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cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_WG_February_2022_Summary.pdf
January 01, 2022 - CDS Connect Work Group February 2022 Summary
Clinical Decision Support (CDS) Connect Work Group (WG)
Meeting Summary
February 17, 2022
3:00 – 4:00 pm ET
Attendees: 37 people, including 6 phone dial-ins
Organization Attendees
AHRQ Sponsors Mario Teran, Roland Gamache (2)
WG Members Alex Goel, Alison…
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psnet.ahrq.gov/node/33617/psn-pdf
August 01, 2005 - In Conversation with…Barbara A. Blakeney, MS, RN
August 1, 2005
In Conversation with…Barbara A. Blakeney, MS, RN. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
Editor's Note: Barbara A. Blakeney, MS, RN, is President of the 150,000-member American Nurses
Associa…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
June 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case June 2004
The Wrong Shot:
Error Disclosure
Source and Credits
This presentation is based on the June 2004
AHRQ WebM&M Spotlight Case in Pediatrics
CME credit is available through the Web site
See the full article at http://webmm.ahrq.gov
Commentary by: Thomas H. …
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psnet.ahrq.gov/node/836878/psn-pdf
April 27, 2022 - The Media’s Role in Patient Safety
April 27, 2022
Millenson ML, Dowell P, Mossburg SE. The Media’s Role in Patient Safety. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/medias-role-patient-safety
Brief History of the Media Influencing Patient Safety
Despite studies raising questions about avoidable ha…
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psnet.ahrq.gov/node/33753/psn-pdf
August 22, 2013 - Update on Safety Culture
August 22, 2013
Frankel A, Leonard M. Update on Safety Culture. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/update-safety-culture
Perspective
Safe and reliable care requires a culture of safety: a collaborative environment in which skilled clinicians
treat each other with r…
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psnet.ahrq.gov/primer/duty-hours-and-patient-safety
June 15, 2024 - Duty Hours and Patient Safety
Citation Text:
Duty Hours and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/node/33585/psn-pdf
March 15, 2025 - Radiation Safety
March 15, 2025
Radiation Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/radiation-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2025…
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digital.ahrq.gov/ahrq-funded-projects/personal-health-information-management-and-design-consumer-health-it/annual
January 01, 2023 - Personal Health Information Management and Design of Consumer Health Information Technology - 2009
Project Name
Personal Health Information Management and Design of Consumer Health IT
Principal Investigator
Peterson, Anne
Organization
Insight Policy Research, Inc.
Con…
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digital.ahrq.gov/sites/default/files/docs/page/2006WardWakefieldLi_051111comp.pdf
January 01, 2005 - Statewide Efforts to Enhance HIT in Critical Access Hospitals
Statewide Efforts
to Enhance HIT in
Critical Access Hospitals
AHRQ Patient Safety and HIT Conference
Marcia M. Ward, James Bahensky,
Douglas S. Wakefield, Pengxiang Li
University of Iowa
Funded by AHRQ Grant HS015009
AHRQ Grant
HIT Value in Iowa …
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
January 01, 2017 - The Timeline to Diagnostic Safety SIDM -Research as a Priority
The Timeline to Diagnostic Safety
SIDM - Research as a Priority
Mark L Graber MD FACP
Senior Fellow – RTI International
Professor Emeritus - SUNY Stony Brook
Founder and President – SIDM
graber.mark@gmail.com
VISION: Creating a world
where no pat…
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digital.ahrq.gov/sites/default/files/docs/page/2006PattersonGeisWears_051611comp.pdf
March 01, 2006 - Implementation of a Simulation Based Patient Safety Curriculum in a Pediatric Emergency Department
Implementation of a Simulation
Based Patient Safety Curriculum
in a Pediatric Emergency
Department
Mary D. Patterson, MD, MEd
Gary Geis, MD
Cincinnati Children’s Hospital
Robert L. Wears, MD, MS
University of Flori…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6i-shared-decisionmaking.html
April 01, 2023 - Strategy 6I: Shared Decisionmaking
Contents
6.I.1. The Problem
6.I.2. The Intervention
6.I.3. Benefits of This Intervention
6.I.4. Implementation of This Intervention
References
Download Strategy 6I:
Shared Decisionmaking
(PDF, 270 KB)
6.I.1. The Problem
Although pat…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-fac-guide.html
February 01, 2017 - Daily Goals During Interdisciplinary Rounds: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Daily Goals During Interdisciplinary Rounds
Say:
In this session, we will discuss Daily Goals during interdisciplinary rounds.
Slide 2: Learning Objectives
Say:
After …
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015280-hsu-final-report-2008.pdf
January 01, 2008 - System factors included having a regular
doctor, insurance type, and years in the health system. … ethnicity (OR =
1.14, 95% CI: 1.10-1.79), low SES (OR = 1.06, 95% CI: 1.04-1.10), or without a regular doctor
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digital.ahrq.gov/sites/default/files/docs/lesson/10-0010-ef-medication-adherence.pdf
November 01, 2009 - number of
medications taken, fidelity to
prescription, dosage
errors/nonadherence, ensuring
that the doctor … knows all
medications taken, and
understanding doctor instructions.
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - and said, "10 people are going to introduce themselves at discharge: the dietitian, the nurse, the doctor … sure that people don't fall off during the time in between leaving the hospital and seeing their own doctor
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psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - Or Doctor A versus Doctor B within the same hospital?
NS: All of the above.
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psnet.ahrq.gov/node/33883/psn-pdf
July 01, 2019 - RW: It sounds like the doctor is not even thinking about the data other than in real time.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/back-pain-treatment_consumer.pdf
November 01, 2016 - * Your health care professional may include your primary care doctor, nurse practitioner,
physician
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - Related Resources
WebM&M Cases
Getting the (Right) Doctor