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psnet.ahrq.gov/issue/critical-need-nursing-education-address-diagnostic-process
June 08, 2022 - Commentary
The critical need for nursing education to address the diagnostic process.
Citation Text:
Gleason KT, Harkless G, Stanley J, et al. The critical need for nursing education to address the diagnostic process. Nurs Outlook. 2021;69(3):362-369. doi:10.1016/j.outlook.2020.12.005.
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psnet.ahrq.gov/issue/conducting-safety-research-safely-policy-based-approach-conducting-research-peer-review
June 15, 2022 - Commentary
Conducting safety research safely: a policy-based approach for conducting research with peer review protected material.
Citation Text:
Myers LC, Blumenthal K, Phadke NA, et al. Conducting Safety Research Safely: A Policy-Based Approach for Conducting Research with Peer Review …
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psnet.ahrq.gov/issue/using-computerized-prescriber-order-entry-limit-overrides-automated-dispensing-cabinets
May 18, 2022 - Commentary
Using computerized prescriber order entry to limit overrides from automated dispensing cabinets.
Citation Text:
Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14)…
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psnet.ahrq.gov/issue/teaching-nursing-students-ethical-and-legal-consequences-medical-errors-insights-radonda
July 05, 2017 - Study
Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw technique.
Citation Text:
Geiselman EL, Opsahl A, Townsend C. Teaching nursing students the ethical and legal consequences of medical errors: insig…
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psnet.ahrq.gov/issue/implicit-bias-healthcare-professionals-systematic-review
September 28, 2022 - Review
Implicit bias in healthcare professionals: a systematic review.
Citation Text:
FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18(1):19. doi:10.1186/s12910-017-0179-8.
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psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and-patient-outcomes
February 14, 2024 - Review
Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review.
Citation Text:
Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic r…
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psnet.ahrq.gov/issue/implementation-mock-root-cause-analysis-provide-simulated-patient-safety-training
January 12, 2022 - Commentary
Implementation of a mock root cause analysis to provide simulated patient safety training.
Citation Text:
Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-…
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psnet.ahrq.gov/Information/Privacy
May 23, 2025 - Privacy Policy
Thank you for visiting AHRQ PSNet.
The site is produced by an editorial team at the University of California, Davis under a contract from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services.
We collect no personal information about you when you visit …
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digital.ahrq.gov/program-overview/research-stories/use-ehr-embedded-tools-improve-screening-intimate-partner
January 01, 2023 - Use of EHR-Embedded Tools to Improve Screening for Intimate Partner Violence
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Leveraging Technology for Personalized, Evidence-Based Care and Decision Support
An intervention with new tools and formalized procedures to screen for int…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/clinician-info-poster.pdf
June 02, 2025 - Microsoft Word - Be_Prepared_for_Providers.V8.docx
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psnet.ahrq.gov/issue/error-omission-simple-checklist-approach-improving-operating-room-safety
August 03, 2022 - Commentary
The error of omission: a simple checklist approach for improving operating room safety.
Citation Text:
Rosenfield LK, Chang DS. The error of omission: a simple checklist approach for improving operating room safety. Plast Reconstr Surg. 2009;123(1):399-402. doi:10.1097/PRS.0…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/QbeUNAqhpWwUetvo7sQ4D5
October 01, 2022 - Screening for Anxiety in Children and Adolescents
The USPSTF recognizes that clinical decisions involve more considerations
than evidence alone. Clinicians should understand the evidence but
individualize decision making to the specific patient or situation.
Clinician Summary of USPSTF Recommendation
Scre…
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psnet.ahrq.gov/issue/lancet-commission-lessons-future-covid-19-pandemic
January 12, 2022 - Commentary
The Lancet Commission on lessons for the future from the COVID-19 pandemic.
Citation Text:
Sachs JD, Karim SSA, Aknin L, et al. The Lancet Commission on lessons for the future from the COVID-19 pandemic. Lancet. 2022;400(10359):1224-1280. doi:10.1016/s0140-6736(22)01585-9.
C…
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www.ahrq.gov/news/newsroom/press-releases/antibiotic-prescribing.html
July 01, 2022 - New Study Shows Reductions in Antibiotic Use at Ambulatory Care Clinics Participating in HHS-funded Program
Press Release Date: July 6, 2022
Antibiotic prescribing at ambulatory care clinics was cut almost in half in clinics that participated in a safety program funded by the Department of Health and Human Servic…
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digital.ahrq.gov/funding-mechanism/disseminating-and-implementing-patient-centered-outcomes-research-pcor-evidence
January 01, 2023 - Disseminating and Implementing Patient-Centered Outcomes Research (PCOR) Evidence into Practice through Interoperable Clinical Decision Support (R18)
Development of SMART on FHIR Interoperable Clinical Decision Support for Emergency Department Patients with Pneumonia and Pilot Deploymen…
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www.ahrq.gov/news/newsroom/press-releases/guiding-principles.html
December 01, 2023 - Guiding Principles Help Healthcare Community Address Potential Bias Resulting from Algorithms
Press Release Date: December 15, 2023
A new paper addresses the use of algorithms in healthcare, their impact on racial/ethnic disparities in care, and approaches to identify and mitigate biases.
A paper published toda…
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digital.ahrq.gov/location/usa-mn-minneapolis
January 01, 2023 - USA, MN, Minneapolis
Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions
Description
This research will develop and test novel approaches for using electronic health record metadata to characterize and evaluate hospital dis…
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www.ahrq.gov/funding/process/grant-app-basics/hsubjects.html
August 01, 2018 - Protection of Human Subjects in Research
Tips for Applicants
This guide provides a step-by-step approach to planning, implementing, and sustaining a health services research infrastructure.
Tips for Applicants:
Review the Office of Human Research Protections (OHRP) Web site. OHRP provides leadership an…
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cahpsdatabase.ahrq.gov/CHDSS/login.aspx
April 11, 2025 - Register
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The CAHPS Child Hospital Survey Data Submission System
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psnet.ahrq.gov/submit-case-landing
March 25, 2025 - Breadcrumb
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Training and Education
WebM&M: Case Studies
WebM&M Case Submission
PSNet is looking for interesting, provocative cases that illustrate key issues in patient safety such as medication errors, diagnostic errors, and adverse events that either had the potential …