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psnet.ahrq.gov/node/60032/psn-pdf
March 11, 2020 - Medical teamwork and the evolution of safety science: a
critical review.
March 11, 2020
Neuhaus C, Lutnæs DE, Bergström J. Medical teamwork and the evolution of safety science: a critical
review. Cogn Technol Work. 2020;22(1):13-27. doi:10.1007/s10111-019-00545-8.
https://psnet.ahrq.gov/issue/medical-teamwork-and-…
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psnet.ahrq.gov/node/47601/psn-pdf
December 21, 2018 - Clinical decision support in the era of artificial
intelligence.
December 21, 2018
Shortliffe EH, Sepúlveda MJ. Clinical Decision Support in the Era of Artificial Intelligence. JAMA.
2018;320(21):2199-2200. doi:10.1001/jama.2018.17163.
https://psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intellige…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/healthcare-provider-survey
January 01, 2023 - Healthcare Provider Survey
This is a questionnaire designed to be completed by clinical staff in an ambulatory setting. The tool includes questions to assess user's perceptions of electronic health records and clinical decision support systems.
Survey Document
Healthcare Provider Survey
…
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psnet.ahrq.gov/node/865667/psn-pdf
April 24, 2024 - Impact of short-notice accreditation assessments on
hospitals' patient safety and quality culture--a scoping
review.
April 24, 2024
Scanlan R, Flenady T, Judd J. Impact of short?notice accreditation assessments on hospitals' patient
safety and quality culture- a scoping review. J Adv Nurs. 2024;80(10):3965-3976. d…
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www.ahrq.gov/policymakers/index.html
September 01, 2012 - For Policymakers
Information providing current legislation and policy affecting AHRQ and its mission.
Children's Health Insurance Program Reauthorization Act (CHIPRA) National Evaluation of the Quality Demonstration Grant Program Impact Case Studies AHRQ funding is used to develop research, reports, practical…
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www.ahrq.gov/hai/clabsi-tools/components.html
March 01, 2018 - Toolkit Components
Guide: Purpose and Use of CLABSI Tools
Purpose of the tools
Engage: How does this make the world a better place?
Educate: How will we accomplish this?
Execute: What do I need to do?
Evaluate: How will we know that we made a difference?
References
Appendixes: CLABSI Tools
Appen…
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psnet.ahrq.gov/node/48133/psn-pdf
November 01, 2024 - The NHS Patient Safety Strategy.
November 1, 2024
NHS England
https://psnet.ahrq.gov/issue/nhs-patient-safety-strategy
The United Kingdom National Health Service (NHS) has been at the forefront of patient safety innovation.
This strategy seeks to further implement approaches that explore and optimize the intersect…
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psnet.ahrq.gov/node/34674/psn-pdf
December 23, 2008 - Incidence and preventability of adverse drug events in
hospitalized patients.
December 23, 2008
Bates DW, Leape L, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults.
J Gen Intern Med. 1993;8(6):289-294.
https://psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-even…
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psnet.ahrq.gov/node/37667/psn-pdf
April 02, 2008 - Checklists for assessment and certification of clinical
procedural skills omit essential competencies: a
systematic review.
April 2, 2008
McKinley RK, Strand J, Ward L, et al. Checklists for assessment and certification of clinical procedural
skills omit essential competencies: a systematic review. Med Educ. 2008;…
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psnet.ahrq.gov/node/73332/psn-pdf
May 26, 2021 - An evolving hospital quality star rating system from CMS:
aligning the stars.
May 26, 2021
Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars.
JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946.
https://psnet.ahrq.gov/issue/evolving-hospital-quality-star-rat…
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psnet.ahrq.gov/node/46501/psn-pdf
March 20, 2018 - Blind obedience and an unnecessary workup for
hypoglycemia: a teachable moment.
March 20, 2018
Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A
Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.7104.
https://psnet.ahrq.gov/issue/blind…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-6.html
March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes
Conclusion
Previous Page Next Page
Table of Contents
Improving Education—A Key to Better Diagnostic Outcomes
Introduction
Foundations of Diagnosis Education
Current State of Diagnosis Education
Competencies To Improve Diagnosis in Healt…
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psnet.ahrq.gov/node/45184/psn-pdf
June 01, 2016 - Measuring patient safety in primary care: the
development and validation of the "Patient Reported
Experiences and Outcomes of Safety in Primary Care"
(PREOS-PC).
June 1, 2016
Ricci-Cabello I, Avery A, Reeves D, et al. Measuring Patient Safety in Primary Care: The Development and
Validation of the "Patient Reporte…
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psnet.ahrq.gov/node/42657/psn-pdf
October 16, 2013 - Medication safety and knowledge-based functions: a
stepwise approach against information overload.
October 16, 2013
Patapovas A, Dormann H, Sedlmayr B, et al. Medication safety and knowledge-based functions: a stepwise
approach against information overload. Br J Clin Pharmacol. 2013;76 Suppl 1:14-24.
doi:10.1111/b…
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psnet.ahrq.gov/node/73392/psn-pdf
June 16, 2021 - AI for radiographic COVID-19 detection selects shortcuts
over signal.
June 16, 2021
DeGrave AJ, Janizek JD, Lee S-I. AI for radiographic COVID-19 detection selects shortcuts over signal.
Nat Mach Intell. 2021;3:610–619. doi:10.1038/s42256-021-00338-7.
https://psnet.ahrq.gov/issue/ai-radiographic-covid-19-detection…
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psnet.ahrq.gov/node/851204/psn-pdf
July 05, 2023 - Drugmakers are abandoning cheap generics, and now US
cancer patients can’t get meds.
July 5, 2023
Allen A. KFF Health News. June 21, 2023.
https://psnet.ahrq.gov/issue/drugmakers-are-abandoning-cheap-generics-and-now-us-cancer-patients-
cant-get-meds
A variety of supply-chain, quality control, and economic factor…
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psnet.ahrq.gov/node/41215/psn-pdf
September 04, 2013 - Medical emergency team calls in the radiology
department: patient characteristics and outcomes.
September 4, 2013
Ott LK, Pinsky MR, Hoffman LA, et al. Medical emergency team calls in the radiology department: patient
characteristics and outcomes. BMJ Qual Saf. 2012;21(6):509-18. doi:10.1136/bmjqs-2011-000423.
htt…
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psnet.ahrq.gov/node/43307/psn-pdf
September 26, 2016 - Mitigating errors caused by interruptions during
medication verification and administration: interventions
in a simulated ambulatory chemotherapy setting.
September 26, 2016
Prakash V, Koczmara C, Savage P, et al. Mitigating errors caused by interruptions during medication
verification and administration: interven…
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psnet.ahrq.gov/node/47681/psn-pdf
January 30, 2019 - Infection prevention in the operating room anesthesia
work area.
January 30, 2019
Munoz-Price S, Bowdle A, Johnston L, et al. Infection prevention in the operating room anesthesia work
area. Infect Control Hosp Epidemiol. 2018:1-17. doi:10.1017/ice.2018.303.
https://psnet.ahrq.gov/issue/infection-prevention-operat…
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psnet.ahrq.gov/node/43861/psn-pdf
July 01, 2016 - Misdiagnosis and missed diagnoses in foster and
adopted children with prenatal alcohol exposure.
July 1, 2016
Chasnoff IJ, Wells AM, King L. Misdiagnosis and missed diagnoses in foster and adopted children with
prenatal alcohol exposure. Pediatrics. 2015;135(2):264-70. doi:10.1542/peds.2014-2171.
https://psnet.ahr…