Webinar Presented by the…
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psnet.ahrq.gov/node/48020/psn-pdf
July 17, 2019 - 'I think this medicine actually killed my wife': patient and
family perspectives on shared decision-making to
optimize medications and safety.
July 17, 2019
Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family
perspectives on shared decision-making to optimize …
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psnet.ahrq.gov/node/35544/psn-pdf
March 29, 2010 - How surgeons disclose medical errors to patients: a
study using standardized patients.
March 29, 2010
Chan DK, Gallagher TH, Reznick R, et al. How surgeons disclose medical errors to patients: a study using
standardized patients. Surgery. 2005;138(5):851-8.
https://psnet.ahrq.gov/issue/how-surgeons-disclose-medi…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter7.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 7. References
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter 3. Descript…
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psnet.ahrq.gov/node/47604/psn-pdf
December 21, 2018 - Principles for Patient and Family Partnership in Care: An
American College of Physicians Position Paper.
December 21, 2018
Nickel WK, Weinberger SE, Guze PA, et al. Principles for Patient and Family Partnership in Care: An
American College of Physicians Position Paper. Ann Intern Med. 2018;169(11):796-799. doi:10.7…
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psnet.ahrq.gov/node/45729/psn-pdf
September 20, 2017 - Maximize benefits of IV workflow management systems
by addressing workarounds and errors.
September 20, 2017
ISMP Medication Safety Alert! Acute care edition. September 7, 2017;22:1-4.
https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-
workarounds-and-errors
Workflow process…
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psnet.ahrq.gov/node/46037/psn-pdf
April 16, 2018 - 'If no-one stops me, I'll make the mistake again': changing
prescribing behaviours through feedback; a Perceptual
Control Theory perspective.
April 16, 2018
Ferguson J, Keyworth C, Tully MP. 'If no-one stops me, I'll make the mistake again': Changing prescribing
behaviours through feedback; A Perceptual Control Th…
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psnet.ahrq.gov/node/45898/psn-pdf
August 16, 2017 - Estimating hospital-related deaths due to medical error: a
perspective from patient advocates.
August 16, 2017
Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A
Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. doi:10.1097/PTS.0000000000000364.
http…
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psnet.ahrq.gov/node/74161/psn-pdf
December 08, 2021 - Nursing strategies to safeguard COVID-19 patients from
harm in the intensive care unit.
December 8, 2021
Shiner D, Bock B, Simpson C, et al. Nursing strategies to safeguard COVID-19 patients from harm in the
intensive care unit. Crit Care Nurs Q. 2021;45(1):13-21. doi:10.1097/cnq.0000000000000383.
https://psnet.ah…
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psnet.ahrq.gov/node/45357/psn-pdf
October 09, 2016 - Leading article: how can I optimise my role as a leader
within the surgical team?
October 9, 2016
Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the
surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j.bjoms.2016.05.035.
https://psnet…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/facilitator-guide.html
July 01, 2023 - Facilitator Guide
AHRQ Safety Program for Perinatal Care, Phase 2
The Facilitator Guide provides guidance with scheduling and conducting facilitation sessions, which are planned, in-person, semistructured, interdisciplinary conversations, and practice opportunities with tier 1 audience members. The Planning F…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/prioritization-selection-of-harms.pdf
February 01, 2018 - search, review of EPC reports,
and notes from the KI interviews and summarized themes, which were discussed
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/effect-dietary-digestible-disposition-comments_0.pdf
March 03, 2025 - Disposition of Comments_Systematic Review: The Relationship of Digestible Carbohydrate Intake With Cardiovascular Disease, Type 2 Diabetes, Obesity, and Body Composition
Systematic Review Disposition of Comments Report
Title: Association of Digestible Carbohydrate Intake With Cardiovascular Disease, Type 2
Diabete…