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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-quickstartfull.pdf
January 27, 2017 - Implementation Quick Start Guide: Warm Handoff
Implementation
Quick Start Guide
Warm Handoff
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Implementation Quick Start Guide: Warm Handoff | III
Table of Contents
What Is a Warm Handoff? .......................…
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psnet.ahrq.gov/node/72863/psn-pdf
March 17, 2021 - 7 ways to prevent medical errors.
March 17, 2021
Caceres V. US News World Report. March 1, 2021.
https://psnet.ahrq.gov/issue/7-ways-prevent-medical-errors
Patients and families have an important role in reducing potential for error and harm. This article highlights
a set of tactics for patients to enhan…
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psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - adjustment, and permit more careful monitoring.( 13 ) What patient behaviors should primary care doctors … Tricyclic antidepressants are commonly underdosed by primary care doctors but have substantial side effects … Antidepressants Prescribed by Medical Doctors in Office Based and Outpatient Settings by Specialty for
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - counterproductive and that beg the question of how we can make law work better for medicine—not just for
doctors … conversation-michelle-mello-mphil-jd-phd
https://www.ncbi.nlm.nih.gov/pubmed/1464708
RW: What do lawyers misperceive about doctors … Wachter serves on the board of The Doctors Company, which provides medical malpractice
coverage for
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/effects-costs-enrollees-vonglahn-20120101-transcript.pdf
June 02, 2025 - The Effects of Out-of-Pocket Costs on Enrollees' Experiences With Health Plans: Implications for Consumer Reporting
Transcript release date 1/1/12 www.talkingquality.ahrq.gov
The Effects of Out-of-Pocket Costs on
Enrollees’ Experiences With Health Plans:
Implications for Consumer Reporting
Moderator: Lis…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/09-diagnostic-safety-practice-orientation.pptx
November 24, 2020 - Co-producing a Diagnosis
Engaging Patients To Improve Diagnostic Safety
Practice Orientation
AHRQ Publication No. 21-0047-8-EF
August 2021
1
Diagnostic Errors Are a
Big Challenge
Nearly every person will experience a diagnostic error in their lifetime.
Diagnostic error is the leading patient safety challenge…
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psnet.ahrq.gov/node/49468/psn-pdf
December 16, 2004 - operating
room to the post-anesthesia recovery room, multiple, seemingly simple processes—involving doctors
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psnet.ahrq.gov/node/50878/psn-pdf
February 05, 2020 - The role of racism as a core patient safety issue.
February 5, 2020
Feeley D, Torres T. The role of racism as a core patient safety issue. Healthcare Executive. 2020;35(1):58-
61.
https://psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue
A variety of biases can reduce the effectiveness and safety of care.…
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psnet.ahrq.gov/node/36862/psn-pdf
August 30, 2011 - Cognitive processes involved in blame and blame-like
judgments and in forgiveness and forgiveness-like
judgments.
August 30, 2011
Mullet E, Rivière S, Sastre MTM. Cognitive processes involved in blame and blame-like judgments and in
forgiveness and forgiveness-like judgments. Am J Psychol. 2007;120(1):25-46.
http…
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www.ahrq.gov/patients-consumers/patient-involvement/index.html
November 01, 2016 - Patient Involvement
Get more involved with your health care by asking questions, talking to your clinician, and understanding your condition. Patients and families who engage with health care providers ask good questions and help reduce the risk of errors and hospital admissions. Browse these resources to get s…
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psnet.ahrq.gov/node/43612/psn-pdf
August 02, 2015 - Time of day and the decision to prescribe antibiotics.
August 2, 2015
Linder JA, Doctor JN, Friedberg MW, et al. Time of day and the decision to prescribe antibiotics. JAMA
Intern Med. 2014;174(12):2029-31. doi:10.1001/jamainternmed.2014.5225.
https://psnet.ahrq.gov/issue/time-day-and-decision-prescribe-antibiotics…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
May 28, 2008 - of 90 patients and in excessive
pain that could have been ameliorated
had they been discussed with doctors … have been
ameliorated by proper medical care but were not because patients failed to inform their doctors … who skip doses, stop medications, or experience side effects from
medications do not inform their doctors … about
medication prescribing, such as a patient changing a dose without informing the doctor and two
doctors
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016160-sakuda-final-report-2009.pdf
January 01, 2009 - Each provider should be individually authorized by patient to view records X
Only trust specific doctors … HMVR
My identity will be stolen X X
OK to share if computer system & technology make easier for doctors
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psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
January 01, 2009 - Gallagher's current research covers the disclosure of medical errors, examining patients' and doctors … Thomas Gallagher : I've always been interested in difficult conversations between doctors and patients … That led to my interest in an even more challenging conversation, which is how doctors and patients talk
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psnet.ahrq.gov/perspective/disclosure-medical-error
January 01, 2009 - Gallagher's current research covers the disclosure of medical errors, examining patients' and doctors … Thomas Gallagher : I've always been interested in difficult conversations between doctors and patients … That led to my interest in an even more challenging conversation, which is how doctors and patients talk
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digital.ahrq.gov/ahrq-funded-projects/facilitators-and-barriers-adoption-successful-urban-telemedicine-model/annual-summary/2012
January 01, 2012 - Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model - 2012
Project Name
Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model
Principal Investigator
McConnochie, Kenneth
Organization
University of Rochester
Funding M…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.docx
October 01, 2016 - Tool 3. Resident Information Sheet: Antibiotic-Resistant Bacteria
One of your tests showed that you have a type of bacteria that cannot be treated with the antibiotics you have been taking. [Optional: Insert specific information about the bacteria found, the culture site, and which antibiotics are not effective.] It is…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool2_readm_review.docx
June 02, 2025 - Tool 2: Readmission Review Tool
Tool 2: Readmission Review tool
Purpose
Readmission reviews are designed to elicit the “story behind the story”: going well beyond chief complaint, discharge diagnosis, or other clinical parameters to understand the communication, coordination, or other logistical barriers experienc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/why/why.doc
January 01, 2004 - Why Child Health Measures
Why Child Health Measures?
Contents
Developmental Status and Change
Differential Epidemiology
Dependence
Demographic Patterns
Children with Chronic Health Conditions
Want More Information?
In recent years, there has been growing interest in a special focus on quality measurement for chi…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-slides.html
December 01, 2017 - No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections (May 5, 2015)
Slide Presentation
Slide 1
No More CAUTI - Preventing Catheter-Associated Urinary Tract Infections
Elizabeth Mizerek, MSN, RN, CEN, CPEN, FN-CSA
Assistant Professor of Nursing
Mercer County Community College
Slide 2…