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psnet.ahrq.gov/node/41926/psn-pdf
January 02, 2013 - As she lay dying: how I fought to stop medical errors
from killing my mom.
January 2, 2013
Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood).
2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833.
https://psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-m…
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psnet.ahrq.gov/node/38361/psn-pdf
January 31, 2011 - IOM: shorten residents' work shifts to reduce fatigue,
improve patient safety.
January 31, 2011
Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA.
2009;301(3):259-61. doi:10.1001/jama.2008.940.
https://psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue…
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psnet.ahrq.gov/node/44939/psn-pdf
March 09, 2016 - Listening for What Matters: Avoiding Contextual Errors in
Health Care.
March 9, 2016
Weiner SJ, Schwartz A. New York, NY: Oxford University Press; 2016. ISBN: 9780190228996.
https://psnet.ahrq.gov/issue/listening-what-matters-avoiding-contextual-errors-health-care
This book discusses how physicians can reduce cont…
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psnet.ahrq.gov/node/39966/psn-pdf
February 01, 2011 - Journey to no preventable risk: The Baylor Health Care
System patient safety experience.
February 1, 2011
Kennerly DA, Richter KM, Good V, et al. Journey to no preventable risk: the Baylor Health Care System
patient safety experience. Am J Med Qual. 2011;26(1):43-52. doi:10.1177/1062860610374645.
https://psnet.ahr…
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psnet.ahrq.gov/node/42768/psn-pdf
November 27, 2013 - Findings and Lessons From the Improving Management
of Individuals With Complex Health Care Needs Through
Health IT Grant Initiative.
November 27, 2013
Rockville, MD: Agency for Healthcare Research and Quality; September 2013. AHRQ Publication No. 13-
0058-EF.
https://psnet.ahrq.gov/issue/findings-and-lesso…
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psnet.ahrq.gov/node/43376/psn-pdf
January 16, 2017 - Resilience and resilience engineering in health care.
January 16, 2017
Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J
Qual Patient Saf. 2014;40(8):376-383.
https://psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
Resilience is a charac…
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psnet.ahrq.gov/node/46875/psn-pdf
March 07, 2018 - Improving medication-related clinical decision support.
March 7, 2018
Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J
Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830.
https://psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-suppo…
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psnet.ahrq.gov/node/41697/psn-pdf
September 19, 2012 - From good to better: toward a patient safety initiative in
dentistry.
September 19, 2012
Ramoni R, Walji MF, White J, et al. From good to better: toward a patient safety initiative in dentistry. J Am
Dent Assoc. 2012;143(9):956-60.
https://psnet.ahrq.gov/issue/good-better-toward-patient-safety-initiative-dentistry…
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psnet.ahrq.gov/node/848828/psn-pdf
May 10, 2023 - Nurse Staffing Standards for Hospital Patient Safety and
Quality Care Act of 2023.
May 10, 2023
118th Cong (2023-2024).
https://psnet.ahrq.gov/issue/nurse-staffing-standards-hospital-patient-safety-and-quality-care-act-2023
Nurse staffing and patient care outcomes are linked, yet variation exists in nursing covera…
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psnet.ahrq.gov/node/47569/psn-pdf
April 10, 2019 - The computerized ECG: friend and foe.
April 10, 2019
Smulyan H. The Computerized ECG: Friend and Foe. Am J Med. 2019;132(2):153-160.
doi:10.1016/j.amjmed.2018.08.025.
https://psnet.ahrq.gov/issue/computerized-ecg-friend-and-foe
Misinterpretations of critical tests can lead to diagnostic delays and patient harm. Th…
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psnet.ahrq.gov/node/39085/psn-pdf
November 11, 2009 - Integrating ethics and patient safety: the role of clinical
ethics consultants in quality improvement.
November 11, 2009
Opel DJ, Brownstein D, Diekema DS, et al. Integrating ethics and patient safety: the role of clinical ethics
consultants in quality improvement. J Clin Ethics. 2009;20(3):220-6.
https://psnet.ah…
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psnet.ahrq.gov/node/44329/psn-pdf
September 04, 2016 - Electronic medication reconciliation and medication
errors.
September 4, 2016
Hron JD, Manzi S, Dionne R, et al. Electronic medication reconciliation and medication errors. Int J Qual
Health Care. 2015;27(4):314-9. doi:10.1093/intqhc/mzv046.
https://psnet.ahrq.gov/issue/electronic-medication-reconciliation-and-med…
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psnet.ahrq.gov/node/45401/psn-pdf
August 17, 2016 - A better safety net for young doctors.
August 17, 2016
Landro L. Wall Street Journal. August. 8, 2016.
https://psnet.ahrq.gov/issue/better-safety-net-young-doctors
First-year residents may be reluctant to ask for assistance due to factors such as peer pressure to
demonstrate competency. This newspaper article repo…
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cdsic.ahrq.gov/sites/default/files/2024-09/CDSiC%20Infographic%202024_508_0.pdf
January 01, 2024 - Patient Preferences Are Essential to Bringing the Patient Into Focus
Patient Preferences Are
Essential to Bringing
the Patient Into Focus
Patient preferences are an essential component of the patient voice and their
subsequent use in patient-centered clinical decision support
(PC CDS) can advance pati…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-leiferman.html
May 01, 2024 - Developing and Implementing Educational Resources to Address Perinatal Mental Health
Jenn Leiferman, Ph.D. Chair and Professor University of Colorado-Denver Jenn Leiferman, Ph.D. “Since early in my research career, I have been focused on what we could do to ensure that every child has the best possible start in…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
March 01, 2023 - Grantee Profile
Developing Innovative Simulation-Based Training to Improve Patient Safety in Radiation Oncology
Lukasz Mazur, Ph.D.
Associate Professor of Radiation Oncology
UNC School of Medicine
Lukasz Mazur, Ph.D.
“AHRQ funding enabled me and my team to develop innovative simulation-based…
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www.ahrq.gov/news/blog/ahrqviews/delivery-primary-care.html
November 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ’s Research and Tools Help Transform Delivery of Primary Care
NOV
7
2022
By
Tess
Miller,
Dr.P.H.
The unprecedented challenges of COVID-19 underscored the vital role played by the Nation’s vast network of primary care practices—a…
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/ga.html
March 01, 2019 - State at a Glance: Georgia
Learn more about the CHIPRA quality demonstration projects being implemented in Georgia.
Georgia is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 6 : How are CHIPRA quality demonstration States working together to improve the quality …
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www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-d-emerging.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
Emerging Research Spotlights
Previous Page Next Page
Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's National Center for Excellence in Primary Ca…
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psnet.ahrq.gov/issue/empowerment-failure-how-shortcomings-physician-communication-unwittingly-undermine-patient
January 17, 2019 - Study
Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy.
Citation Text:
Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):…