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psnet.ahrq.gov/node/861770/psn-pdf
January 31, 2024 - Understanding liability risk from using health care
artificial intelligence tools.
January 31, 2024
Mello MM, Guha N. Understanding liability risk from using health care artificial intelligence tools. N Engl J
Med. 2024;390(3):271-278. doi:10.1056/nejmhle2308901.
https://psnet.ahrq.gov/issue/understanding-liabilit…
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psnet.ahrq.gov/node/838256/psn-pdf
October 05, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic
Safety: Pragmatic Recommendations for Nurse Leaders
and Educators.
October 5, 2022
Tran AK, Calabrese M, Quatrara B, et al. Rockville, MD: Agency for Healthcare Research and Quality;
September 2022. AHRQ Publication No. 22-0026-4-EF.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/866967/psn-pdf
October 16, 2024 - Placing patient safety at the heart of value-based
healthcare.
October 16, 2024
La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J
Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087.
https://psnet.ahrq.gov/issue/placing-patient-safety-heart-…
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www.ahrq.gov/topics/grants.html
January 01, 2011 - Topic: Grants
AHRQ grants support research to improve the quality, effectiveness, accessibility, and cost effectiveness of healthcare.
AHRQ Grant Final Progress Report Template
AHRQ Grantee Profiles
AHRQ Infrastructure for Maintaining Primary Care Transformation…
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psnet.ahrq.gov/node/47167/psn-pdf
May 30, 2018 - AHRQ Health Information Technology Division's 2017
Annual Report.
May 30, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-
EF.
https://psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
Health care has worked to enhance use…
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psnet.ahrq.gov/node/45298/psn-pdf
April 22, 2017 - The problem with root cause analysis.
April 22, 2017
Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-
422. doi:10.1136/bmjqs-2016-005511.
https://psnet.ahrq.gov/issue/problem-root-cause-analysis
Root cause analysis (RCA) is a strategy to investigate incident…
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psnet.ahrq.gov/node/44725/psn-pdf
February 24, 2016 - Selected medication safety risks to manage in 2016 that
might otherwise fall off the radar screen—part 1 and part
2.
February 24, 2016
ISMP Medication Safety Alert! Acute care edition. January 28, 2016;21:1-4; February 11, 2016;21:1-5.
https://psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might…
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psnet.ahrq.gov/node/47274/psn-pdf
November 21, 2018 - Developing a hospital-wide quality and safety dashboard:
a qualitative research study.
November 21, 2018
Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety
dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. doi:10.1136/bmjqs-2018-
007784.
…
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psnet.ahrq.gov/node/44348/psn-pdf
September 04, 2016 - Examining the attitudes of hospital pharmacists to
reporting medication safety incidents using the theory of
planned behaviour.
September 4, 2016
Williams SD, Phipps D, Ashcroft DM. Examining the attitudes of hospital pharmacists to reporting
medication safety incidents using the theory of planned behaviour. Int J…
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psnet.ahrq.gov/node/44597/psn-pdf
October 28, 2015 - Smarter clinical checklists: how to minimize checklist
fatigue and maximize clinician performance.
October 28, 2015
Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician
Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.0000000000000352.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/46430/psn-pdf
September 27, 2017 - Can residents detect errors in technique while observing
central line insertions?
September 27, 2017
Pei K, Merola J, Davis KA, et al. Can residents detect errors in technique while observing central line
insertions? Am J Surg. 2017;213(6):1166-1170.e1. doi:10.1016/j.amjsurg.2016.08.026.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/47737/psn-pdf
March 06, 2019 - Quality improvement and safety in pediatric emergency
medicine.
March 6, 2019
Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine.
Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010.
https://psnet.ahrq.gov/issue/quality-improvement-and-safety-pedia…
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psnet.ahrq.gov/node/47205/psn-pdf
July 25, 2018 - Teamwork and Teamwork Training in Healthcare.
July 25, 2018
Teamwork and Teamwork Training in Health care: An Integration and a Path Forward. Buljac-Samardzic M,
Dekker-van Doorn C, Maynard MT, eds. Group Org Manag. 2018;43(3):351-527.
doi:10.1177/1059601118774669.
https://psnet.ahrq.gov/issue/teamwork-and-teamwor…
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psnet.ahrq.gov/node/866824/psn-pdf
September 25, 2024 - 'Failing wisely' can promote a safer healthcare system.
September 25, 2024
Fleisher LA, Edmondson AC. 'Failing wisely' can promote a safer healthcare system. MedPage Today.
September 17, 2024;
https://psnet.ahrq.gov/issue/failing-wisely-can-promote-safer-healthcare-system
The ability to learn-by-doing in an enviro…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship9.html
August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Conclusion
Previous Page Next Page
Table of Contents
Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Introduction
Background
Diagnostic Error in the Testing Process
Diagnostic …
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psnet.ahrq.gov/node/48047/psn-pdf
June 05, 2019 - Do safety briefings improve patient safety in the acute
hospital setting? A systematic review.
June 5, 2019
Ryan S, Ward M, Vaughan D, et al. Do safety briefings improve patient safety in the acute hospital setting?
A systematic review. J Adv Nurs. 2019;75(10):2085-2098. doi:10.1111/jan.13984.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/45378/psn-pdf
January 23, 2017 - Quantitative analysis of the content of EMS handoff of
critically ill and injured patients to the emergency
department.
January 23, 2017
Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically
Ill and Injured Patients to the Emergency Department. Prehosp Emerg Ca…
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psnet.ahrq.gov/node/46131/psn-pdf
December 19, 2017 - Characteristics associated with requests by pathologists
for second opinions on breast biopsies.
December 19, 2017
Geller BM, Nelson HD, Weaver DL, et al. Characteristics associated with requests by pathologists for
second opinions on breast biopsies. J Clin Pathol. 2017;70(11):947-953. doi:10.1136/jclinpath-2016-
…
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psnet.ahrq.gov/node/45657/psn-pdf
March 08, 2017 - The causes of errors in clinical reasoning: cognitive
biases, knowledge deficits, and dual process thinking.
March 8, 2017
Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases,
Knowledge Deficits, and Dual Process Thinking. Acad Med. 2017;92(1):23-30.
doi:10.1097/…
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psnet.ahrq.gov/node/44676/psn-pdf
January 22, 2016 - Nursing assessment of continuous vital sign surveillance
to improve patient safety on the medical/surgical unit.
January 22, 2016
Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve
patient safety on the medical/surgical unit. J Clin Nurs. 2016;25(1-2):278-81. doi:10.…