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digital.ahrq.gov/sites/default/files/docs/resource/Adams_Q6_40947_trifold.pdf
June 16, 2021 - The Personal Health Partner
SUMMARY
The Personal Health Partner
is an automated telephone
system designed to:
(1) Gather information about
your child before a
primary care visit;
(2) Share this information
with your pediatrician (in
a very confidential way);
(3) Follow up with you after
the visit to fi…
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psnet.ahrq.gov/node/74273/psn-pdf
January 19, 2022 - Community Living Centers: VA Needs to Strengthen Its
Approach for Addressing Resident Complaints.
January 19, 2022
Washington, DC: United States Government Accountability Office; November 30, 2021. Publication GAO-
22-105142.
https://psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-ad…
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psnet.ahrq.gov/node/45843/psn-pdf
July 02, 2017 - Safety huddles to proactively identify and address
electronic health record safety.
July 2, 2017
Menon S, Singh H, Giardina TD, et al. Safety huddles to proactively identify and address electronic health
record safety. J Am Med Inform Assoc. 2017;24(2):261-267. doi:10.1093/jamia/ocw153.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/45822/psn-pdf
April 24, 2018 - Problems with health information technology and their
effects on care delivery and patient outcomes: a
systematic review.
April 24, 2018
Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care
delivery and patient outcomes: a systematic review. J Am Med Inform Assoc. 2017…
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psnet.ahrq.gov/node/47832/psn-pdf
February 27, 2019 - Another round of the blame game: a paralyzing criminal
indictment that recklessly "overrides" just culture.
February 27, 2019
ISMP Medication Safety Alert! Acute Care Edition. February 14, 2019;24.
https://psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-
overrides-just-cultu…
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psnet.ahrq.gov/node/44344/psn-pdf
July 22, 2015 - Making healthcare safer by understanding, designing and
buying better IT.
July 22, 2015
Thimbleby H, Lewis A, Williams J. Making healthcare safer by understanding, designing and buying better
IT. Clin Med (Lond). 2015;15(3):258-62. doi:10.7861/clinmedicine.15-3-258.
https://psnet.ahrq.gov/issue/making-healthcare-s…
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meps.ahrq.gov/data_files/publications/mr32/mr32.pdf
October 01, 2018 - The categories of providers included:
Office-Based Physicians: Office-based medical doctors (MDs) … , doctors of osteopathy
(DOs), and other medical providers under the supervision of MDs and DOs
… Hospital facilities providing inpatient, outpatient, and emergency room care
Separately Billing Doctors … Separately Billing Doctors
All physicians identified from records of MPC sampled hospitals (not HC … Separately billing doctors were the last
provider group fielded, with the first SBD wave released in
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017300-hahn-final-report-2012.pdf
January 01, 2012 - Working Group on Policies for Electronic Information
Sharing Between Doctors and Patients.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/engagement.html
April 01, 2013 - What we need is doctors’ and nurses’ time on the units who have the skills and the effort to do these … Doctors and nurses are in this business because they care, and they care deeply. … Doctors hate change. They don’t want to do it.” … And I suspect most of you, if I were to ask you if your doctors resist change, your hands would go up … The feeling I get with national quality is, “Oh, these bad doctors and nurses, and they just need to
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
July 01, 2023 - A year later she switched doctors, was diagnosed with
stage 4 lung cancer and lived a way too short … It’s definitely hard to trust doctors
after that. … We just changed doctors. We no longer trust white doctors.
following the medical error.” … Massachusetts residents.25 Fifty-nine percent of respondents who
reported diagnostic problems switched doctors
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psnet.ahrq.gov/node/47405/psn-pdf
January 27, 2019 - Robotic dispensing improves patient safety, inventory
management, and staff satisfaction in an outpatient
hospital pharmacy.
January 27, 2019
Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves
patient safety, inventory management, and staff satisfaction in an outpatie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_rsv.pdf
June 02, 2025 - NICU Toolkit, Appendix A, Respiratory Syncytial Virus (RSV)
Respiratory Syncytial Virus (RSV)
What is Respiratory
Syncytial Virus (RSV)?
■ A common virus that affects babies
and infants.
■ Leading cause of two lung
infections: pneumonia and
bronchitis.
Symptoms of RSV
■ Starts out like a cold with fever o…
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www.ahrq.gov/cpi/about/nac/pcortf-snac/jacobson.html
November 01, 2022 - Subcommittee Member: Mireille Jacobson
Mireille Jacobson, Ph.D., M.A.
Associate Professor
The Leonard Davis School of Gerontology
Co-Director
Aging and Cognition Program
Schaeffer Center for Health Policy and Economics
University of Southern California
Mireille Jacobson, Ph.D., M.A., is an associate p…
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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/46048/psn-pdf
July 05, 2017 - Association between elements of electronic health record
systems and the weekend effect in urgent general
surgery.
July 5, 2017
Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record
Systems and the Weekend Effect in Urgent General Surgery. JAMA Surg. 2017;152(6):602-…
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psnet.ahrq.gov/node/47015/psn-pdf
May 09, 2018 - How DeKalb Medical fixed drug safety problems after fatal
error.
May 9, 2018
Porter S. HealthLeaders Media. April 26, 2018.
https://psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medic…
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psnet.ahrq.gov/node/851449/psn-pdf
July 19, 2023 - Perceived disability-based discrimination in health care
for children with medical complexity.
July 19, 2023
Ames SG, Delaney RK, Houtrow AJ, et al. Perceived disability-based discrimination in health care for
children with medical complexity. Pediatrics. 2023;152(1):e2022060975. doi:10.1542/peds.2022-060975.
http…
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psnet.ahrq.gov/node/72785/psn-pdf
July 22, 2024 - Using Innovative Digital Healthcare Solutions to Improve
Quality at the Point of Care (R21/R33 - Clinical Trial
Optional).
July 22, 2024
Rockville, MD: Agency for Healthcare Research and Quality; July 19, 2024. PA-24-266.
https://psnet.ahrq.gov/issue/using-innovative-digital-healthcare-solutions-improve-qual…
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psnet.ahrq.gov/node/47756/psn-pdf
February 06, 2019 - Meltdown: Why Our Systems Fail and What We Can Do
About It.
February 6, 2019
Clearfield C, Tilcsik A. New York, NY: Penguin Press; 2018. ISBN: 978-0735222632.
https://psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it
Complex systems are prone to failure. This book provides a multi-indu…
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psnet.ahrq.gov/node/45767/psn-pdf
April 17, 2017 - Medication errors attributed to health information
technology.
April 17, 2017
Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8.
https://psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
The unintended consequences associated with health information technologies for …