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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
June 02, 2025 - Infographic Poster: Did you know...Patient safety issues in primary care are real.
Did you know...
Patient safety issues in
primary care are real.
Annually,
1 in 20 outpatients experiences a diagnostic error
55%
of patients said
diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissi…
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psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-directions
November 18, 2009 - Review
Errors in cancer diagnosis: current understanding and future directions.
Citation Text:
Singh H, Sethi S, Raber M, et al. Errors in cancer diagnosis: current understanding and future directions. J Clin Oncol. 2007;25(31):5009-18.
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psnet.ahrq.gov/issue/how-long-and-how-much-are-nurses-now-working
April 01, 2024 - Study
How long and how much are nurses now working?
Citation Text:
Trinkoff AM, Geiger-Brown J, Brady B, et al. How long and how much are nurses now working? Am J Nurs. 2006;106(4):60-72.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…
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psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice
February 21, 2015 - Study
Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice.
Citation Text:
Pakis I, Polat O, Yayci N, et al. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Am J Forensic Med Pathol. 2010;31(3):218-21. …
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psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
October 05, 2022 - Commentary
Patient safety in palliative care at the end of life from the perspective of complex thinking.
Citation Text:
Bittencourt NCC de M, Duarte S da CM, Marcon SS, et al. Patient safety in palliative care at the end of life from the perspective of complex thinking. Healthcare (Base…
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psnet.ahrq.gov/issue/color-coded-medication-safety-system-reduces-community-pediatric-emergency-nursing-medication
April 05, 2023 - Study
Color coded medication safety system reduces community pediatric emergency nursing medication errors.
Citation Text:
Feleke R, Kalynych CJ, Lundblom B, et al. Color coded medication safety system reduces community pediatric emergency nursing medication errors. J Patient Saf. 2009…
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psnet.ahrq.gov/issue/diagnostic-error-mental-health-review
October 19, 2012 - Review
Diagnostic error in mental health: a review.
Citation Text:
Bradford A, Meyer AND, Khan S, et al. Diagnostic error in mental health: a review. BMJ Qual Saf. 2024;33(10):663-672. doi:10.1136/bmjqs-2023-016996.
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DOI Google Scholar BibTeX EndNote X3…
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psnet.ahrq.gov/issue/emergency-department-visits-antibiotic-associated-adverse-events
October 31, 2014 - Study
Emergency department visits for antibiotic-associated adverse events.
Citation Text:
Shehab N, Patel PR, Srinivasan A, et al. Emergency department visits for antibiotic-associated adverse events. Clin Infect Dis. 2008;47(6):735-43. doi:10.1086/591126.
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psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solution
March 25, 2020 - Commentary
Misdiagnosis in the emergency department: time for a system solution.
Citation Text:
Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA. 2023;329(8):631-632. doi:10.1001/jama.2023.0577.
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DOI Goo…
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psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
August 09, 2018 - Study
A tool for the concise analysis of patient safety incidents.
Citation Text:
Pham JC, Hoffman C, Popescu I, et al. A Tool for the Concise Analysis of Patient Safety Incidents. Jt Comm J Qual Patient Saf. 2016;42(1):26-33.
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psnet.ahrq.gov/issue/ethical-dilemma-missed-melanoma-what-tell-patient-and-other-providers
March 17, 2021 - Commentary
Ethical dilemma in missed melanoma: what to tell the patient and other providers.
Citation Text:
Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016…
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.pdf
June 02, 2025 - Infographic Poster: Did you know...Patient safety issues in primary care are real.
Did you know...
Patient safety issues in
primary care are real.
Annually,
1 in 20 outpatients experiences a diagnostic error
55%
of patients said
diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissi…
-
psnet.ahrq.gov/issue/effect-diagnostic-accuracy-cognitive-reasoning-tools-workplace-setting-systematic-review-and
February 02, 2022 - Review
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.
Citation Text:
Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience-research/byrne-jm-et
January 01, 2023 - Byrne JM et al. 2009 "Initial experience with patient-clinician secure messaging at a VA medical center."
Reference
Byrne JM, Elliott S, Firek A. Initial experience with patient-clinician secure messaging at a VA medical center. J Am Med Inform Assoc 2009;16(2):267-270.
[Link]
Abstract
"The …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rosenberg-sn-et-al-2008
January 01, 2008 - Rosenberg SN et al. 2008 "Supporting the patient's role in guideline compliance: a controlled study."
Reference
Rosenberg SN, Shnaiden TL, Wegh AA, et al. Supporting the patient's role in guideline compliance: a controlled study. Am J Manag Care 2008;14(11):737-744.
Abstract
"Objective: Clinic…
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psnet.ahrq.gov/issue/epidemiology-medical-error
March 29, 2012 - Commentary
Classic
Epidemiology of medical error.
Citation Text:
Weingart SN, Wilson R, Gibberd RW, et al. Epidemiology of medical error. BMJ. 2000;320(7237):774-7.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…
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psnet.ahrq.gov/issue/understanding-and-addressing-sources-anxiety-among-health-care-professionals-during-covid-19
December 02, 2020 - Commentary
Classic
Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic.
Citation Text:
Shanafelt TD, Ripp JA, Trockel M. Understanding and addressing sources of anxiety among health care professionals duri…
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digital.ahrq.gov/ahrq-funded-projects/improving-electronic-health-records-patient-education-materials
January 01, 2023 - Improving Electronic Health Records Patient Education Materials
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-09-00012I-4
Funding Mechanism(s)
National Resource Center for …
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psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery
November 26, 2008 - Study
Classic
Operating room briefings and wrong-site surgery.
Citation Text:
Makary MA, Mukherjee A, Sexton B, et al. Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43.
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psnet.ahrq.gov/issue/usability-and-feasibility-consumer-facing-technology-reduce-unsafe-medication-use-older
February 17, 2011 - Study
Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults.
Citation Text:
Holden RJ, Campbell NL, Abebe E, et al. Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. Res Social Adm Ph…