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8121. Ethical challenges in child abuse: what is the harm of a misdiagnosis? | PSNet
      psnet.ahrq.gov/issue/ethical-challenges-child-abuse-what-harm-misdiagnosis
      September 01, 2021 - Commentary Ethical challenges in child abuse: what is the harm of a misdiagnosis? Citation Text: Brown SD. Ethical challenges in child abuse: what is the harm of a misdiagnosis? Pediatr Radiol. 2021;51(6):1070-1075. doi:10.1007/s00247-020-04845-4. Copy Citation Format: DOI …

8122. Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. | PSNet
      psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit-performance
      September 23, 2020 - Commentary Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. Citation Text: Padula WV, Armstrong DG, Goldman DP. Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. Mayo Clin Proc. 2022;97(2…

8123. An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. | PSNet
      psnet.ahrq.gov/issue/evaluation-collaborative-safety-focused-nurse-pharmacist-intervention-improving-accuracy
      April 28, 2010 - Study An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. Citation Text: Henneman EA, Tessier EG, Nathanson BH, et al. An evaluation of a collaborative, safety focused, nurse-pharmacist intervention for imp…

8124. Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. | PSNet
      psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
      March 11, 2015 - Book/Report Classic Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. Citation Text: Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011. Cop…

8125. Administrative System | Digital Healthcare Research
      digital.ahrq.gov/technology/administrative-system
      January 01, 2023 - Administrative System Guiding the Safe and Effective Integration of Ambient Digital Scribes into Primary Care Description This study will develop a prototype guide for the safe and effective integration of ambient digital scribes into primary care, providing insights into how …

8126. AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. | PSNet
      psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
      May 25, 2016 - Toolkit AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Citation Text: AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. Copy Citation Save Save to your library Print …

8127. U.S. Overdose Deaths Drop Significantly | The Academy
      integrationacademy.ahrq.gov/news-and-events/news/us-overdose-deaths-drop-significantly
      September 23, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

8128. AHRQ Sitemap | Agency for Healthcare Research and Quality
      www.ahrq.gov/sitemap.html
      August 11, 2025 - AHRQ Main Site Topics Priority Populations About Priority Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents Special Healthcare Needs Women Information in Spanish Programs Rese…

8129. D2 Combo Projectcharter (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.docx
      December 23, 2009 - Project Charter What is the purpose of this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to which the team will commit. Who are the target audiences? Staff members directly involved in the improvement project. Consider adding …

8130. Pharmacist medication assessments in a surgical preadmission clinic. | PSNet
      psnet.ahrq.gov/issue/pharmacist-medication-assessments-surgical-preadmission-clinic
      October 15, 2008 - Study Pharmacist medication assessments in a surgical preadmission clinic. Citation Text: Kwan Y, Fernandes O, Nagge JJ, et al. Pharmacist medication assessments in a surgical preadmission clinic. Arch Intern Med. 2007;167(10):1034-40. Copy Citation Format: Google Scholar…

8131. Redesigning surgical decision making for high-risk patients. | PSNet
      psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patients
      July 20, 2016 - Commentary Redesigning surgical decision making for high-risk patients. Citation Text: Glance LG, Osler T, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J Med. 2014;370(15):1379-1381. doi:10.1056/NEJMp1315538. Copy Citation Format: DOI Googl…

8132. Guide to Patient and Family Engagement in Hospital Quality and Safety. | PSNet
      psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
      December 24, 2008 - Multi-use Website Guide to Patient and Family Engagement in Hospital Quality and Safety. Citation Text: Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013. Copy Citation Save …

8133. Effects of work hour reduction on residents' lives: a systematic review. | PSNet
      psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-systematic-review
      March 02, 2011 - Review Effects of work hour reduction on residents' lives: a systematic review. Citation Text: Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA. 2005;294(9):1088. doi:10.1001/jama.294.9.1088. Copy Citation Format: DOI Goo…

8134. Goldstein MK et al. 2004 "Translating research into practice: organizational issues in implementing automated decision support for hypertension in three medical centers." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience-research/goldstein-mk
      January 01, 2023 - Goldstein MK et al. 2004 "Translating research into practice: organizational issues in implementing automated decision support for hypertension in three medical centers." Reference Goldstein MK, Coleman RW, Tu SW, et al. Translating research into practice: organizational issues in implementing automat…

8135. Lesselroth BJ, Felder RS, Adams SM, et al. "Design and implementation of a medication reconciliation kiosk: the Automated Patient History Intake Device (APHID)." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/lesselroth-bj-felder-rs
      January 01, 2023 - Lesselroth BJ, Felder RS, Adams SM, et al. "Design and implementation of a medication reconciliation kiosk: the Automated Patient History Intake Device (APHID)." Reference Lesselroth BJ, Felder RS, Adams SM, et al. Design and implementation of a medication reconciliation kiosk: the Automated Patient H…

8136. Fitzmaurice DA et al. 1996 "Evaluation of computerized decision support for oral anticoagulation management based in primary care." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/fitzmaurice-da-et-al
      January 01, 2023 - Fitzmaurice DA et al. 1996 "Evaluation of computerized decision support for oral anticoagulation management based in primary care." Reference Fitzmaurice DA, Hobbs FDR, Murray ET, et al. Evaluation of computerized decision support for oral anticoagulation management based in primary care. Br J Gen Pra…

8137. The lost art of the history and physical. | PSNet
      psnet.ahrq.gov/issue/lost-art-history-and-physical
      May 08, 2013 - Commentary The lost art of the history and physical. Citation Text: Natt B, Szerlip HM. The lost art of the history and physical. Am J Med Sci. 2014;348(5):423-5. doi:10.1097/MAJ.0000000000000326. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

8138. The Medication Metronome Project | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project
      January 01, 2023 - The Medication Metronome Project Project Final Report ( PDF , 850.24 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this…

8139. From blaming to learning: re-framing organisational learning from adverse incidents. | PSNet
      psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents
      October 05, 2022 - Study From blaming to learning: re-framing organisational learning from adverse incidents. Citation Text: Gray D, Williams S. From blaming to learning: re‐framing organisational learning from adverse incidents. Learn Org. 2011;18(6):438-453. doi:10.1108/09696471111171295. Copy Citatio…

8140. A safety maturity model for technology-induced errors. | PSNet
      psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors
      June 15, 2022 - Review A safety maturity model for technology-induced errors. Citation Text: Borycki EM, Kushniruk AW. A safety maturity model for technology-induced errors. Stud Health Technol Inform. 2022;289:447-451. doi:10.3233/shti210954. Copy Citation Format: DOI Google Scholar BibTe…