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psnet.ahrq.gov/node/42941/psn-pdf
February 12, 2014 - Risk and Safety Management in Infertility and Assisted
Reproductive Technology.
February 12, 2014
Fertil Steril. 2013;100:1497-1523.
https://psnet.ahrq.gov/issue/risk-and-safety-management-infertility-and-assisted-reproductive-technology
Introduction of assisted reproductive technology has led to new risks i…
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psnet.ahrq.gov/node/37819/psn-pdf
April 14, 2010 - Standardizing Medication Labels: Confusing Patients
Less, Workshop Summary.
April 14, 2010
Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public Health Practice,
Institute of Medicine. Washington, DC: National Academies Press; 2008.
https://psnet.ahrq.gov/issue/standardizing-medica…
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psnet.ahrq.gov/node/851202/psn-pdf
November 29, 2023 - Unequal Treatment Revisited: A Workshop Series.
November 29, 2023
Committee on Unequal Treatment. Washington DC: National Academies of Sciences, Engineering and
Medicine; 2023-2024.
https://psnet.ahrq.gov/issue/unequal-treatment-revisited-workshop-series
Health disparities and unequal care contribute to patient an…
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psnet.ahrq.gov/node/42543/psn-pdf
September 29, 2017 - Advancing the research agenda for diagnostic error
reduction.
September 29, 2017
Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf.
2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624.
https://psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error…
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digital.ahrq.gov/ahrq-funded-projects/secure-messaging-pediatric-respiratory-medicine-setting/citation/secure-web
January 01, 2023 - Secure web messaging in a pediatric chronic care clinic: a slow takeoff of "kids' airmail".
Citation
Hsiao AL, Bazzy-Asaad A, Tolomeo C, et al. Secure web messaging in a pediatric chronic care clinic: a slow takeoff of "kids' airmail" Pediatrics 2011 Feb;127(2):e406-13.
Link
http://www.ncbi.nl…
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www.ahrq.gov/evidencenow/heart-health/cholesterol/medication.html
September 01, 2018 - Tip Sheet: Improving Hypertension Medication Adherence
Resource title: Improving Medication Adherence Among Patients with Hypertension: A Tip Sheet for Health Care Professionals
Resource description: This tip sheet for health care professionals outlines predictors of medication non-adherence and how to use …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-1-table-1.pdf
June 02, 2025 - CHIPRA 241: Section 1, 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, 99411-99412,
99420, 99429
G0438,
G0439
Ge…
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www.ahrq.gov/teamstepps-program/evidence-base/reproductive.html
June 01, 2023 - TeamSTEPPS Research/Evidence Base: Reproductive Health
Dodge LE, Nippita S, Hacker MR, Intondi EM, Ozcelik G, Paul ME. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 2019;38(4):44-54. Epub 2018/09/14. doi: 10.1002/jhrm.…
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effectivehealthcare.ahrq.gov/health-topics/bleeding-disorders
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/ZrLh7o2TpPpY9WXXWbXbGk
January 01, 2013 - Guise: Grant (money to institution):
AHRQ; Provision of writing assistance, medicines, equipment, or
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psnet.ahrq.gov/node/42665/psn-pdf
October 16, 2013 - The consequences of the hindsight bias in medical
decision making.
October 16, 2013
Arkes HR. The Consequences of the Hindsight Bias in Medical Decision Making. Curr Direct Psychol Sci.
2013;22(5):356-360. doi:10.1177/0963721413489988.
https://psnet.ahrq.gov/issue/consequences-hindsight-bias-medical-decision-makin…
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psnet.ahrq.gov/node/37806/psn-pdf
July 14, 2010 - Impact of patient safety mandates on medical education
in the United States.
July 14, 2010
Kane JM, Brannen ML, Kern E. Impact of Patient Safety Mandates on Medical Education in the United
States. J Patient Saf. 2008;4(2):93-97. doi:10.1097/pts.0b013e318173f7b5.
https://psnet.ahrq.gov/issue/impact-patient-safety-m…
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psnet.ahrq.gov/node/36321/psn-pdf
October 26, 2010 - Ethical and practical aspects of disclosing adverse events
in the emergency department.
October 26, 2010
Stokes SL, Wu AW, Pronovost P. Ethical and practical aspects of disclosing adverse events in the
emergency department. Emerg Med Clin North Am. 2006;24(3):703-714.
https://psnet.ahrq.gov/issue/ethical-and-pract…
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psnet.ahrq.gov/node/36762/psn-pdf
August 10, 2011 - Weekend versus weekday admission and mortality from
myocardial infarction.
August 10, 2011
Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from
Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.
https://psnet.ahrq.gov/issue/week…
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psnet.ahrq.gov/node/37169/psn-pdf
October 06, 2011 - The safety journal: lessons learned with an error
reporting tool to stimulate systems thinking.
October 6, 2011
Singh R, Naughton B, Singh A, et al. The Safety Journal. J Patient Saf. 2007;3(3):135-141.
doi:10.1097/0b013e31814258db.
https://psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-s…
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psnet.ahrq.gov/node/38126/psn-pdf
December 23, 2012 - The MacArthur Fellows Program: Peter Pronovost.
December 23, 2012
The John D. and Catherine T. MacArthur Foundation.
https://psnet.ahrq.gov/issue/macarthur-fellows-program-peter-pronovost
Through his work, Peter Pronovost, a critical care physician and professor at Johns Hopkins University
School of Medicine, has …
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psnet.ahrq.gov/node/43435/psn-pdf
August 06, 2014 - Trail of medical missteps in a Peace Corps death.
August 6, 2014
Stolberg SG.
https://psnet.ahrq.gov/issue/trail-medical-missteps-peace-corps-death
Raising concerns about health care provided by the Peace Corps, this newspaper article outlines an
investigation into failures, such as cognitive biases and poor judgm…
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psnet.ahrq.gov/node/37694/psn-pdf
June 12, 2008 - Incidence, staff awareness and mortality of patients at
risk on general wards.
June 12, 2008
Fuhrmann L, Lippert A, Perner A, et al. Incidence, staff awareness and mortality of patients at risk on
general wards. Resuscitation. 2008;77(3):325-30. doi:10.1016/j.resuscitation.2008.01.009.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/40936/psn-pdf
November 16, 2011 - Sir Karl Popper, swans, and the general practitioner.
November 16, 2011
Berghmans R, Schouten HC. Sir Karl Popper, swans, and the general practitioner. BMJ. 2011;343:d5469.
doi:10.1136/bmj.d5469.
https://psnet.ahrq.gov/issue/sir-karl-popper-swans-and-general-practitioner
This commentary describes a delayed diagnos…
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psnet.ahrq.gov/node/73431/psn-pdf
June 23, 2021 - Drive to Deprescribe.
June 23, 2021
The Society for Post-Acute and Long-Term Care Medicine.
https://psnet.ahrq.gov/issue/drive-deprescribe
Polypharmacy is a known challenge to patient safety. This collective program encourages long-term care
organizations, physicians, and pharmacists to take part in a learning net…