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psnet.ahrq.gov/node/33772/psn-pdf
September 01, 2014 - In Conversation With… Rosemary Gibson, MSc
September 1, 2014
In Conversation With… Rosemary Gibson, MSc. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
Editor's note: Rosemary Gibson, MSc, is Senior Advisor to The Hastings Center and an editor for JAMA
Internal Medicin…
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psnet.ahrq.gov/node/50842/psn-pdf
January 29, 2020 - Patient Identification Errors: A Systems Challenge
January 29, 2020
Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
The Cases
The following four events involving five patients all involved…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-compendium-techdoc.pdf
January 01, 2018 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation
Comparative Health System Performance Initiative:
Compendium of U.S. Health Systems, 2018, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of He…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/tearsheets/card.html
September 01, 2012 - You Can Quit Smoking - Pocket Card
A text-only version of a pocket card with simple steps to help you quit smoking.
en español
Get Ready
Set a date to quit.
Get Medicine
Talk to your doctor.
Get Help
Call toll free: 1-800-QUIT NOW.
Stay Quit
Quit for good
You Can Quit Smoking
U.S. Departme…
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/recruitment-script-ny.html
March 01, 2021 - EvidenceNOW: Recruitment Outreach Script
New York City Cooperative
Resource: Recruitment Outreach Script, HealthyHearts NYC (PDF, 168.3 KB, 2 pages)
This document provides an example of an EvidenceNOW Cooperative's recruitment outreach script.
Institution of origin: New York University School of Medic…
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www.ahrq.gov/nursing-home/resources/is-covid-vaccine-safe.html
August 01, 2022 - Is the COVID-19 Vaccine Safe?
Resource: Is the COVID-19 Vaccine Safe?
Written by two physicians, this article provides answers to common questions related to COVID-19 vaccine safety including testing, allergic reactions, side effects, the types of vaccines, and the effectiveness.
Source: Johns Hopkins Me…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-table1.pdf
June 02, 2025 - Hypertension Screening for Children Who Are Overweight or Obese: Table 1
Table 1: Codes to Identify Outpatient Care Visits
Description CPT HCPCS ICD-9-CM Diagnosis
Office or other outpatient
services
99201-99205, 99211-99215, 99241-
99245
Preventive medicine
99381-99385, 99391-99395, 99401-
99404, 99…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-1-table-1.pdf
June 02, 2025 - CHIPRA Measure 240: Section 1, Table 1
Table 1: Codes to Identify Ambulatory or Preventive Care Visits
Description CPT HCPCS ICD-9-CM Diagnosis
Office or other outpatient
services
99201-99205, 99211-99215, 99241-
99245
Preventive medicine 99381-99385, 99391-99395, 99401-
99404, 99411-99412, 99420, 99429 …
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psnet.ahrq.gov/node/34582/psn-pdf
November 15, 2011 - Improving Health Care.
November 15, 2011
Schiff G
https://psnet.ahrq.gov/issue/improving-health-care
Quality and honesty play an influential role in the safety and cost of medical care. Gordon Schiff, the
director of clinical and quality research (Department of Medicine at Stoger Hospital, Chicago, Illinois),
exp…
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psnet.ahrq.gov/node/35169/psn-pdf
July 13, 2005 - Lay use of lasers fueling complications.
July 13, 2005
Gagnon L. Dermatology Times. June 1, 2005.
https://psnet.ahrq.gov/issue/lay-use-lasers-fueling-complications
This article reports on inappropriate laser use by non-physicians for dermatological procedures. A study
presented at the American Society for Laser Me…
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psnet.ahrq.gov/node/39874/psn-pdf
September 29, 2010 - Medical malpractice: the fear factor.
September 29, 2010
Robeznieks A. Modern Physician. September 13, 2010.
https://psnet.ahrq.gov/issue/medical-malpractice-fear-factor
This piece discusses evidence collected on the role of malpractice in defensive medicine and describes an
AHRQ initiative to explore solutions fo…
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psnet.ahrq.gov/node/40112/psn-pdf
July 12, 2016 - Panel set to study safety of electronic patient data.
July 12, 2016
Freudenheim M.
https://psnet.ahrq.gov/issue/panel-set-study-safety-electronic-patient-data
This article reports on a committee created by the Institute of Medicine to analyze the potential impact of
electronic medical records (EMR) on costs and qu…
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psnet.ahrq.gov/node/41292/psn-pdf
October 20, 2015 - How to master the new art of training: teamwork on the
fly.
October 20, 2015
Edmondson AC. Harv Bus Rev. April 2012;90:72-80.
https://psnet.ahrq.gov/issue/how-master-new-art-training-teamwork-fly
This piece discusses the challenges of forming temporary teams in emergency departments and describes
strategies to im…
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psnet.ahrq.gov/node/40388/psn-pdf
April 20, 2011 - Still Crossing The Quality Chasm.
April 20, 2011
Health Aff (Millwood). 2011;30(4):554-800.
https://psnet.ahrq.gov/issue/still-crossing-quality-chasm
This special issue contains articles on progress made in patient safety since the landmark Institute of
Medicine report, Crossing the Quality Chasm.
https://…
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - Annual Perspective
Diagnostic Errors
Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/node/60066/psn-pdf
March 25, 2020 - Some Patients Can't Wait: Improving Timeliness of
Emergency Department Care
March 25, 2020
Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care.
PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
D…
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.pdf
June 02, 2025 - Infographic Poster: Did you know...Patient safety issues in primary care are real.
Did you know...
Patient safety issues in
primary care are real.
Annually,
1 in 20 outpatients experiences a diagnostic error
55%
of patients said
diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissi…
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psnet.ahrq.gov/issue/has-pendulum-swung-too-far-impact-missed-abdominal-injuries-era-nonoperative-management
August 04, 2021 - Study
Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management.
Citation Text:
Fairfax LM, Christmas B, Deaugustinis M, et al. Has the pendulum swung too far? The impact of missed abdominal injuries in the era of nonoperative manage…
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psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
December 26, 2014 - Study
Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors.
Citation Text:
Meyer E, Underwood S, Padmanabhan V. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Arch Pathol Lab Med. 2009;133(8):1297-30…
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psnet.ahrq.gov/issue/confirming-delivery-understanding-role-hospitalized-patient-medication-administration-safety
March 02, 2016 - Study
Confirming delivery: understanding the role of the hospitalized patient in medication administration safety.
Citation Text:
Macdonald M, Heilemann MS, MacKinnon NJ, et al. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Q…