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www.ahrq.gov/diagnostic-safety/research/grants-2022.html
July 01, 2025 - Synthesize implementation experiences to develop a safety surveillance system, "Safer Dx e-Watch," to
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digital.ahrq.gov/sites/default/files/docs/publication/k08hs017948-koopman-final-report-2014.pdf
January 01, 2014 - Secure
messaging and diabetes management: experiences and
perspectives of patient portal users.
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cds.ahrq.gov/sites/default/files/workgroups/28166/CDS_Connect_WG_Summary_August%202021.pdf
August 19, 2021 - CDS Connect Work Group Meeting Summary - August 2021
Clinical Decision Support (CDS) Connect Work Group (WG)
Meeting Summary
August 19, 2021
3:00 – 4:30 pm ET
Attendees: 42 people, including 4 phone dial-ins
Agency for Healthcare
Research and Quality (AHRQ)
Sponsors
Steve Bernstein, Roland Gamache,…
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digital.ahrq.gov/sites/default/files/docs/publication/Dorr_Care_Mgmt_Disc_Guide.pdf
November 18, 2008 - Dorr_Care_Mgmt_Disc_Guide
OHSU
Care Management
(CMP) Discussion
Guide
Ver4.0
CMP Team
11/18/2008
Life of a case under Care Management
Outline 1. Introduction (15 minutes)
2. Day in the life (30 minutes)
3. Process mapping (30 minutes)
4. Bene…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/talkingquality-audience-webcast-20110511-transcript.pdf
June 02, 2025 - A lot of people based on their insurance may not have very many choices
or who may have different experiences
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/TalkingQuality_Audience_Webcast_2011_05_11_Transcript.pdf
January 01, 2011 - A lot of people based on their insurance may not have very many choices
or who may have different experiences
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psnet.ahrq.gov/node/45219/psn-pdf
November 21, 2016 - Patient and Family Engagement in Primary Care: Case
Studies.
November 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-
0035-2-EF.
https://psnet.ahrq.gov/issue/patient-and-family-engagement-primary-care-case-studies
Patient safety in ambulatory care is re…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide66.html
October 01, 2014 - 66. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A4. Assist —Aid the patient in quitting (provide counseling and medication) (Continued)
Provide practical counseling (problem-solving/skills training).
…
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psnet.ahrq.gov/node/46901/psn-pdf
May 30, 2018 - Physician resiliency and wellness for transforming a
health system.
May 30, 2018
Armato CS, Jenike TE. NEJM Catalyst. May 2, 2018.
https://psnet.ahrq.gov/issue/physician-resiliency-and-wellness-transforming-health-system
Physician burnout can contribute to medical errors. This article discusses an organizational e…
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psnet.ahrq.gov/node/73579/psn-pdf
August 11, 2021 - A systematic review on pediatric medication errors by
parents or caregivers at home.
August 11, 2021
Lopez-Pineda A, Gonzalez de Dios J, Guilabert Mora M, et al. A systematic review on pediatric medication
errors by parents or caregivers at home. Expert Opin Drug Saf. 2021:1-11.
doi:10.1080/14740338.2021.1950138.
…
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psnet.ahrq.gov/node/35340/psn-pdf
July 10, 2008 - Posthospital medication discrepancies: prevalence and
contributing factors.
July 10, 2008
Coleman EA, Smith JD, Raha D, et al. Posthospital medication discrepancies: prevalence and contributing
factors. Arch Intern Med. 2005;165(16):1842-1847.
https://psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prev…
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psnet.ahrq.gov/node/850911/psn-pdf
June 21, 2023 - International perspectives on modifications to the
surgical safety checklist.
June 21, 2023
Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist.
JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183.
https://psnet.ahrq.gov/issue/internatio…
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psnet.ahrq.gov/node/35440/psn-pdf
May 27, 2011 - Computerized physician order entry with clinical decision
support in the long-term care setting: insights from the
Baycrest Centre for Geriatric Care.
May 27, 2011
Rochon P, Field T, Bates DW, et al. Computerized physician order entry with clinical decision support in the
long-term care setting: insights from the …
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psnet.ahrq.gov/node/38650/psn-pdf
May 20, 2009 - Resident duty hour regulation and patient safety:
establishing a balance between concerns about resident
fatigue and adequate training in neurosurgery.
May 20, 2009
Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance
between concerns about resident fatigue and adeq…
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psnet.ahrq.gov/node/764409/psn-pdf
March 02, 2022 - She was headed to a locked psych ward. Then an ER
doctor made a startling discovery.
March 2, 2022
Boodman SG. Washington Post. February 12, 2022.
https://psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery
Misdiagnosis over a long period of time can be exacerbated by stig…
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psnet.ahrq.gov/node/43955/psn-pdf
December 04, 2016 - For Colorado mom, story of daughter's hospital death is
key to others' safety.
December 4, 2016
Daley J. Colorado Public Radio. February 17, 2015.
https://psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety
Patient and family stories of harm are increasingly promoted as a strategy to…
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psnet.ahrq.gov/node/39275/psn-pdf
February 03, 2010 - Medical librarians supporting information systems project
lifecycles toward improved patient safety.
February 3, 2010
Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles
toward improved patient safety. Medical librarians possess expertise to navigate various s…
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psnet.ahrq.gov/node/44161/psn-pdf
December 19, 2018 - Among the elderly, many mental illnesses go
undiagnosed.
December 19, 2018
Bor JS. Among the elderly, many mental illnesses go undiagnosed. Health Aff (Millwood). 2015;34(5):727-
31. doi:10.1377/hlthaff.2015.0314.
https://psnet.ahrq.gov/issue/among-elderly-many-mental-illnesses-go-undiagnosed
This commentary spot…
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psnet.ahrq.gov/node/840163/psn-pdf
November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and
Healthcare.
November 16, 2022
Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022.
https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare
Racist behavior directed at either patients or clinicians…
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psnet.ahrq.gov/node/846460/psn-pdf
March 22, 2023 - I’m an ER doctor: here’s what I found when I asked
ChatGPT to diagnose my patients.
March 22, 2023
Tamayo-Sarver J. Fast Company. March 13, 2023.
https://psnet.ahrq.gov/issue/im-er-doctor-heres-what-i-found-when-i-asked-chatgpt-diagnose-my-patients
Artificial intelligence (AI) harbors risks and biases that can mis…