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psnet.ahrq.gov/node/37766/psn-pdf
October 22, 2013 - Diagnostic Error: Is Overconfidence the Problem.
October 22, 2013
Graber ML, Berner ES, eds. Amer J Med. 2008;121(5 Suppl):S1-S46.
https://psnet.ahrq.gov/issue/diagnostic-error-overconfidence-problem
This issue supplement focuses on diagnostic errors and diagnostic decision making, how physician
over…
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psnet.ahrq.gov/node/42148/psn-pdf
March 27, 2013 - Healing the hospital hierarchy.
March 27, 2013
Brown T. New York Times. March 17, 2013:SR5.
https://psnet.ahrq.gov/issue/healing-hospital-hierarchy
This newspaper article relates a nursing perspective on how authority gradients and disruptive behavior
can influence health care delivery and patient safety.
https:/…
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/hand-hygiene.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
Hand Hygiene Promotion
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: ICUs & Non-ICUs
The Four Key Strategies of MRSA Prevention
The Importance of MRSA Prevention
Decolonization
Tools & Resources for Decolonization
Tools & Resour…
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psnet.ahrq.gov/issue/identifying-hospital-wide-harm-set-icd-9-cm-coded-conditions-associated-increased-cost-length
September 07, 2016 - Study
Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality.
Citation Text:
Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions associated with increase…
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psnet.ahrq.gov/issue/interpretive-diagnostic-error-reduction-surgical-pathology-and-cytology-guideline-college
February 10, 2012 - Organizational Policy/Guidelines
Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology.
Citation Text:
Nak…
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psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team
January 23, 2019 - Study
Improving the discharge process by embedding a discharge facilitator in a resident team.
Citation Text:
Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924.…
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psnet.ahrq.gov/issue/detecting-unapproved-abbreviations-electronic-medical-record
August 08, 2018 - Study
Detecting unapproved abbreviations in the electronic medical record.
Citation Text:
Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9.
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psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review
March 13, 2013 - Review
Simulation exercises as a patient safety strategy: a systematic review.
Citation Text:
Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-2013…
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record
March 04, 2011 - Commentary
Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA.
Citation Text:
Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electro…
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psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-risks
September 15, 2011 - Study
Emergency physician perceptions of patient safety risks.
Citation Text:
Sklar DP, Crandall CS, Zola T, et al. Emergency physician perceptions of patient safety risks. Ann Emerg Med. 2010;55(4):336-40. doi:10.1016/j.annemergmed.2009.08.020.
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DOI …
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psnet.ahrq.gov/issue/preventing-potential-patient-harm-through-clinical-content-interventions-during-oncology
October 30, 2024 - Study
Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation.
Citation Text:
Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implement…
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psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents
February 15, 2011 - Study
Classic
A July spike in fatal medication errors: a possible effect of new medical residents.
Citation Text:
Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. …
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psnet.ahrq.gov/issue/global-comparators-project-international-comparison-30-day-hospital-mortality-day-week
May 04, 2016 - Study
The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week.
Citation Text:
Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24…
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psnet.ahrq.gov/issue/how-reliable-are-patient-completed-medication-reconciliation-forms-compared-pharmacy-lists
April 24, 2018 - Study
How reliable are patient-completed medication reconciliation forms compared with pharmacy lists?
Citation Text:
Meyer C, Stern M, Woolley W, et al. How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? Am J Emerg Med. 2012;30(7):1048-54.…
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psnet.ahrq.gov/issue/factors-influencing-witnesses-perception-patient-safety-during-pre-hospital-health-care
March 09, 2022 - Study
Factors influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional study.
Citation Text:
Péculo-Carrasco J-A, Rodríguez-Ruiz H-J, Puerta-Córdoba A, et al. Factors influencing witnesses’ percept…
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www.ahrq.gov/practiceimprovement/delivery-initiative/arragrantee-malouin.html
December 01, 2017 - ARRA Delivery System Initiative
Presentations and Publications by Recipients of ARRA Delivery System Grants
Comparative Effectiveness of Primary Care Practice Transformation by Two Insurers
Principal Investigator: Rebecca Malouin
Malouin R. Comparative Effectiveness of Primary Care Practice Transformation …
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www.ahrq.gov/funding/grantee-profiles/landrigan-transcript.html
June 01, 2016 - K Award Grantee Interview: Christopher Landrigan, M.D., M.P.H.
Transcript
The following is a transcript of grantee responses to the following questions:
What is the primary focus of your research?
How has funding from AHRQ helped to advance your research?
Why did you choose to focus on this topic?
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www.ahrq.gov/professionals/systems/primary-care/pcp-costs/valko-costs.html
May 01, 2015 - Patient-Centered Medical Home Cost of Sustaining and Transforming
AHRQ Estimating the Costs of Supporting Primary Care Transformation Grants
Principal Investigator: George Paul Valko, MD
Institution: Thomas Jefferson University
AHRQ Grant Number: R03 HS22630
Overview of Estimating Costs G…
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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool5a1.html
April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention
5.a-1 Master Patient Database Elements
Previous Page Next Page
Table of Contents
Tracking and Improving Screening for Colorectal Cancer Intervention
I. Introduction
II. Background
III. Intervention Steps and Tools
IV. Refere…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-common-barriers-full.pdf
June 02, 2025 - Medication Management: Common Barriers to Medication Adherence
Common Barriers to Medication Adherence
What Patients Might Say Possible Solutions
My medicine makes me feel sick. Prescribe a substitute medication; suggest ways to
manage or reduce side effects; change the dose.
I feel fine. Explain how the patient’s…