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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - Strategies to Improve Organizational Health Literacy.
Citation Text:
Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/node/60746/psn-pdf
July 29, 2020 - Misdiagnosis of a Pelvic Mass versus Pregnancy
July 29, 2020
Leiserowitz GS, Herding H. Misdiagnosis of a Pelvic Mass versus Pregnancy. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
The Case
A 28-year-old woman arrived at the Emergency Department (ED) complaining o…
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psnet.ahrq.gov/node/49788/psn-pdf
March 01, 2017 - Correct Treatment Plan for Incorrect Diagnosis: A
Pharmacist Intervention
March 1, 2017
Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet].
2017.
https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
The Case
A 48-year…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
April 01, 2015 - PowerPoint Presentation
Spotlight
Dissecting the Presentation
*
This presentation is based on the April 2015
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Shirley Beng Suat Ooi, MBBS (S'pore), Emergency Medicine Department, National Univers…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
October 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case October 2007
Do Not Disturb!
Source and Credits
This presentation is based on the October 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: F. Daniel Duffy, MD, University of Oklahoma, and…
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psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
August 01, 2019 - We identified only three such studies that evaluated characteristics of documentation created by scribes
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psnet.ahrq.gov/node/44166/psn-pdf
October 13, 2015 - Development and validation of electronic health
record–based triggers to detect delays in follow-up of
abnormal lung imaging findings.
October 13, 2015
Murphy DR, Thomas EJ, Meyer AND, et al. Development and Validation of Electronic Health Record-based
Triggers to Detect Delays in Follow-up of Abnormal Lung Imagin…
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psnet.ahrq.gov/node/860388/psn-pdf
January 10, 2024 - Patient reasoning: patients' and care partners'
perceptions of diagnostic accuracy in emergency care.
January 10, 2024
Dukhanin V, McDonald KM, Gonzalez N, et al. Patient reasoning: patients' and care partners' perceptions
of diagnostic accuracy in emergency care. Med Decis Making. 2024;44(1):102-111.
doi:10.1177/…
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psnet.ahrq.gov/node/60304/psn-pdf
January 01, 2021 - Patients' perspectives of diagnostic error: a qualitative
study.
May 6, 2020
Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J
Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642.
https://psnet.ahrq.gov/issue/patients-perspectives-diagnostic…
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psnet.ahrq.gov/node/836988/psn-pdf
April 27, 2022 - Effect of the surgical safety checklist on provider and
patient outcomes: a systematic review.
April 27, 2022
Armstrong BA, Dutescu IA, Nemoy L, et al. Effect of the surgical safety checklist on provider and patient
outcomes: a systematic review. BMJ Qual Saf. 2022;31(6):463-478. doi:10.1136/bmjqs-2021-014361.
htt…
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psnet.ahrq.gov/node/36434/psn-pdf
February 18, 2011 - Protocol-based computer reminders, the quality of care
and the non-perfectability of man.
February 18, 2011
McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N
Engl J Med. 1976;295(24):1351-5.
https://psnet.ahrq.gov/issue/protocol-based-computer-reminders-qualit…
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psnet.ahrq.gov/node/44246/psn-pdf
November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to
Prevent Harm.
November 15, 2016
Boston, MA: National Patient Safety Foundation; 2015.
https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
The National Patient Safety Foundation issued these guidelines for improving root cause a…
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psnet.ahrq.gov/node/36442/psn-pdf
July 23, 2023 - TeamSTEPPS: Strategies and Tools to Enhance
Performance and Patient Safety.
July 23, 2023
Department of Health and Human Services, Agency for Healthcare Research and Quality, Department of
Defense.
https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
Effective teamwo…
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psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
April 21, 2011 - October 4, 2011
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
November 03, 2015 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
January 19, 2012 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
May 01, 2013 - December 27, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
March 28, 2012 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
May 05, 2010 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
October 04, 2011 - June 18, 2013
Why Current Breast Pathology Practices Must Be Evaluated.