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psnet.ahrq.gov/node/45741/psn-pdf
November 16, 2018 - Monitoring the diagnostic process on an inpatient
neurology service.
November 16, 2018
Dhand A, Bucelli R, Varadhachary A, et al. Monitoring the Diagnostic Process on an Inpatient Neurology
Service. Neurohospitalist. 2017;7(3):132-136. doi:10.1177/1941874416677681.
https://psnet.ahrq.gov/issue/monitoring-diagnosti…
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psnet.ahrq.gov/node/36914/psn-pdf
March 21, 2017 - Reasons for after-hours calls by hospital floor nurses to
on-call physicians.
March 21, 2017
Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-
call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9.
https://psnet.ahrq.gov/issue/reasons-after-hours-call…
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psnet.ahrq.gov/node/42357/psn-pdf
December 04, 2016 - Disclosing medical mistakes: a communication
management plan for physicians.
December 4, 2016
Petronio S, Torke A, Bosslet G, et al. Disclosing medical mistakes: a communication management plan for
physicians. Perm J. 2013;17(2):73-9. doi:10.7812/TPP/12-106.
https://psnet.ahrq.gov/issue/disclosing-medical-mistakes…
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psnet.ahrq.gov/node/45047/psn-pdf
April 13, 2016 - Is misdiagnosis inevitable?
April 13, 2016
Page L. Medscape Business of Medicine. March 28, 2016.
https://psnet.ahrq.gov/issue/misdiagnosis-inevitable
This news article reports on the prevalence of diagnostic error and describes characteristics that contribute
to the problem, including insufficient clinician famil…
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psnet.ahrq.gov/node/38685/psn-pdf
August 18, 2010 - HomeNet: ensuring patient safety with medical device use
in the home.
August 18, 2010
Kaufman D, Weick-Brady M. HomeNet: ensuring patient safety with medical device use in the home. Home
Healthc Nurse. 2009;27(5):300-7.
https://psnet.ahrq.gov/issue/homenet-ensuring-patient-safety-medical-device-use-home
This arti…
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www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/index.html
August 01, 2020 - For Systems Decisionmakers
Integrating the efforts of clinicians, health care systems, insurers, and purchasers provides an opportunity to increase rates of delivering tobacco dependence treatments, quit attempts, and successful smoking cessation. This Systems Change material will help advance that endeavor.
…
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psnet.ahrq.gov/node/35480/psn-pdf
February 22, 2010 - Involuntary automaticity: a work-system induced risk to
safe health care.
February 22, 2010
Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health
Serv Manage Res. 2005;18(4):211-6.
https://psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-saf…
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psnet.ahrq.gov/node/38358/psn-pdf
September 12, 2016 - Failure to rescue as a process measure to evaluate fetal
safety during labor.
September 12, 2016
Beaulieu MJ. Failure to rescue as a process measure to evaluate fetal safety during labor. MCN Am J
Matern Child Nurs. 2009;34(1):18-23. doi:10.1097/01.NMC.0000343861.64614.c9.
https://psnet.ahrq.gov/issue/failure-resc…
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psnet.ahrq.gov/node/844753/psn-pdf
September 18, 2019 - Detecting medication administration errors.
September 18, 2019
Durham ML, Jankiewicz A. Detecting Medication Administration Errors. J Patient Saf. 2019;15(3):181-183.
doi:10.1097/PTS.0000000000000384.
https://psnet.ahrq.gov/issue/detecting-medication-administration-errors
Considerable effort has been devoted to op…
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psnet.ahrq.gov/node/42227/psn-pdf
April 24, 2013 - Medication errors in nursing—part 1 and part 2.
April 24, 2013
Leufer T, Cleary-Holdforth J. Let's do no harm: medication errors in nursing: part 1. Nurse Educ Pract.
2013;13(3):213-216. doi:10.1016/j.nepr.2013.01.013.
https://psnet.ahrq.gov/issue/medication-errors-nursing-part-1-and-part-2
This two-part commentar…
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psnet.ahrq.gov/node/44693/psn-pdf
June 15, 2016 - Safety.
June 15, 2016
Center for Health Design.
https://psnet.ahrq.gov/issue/safety-0
Elements of the health care work environment can affect the care delivery. This website highlights design
considerations for health care facilities that can help reduce noise, falls, and hospital-acquired infections.
The collect…
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psnet.ahrq.gov/node/35769/psn-pdf
January 02, 2017 - A web-based tool for the Comprehensive Unit-based
Safety Program (CUSP).
January 2, 2017
Pronovost P, King J, Holzmueller CG, et al. A web-based tool for the Comprehensive Unit-based Safety
Program (CUSP). Jt Comm J Qual Patient Saf. 2006;32(3):119-29.
https://psnet.ahrq.gov/issue/web-based-tool-comprehensive-unit…
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www.ahrq.gov/nursing-home/resources/self-compassion.html
May 01, 2021 - Effective Tools for Practicing Self-Compassion and Self Care in the Time of COVID-19
Resource: Effective Tools for Practicing Self-Compassion and Self Care in the Time of COVID-19 (Video)
This webinar recording provides tools that nurses can use to help maintain mental well-being while facing the ongoing c…
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www.ahrq.gov/data/infographics/health-care-quality.html
September 01, 2018 - Health Care Quality: How Does Your State Compare?
Health Care Quality: How Does Your State Compare? (PDF, 234 KB)
Top-Performing States: Lowest Rates of Breast Cancer Deaths per 100,000 Women:
New Hampshire: 19
Wisconsin: 19
Rhode Island: 18
Massachusetts: 18
Top Performing States: Highest Percen…
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digital.ahrq.gov/health-it-tools-and-resources/patient-generated-health-data-patient-reported-outcomes
January 01, 2023 - Patient-Generated Health Data I Patient-Reported Outcomes
Guide to Integrate Patient-Generated Digital Health Data into Electronic Health Records in Ambulatory Care Settings
To promote the collection, integration, and use of PGHD in clinical care, the Agency for Healthcare Research and Qua…
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psnet.ahrq.gov/node/37989/psn-pdf
August 13, 2008 - New patient safety organizations lower roadblocks to
medical error reporting.
August 13, 2008
Clancy CM. New patient safety organizations lower roadblocks to medical error reporting. Am J Med Qual.
2008;23(4):318-21. doi:10.1177/1062860608319673.
https://psnet.ahrq.gov/issue/new-patient-safety-organizations-lower-…
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www.uspreventiveservicestaskforce.org/uspstf/lets-talk-about-it-screening-breast-cancer
June 22, 2025 - Let’s Talk About It: Screening for Breast Cancer
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Download English Download Spanish This guide is a companion to the Task Force recommendation on Screening for Breast C…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/rapid-reviews-end-user_white-paper.pdf
April 01, 2016 - the reviews when they
have that connection up front is significantly different...I
think it also helps
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys.pdf
January 01, 2020 - It has to be something that is important to patients and that helps to
describe what their experience
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-6.html
November 01, 2017 - Established Child Health Care Quality Measures--Child and Adolescent Health Measurement Initiative (CAHMI): Promoting Healthy Development Survey (PHDS)
Child Health Care Quality Toolbox
The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.
Conten…