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psnet.ahrq.gov/node/73926/psn-pdf
October 06, 2021 - Good for You, Good for Us, Good for Everybody.
October 6, 2021
Ridge K. London, England: Crown Copyright; 2021. September 22, 2021.
https://psnet.ahrq.gov/issue/good-you-good-us-good-everybody
Overprescribing has attained prominence as a safety issue due to the current opioid epidemic, but it has
long reduced medi…
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psnet.ahrq.gov/node/73201/psn-pdf
March 04, 2024 - Diagnostic Safety Supplemental Item Set for Medical
Office SOPS.
March 4, 2024
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/diagnostic-safety-supplemental-item-set-medical-office-sops
Safe diagnosis in medical offices is challenged by staff workload, communication, and poor inform…
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psnet.ahrq.gov/node/845654/psn-pdf
March 08, 2023 - NHS staff cried in safety interviews, says watchdog.
March 8, 2023
Reed J. BBC. February 27, 2023.
https://psnet.ahrq.gov/issue/nhs-staff-cried-safety-interviews-says-watchdog
Stressful and caustic work environments are known to compromise health care safety and teamwork. This
news story discusses an ongoing inves…
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psnet.ahrq.gov/node/39595/psn-pdf
June 15, 2011 - Application of human error theory in case analysis of
wrong procedures.
June 15, 2011
Duthie EA. Application of Human Error Theory in Case Analysis of Wrong Procedures. J Patient Saf.
2010;6(2):108-114. doi:10.1097/pts.0b013e3181de47f9.
https://psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wron…
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psnet.ahrq.gov/node/42525/psn-pdf
November 20, 2013 - A Promise to Learn—a Commitment to Act: Improving the
Safety of Patients in England.
November 20, 2013
National Advisory Group on the Safety of Patients in England. London, England: Crown Publishing; August
2013.
https://psnet.ahrq.gov/issue/promise-learn-commitment-act-improving-safety-patients-england
An intern…
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psnet.ahrq.gov/node/50877/psn-pdf
February 05, 2020 - Artificial intelligence makes bad medicine even worse.
February 5, 2020
Aschwanden C. Wired Magazine. January 10, 2020.
https://psnet.ahrq.gov/issue/artificial-intelligence-makes-bad-medicine-even-worse
The unintended consequences of artificial intelligence (AI) in healthcare continue to generate clinician
concern…
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psnet.ahrq.gov/node/867531/psn-pdf
January 15, 2025 - Psychological Safety in Healthcare Settings.
January 15, 2025
Psychological Safety in Healthcare Settings. Int J Public Health. 2024;69.
https://psnet.ahrq.gov/issue/psychological-safety-healthcare-settings
The importance of creating healthcare environments that enable concerns to be voiced and support
individuals…
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psnet.ahrq.gov/node/42491/psn-pdf
September 18, 2013 - The incidence of diagnostic error in medicine.
September 18, 2013
Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27.
doi:10.1136/bmjqs-2012-001615.
https://psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
This review examines eight research methods used to es…
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psnet.ahrq.gov/node/45411/psn-pdf
August 31, 2016 - Burnout in the nursing home health care aide: a
systematic review.
August 31, 2016
Cooper SL, Carleton HL, Chamberlain SA, et al. Burnout in the nursing home health care aide: A
systematic review. Burn Res. 2016;3(3):76-87. doi:10.1016/j.burn.2016.06.003.
https://psnet.ahrq.gov/issue/burnout-nursing-home-health-ca…
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www.ahrq.gov/cahps/quality-improvement/research/index.html
March 01, 2025 - Partnering with a different large, free-standing children’s hospital, the team is further examining these
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/postmenopausal-osteoporosis-screening-1996
January 01, 1996 - or calcaneus is also predictive for future risk of nonspine fracture. 25
QCT is highly accurate in examining
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meps.ahrq.gov/data_files/publications/st516/stat516.shtml
September 01, 2018 - and long-term use—opioids are not recommended as the first-line treatment for most types of pain. 1 Examining
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www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
October 01, 2014 - Fiscal Year 2011 Research on Child and Adolescent Health
New Starts
This fact sheet summarizes new grants and contracts focused on child and adolescent health and health care—including research, conference, and training projects, as well as other initiatives—funded in FY 2011 by the Agency for Hea…
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www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
January 01, 2024 - Final Progress Report: Partnering With Patients To Find Adverse Events
Weingart, 1 K08 HS11644
Partnering with Patients to Find Adverse Events
Saul N. Weingart, MD, PhD
VP for Patient Safety
Dana-Farber Cancer Institute, and
Associate Professor of Medicine
Harvard Medical School
44 Binney St.
Boston, MA 02…
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - Spotlight
Spotlight
Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations
1
Source and Credits
This presentation is based on the January 2025 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Samantha Brown…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025984-malone-final-report-2023.pdf
January 01, 2023 - Systematic Reviews and Meta-Analyses
− A systematic review examining risk of bleeding after exposure … Examining specific DDIs, the percentage of interruptive alerts that the
algorithms suggest completely … For our study examining contextual factors that could be used to customize DDI warnings based
on common
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meps.ahrq.gov/data_files/publications/st552/stat552.pdf
September 20, 2023 - and
overdose.1 As OUD and opioid overdose deaths continue to be major public health
concerns,2,3 examining
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meps.ahrq.gov/data_files/publications/st552/stat552.shtml
September 01, 2023 - As OUD and opioid overdose deaths continue to be major public health concerns,
2 , 3 examining
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effectivehealthcare.ahrq.gov/sites/default/files/tech-brief-39-pediatric-cancer-survivorship-comments.pdf
March 01, 2021 - There are lots of papers
examining outcomes in the biomedical and
psychosocial domain (many of them
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psnet.ahrq.gov/node/45654/psn-pdf
July 11, 2017 - Hospital prescribing of opioids to Medicare beneficiaries.
July 11, 2017
Jena AB, Goldman D, Karaca-Mandic P. Hospital Prescribing of Opioids to Medicare Beneficiaries. JAMA
Intern Med. 2016;176(7):990-7. doi:10.1001/jamainternmed.2016.2737.
https://psnet.ahrq.gov/issue/hospital-prescribing-opioids-medicare-benefic…