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integrationacademy.ahrq.gov/news-and-events/calendar/event/23477
July 10, 2025 - An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power-protect-them
June 28, 2023 - Newspaper/Magazine Article
Millions of people used tainted breathing machines. The FDA failed to use its power to protect them.
Citation Text:
Millions of people used tainted breathing machines. The FDA failed to use its power to protect them. Cenziper D, Sallah MD, Korsh M. ProPublica. …
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digital.ahrq.gov/ahrq-funded-projects/stanford-medicine-x-health-care-and-emerging-technologies/annual-summary/2012
January 01, 2012 - Stanford Medicine X-Health Care and Emerging Technologies - 2012
Project Name
Stanford Medicine X-Health Care and Emerging Technologies
Principal Investigator
Chu, Lawrence
Organization
Stanford University
Funding Mechanism
PAR: HS09-257: AHRQ Grant Program for Larg…
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digital.ahrq.gov/ahrq-funded-projects/effects-age-cognition-and-health-literacy-use-patient-emr/annual-summary/2010
January 01, 2010 - The Effects of Age, Cognition, and Health Literacy on Use of a Patient EMR - 2010
Project Name
The Effects of Age, Cognition, and Health Literacy on Use of a Patient EMR
Principal Investigator
Taha, Jessica Rose
Organization
University of Miami
Funding Mechanism
PAR…
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psnet.ahrq.gov/issue/evidence-use-clinical-reasoning-checklists-diagnostic-error-reduction
October 06, 2021 - Book/Report
Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction.
Citation Text:
Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. Zwaan L, Staal J. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. A…
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psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it
November 20, 2019 - Newspaper/Magazine Article
Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it.
Citation Text:
Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Park A. Time Magazine. January 24, 2019.
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digital.ahrq.gov/ahrq-funded-projects/consumer-engagement-developing-electronic-health-information-systems
January 01, 2023 - Consumer Engagement in Developing Electronic Health Information Systems
Project Final Report ( PDF , 372.87 KB)
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psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
September 06, 2011 - Book/Report
Classic
Improving Diagnostic Quality and Safety Final Report.
Citation Text:
Improving Diagnostic Quality and Safety Final Report. Washington, DC: National Quality Forum. September 19, 2017.
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psnet.ahrq.gov/issue/sepsis-recognizing-next-event
July 13, 2010 - Commentary
Sepsis: recognizing the next event.
Citation Text:
Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6. doi:10.1097/01.NURSE.0000434320.25397.53.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0658-140831.pdf
July 19, 2014 - Topic 0556 CE of Treatments for Diabetic Peripheral Neuropathy NSD SJ clean
Comparative Effectiveness of Treatments for
Diabetic Peripheral Neuropathy
N…
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psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
January 12, 2011 - Study
Medication prescribing errors involving the route of administration.
Citation Text:
Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm. 2010;41(11):1053-1066. doi:10.1310/hpj4111-1053.
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psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
May 24, 2017 - Toolkit
National Center for Patient Safety Falls Toolkit 2004.
Citation Text:
National Center for Patient Safety Falls Toolkit 2004. Department of Veterans Affairs (VA) National Center for Patient Safety
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psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
February 24, 2016 - Newspaper/Magazine Article
Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin.
Citation Text:
Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. ISMP Medicatio…
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psnet.ahrq.gov/issue/day-joy-died
August 20, 2018 - Newspaper/Magazine Article
The day Joy died.
Citation Text:
Brandeland GP. The day Joy died. Medical economics. 2006;83(20):50, 52-3.
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psnet.ahrq.gov/issue/improving-care-transitions-optimizing-medication-reconciliation
June 17, 2014 - Commentary
Improving care transitions: optimizing medication reconciliation.
Citation Text:
Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527…
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psnet.ahrq.gov/issue/luer-connector-misconnections-under-recognized-potentially-dangerous-events
May 24, 2015 - Multi-use Website
Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events.
Citation Text:
Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. Medical Product Safety Network. Silver Spring, MD; US Food and Drug Administration. Novembe…
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixB_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - Health IT Hazard Manager Beta-Test Appendix B: Revised Hazard Manager Ontology
Appendix B – Revised Hazard Manager Ontology
Hazard Manager Common Formats
Usability
• Information hard to find
• Difficult data entry
• Excessive demands on human memory
• Sub-optimal support of teamwork (situation awareness)
• C…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/statistical-process-control
January 01, 2023 - Statistical Process Control
Acronym
SPC
Also Known As
Control Chart
Run Chart
Examples
Taveras M. Increasing charge capture using scheduling techniques for a hospital-based ancillary service. 17th Annual Society for Health Systems Management Engineering Forum; 2005; Dallas, TX;…
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psnet.ahrq.gov/issue/help-your-patient-get-what-you-just-said-health-literacy-guide
December 18, 2014 - Commentary
Help your patient "get" what you just said: a health literacy guide.
Citation Text:
Roett MA, Wessel L. Help your patient "get" what you just said: a health literacy guide. J Family Pract. 2012;61(4):190-196.
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psnet.ahrq.gov/issue/errors-stat-laboratory-changes-type-and-frequency-1996
December 21, 2016 - Study
Errors in a stat laboratory: changes in type and frequency since 1996.
Citation Text:
Carraro P, Plebani M. Errors in a stat laboratory: types and frequencies 10 years later. Clin Chem. 2007;53(7):1338-42.
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