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www.ahrq.gov/ncepcr/reports/primary-care-research/introduction.html
January 01, 2024 - Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020)
Introduction
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Table of Contents
Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020)
Introduction
Methods
Results
Summary
References
Appendix A. Grants Database Search Terms & …
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psnet.ahrq.gov/issue/relationships-within-inpatient-physician-housestaff-teams-and-their-association-hospitalized
December 18, 2013 - Study
Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes.
Citation Text:
McAllister C, Leykum LK, Lanham H, et al. Relationships within inpatient physician housestaff teams and their association with hospitalized patient out…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/fed-IWG-dxsafety-Nov19mtg.pdf
November 15, 2019 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care November Meeting Summary
Federal Interagency Workgroup on Improving Diagnostic
Safety and Quality in Health Car…
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psnet.ahrq.gov/issue/development-and-preliminary-testing-coordination-process-error-reporting-tool-cpert
May 25, 2016 - Study
Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac ICU.
Citation Text:
Bates KE, Shea JA, Bird GL, et al. Development and Preliminary Testing of the…
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psnet.ahrq.gov/issue/prognosis-undiagnosed-chest-pain-linked-electronic-health-record-cohort-study
March 19, 2018 - Study
Prognosis of undiagnosed chest pain: linked electronic health record cohort study.
Citation Text:
Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194.
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psnet.ahrq.gov/issue/morning-handover-call-issues-opportunities-improvement
September 26, 2012 - Study
Morning handover of on-call issues: opportunities for improvement.
Citation Text:
Devlin MK, Kozij NK, Kiss A, et al. Morning handover of on-call issues: opportunities for improvement. JAMA Intern Med. 2014;174(9):1479-85. doi:10.1001/jamainternmed.2014.3033.
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Fo…
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psnet.ahrq.gov/issue/strategies-improving-patient-safety-culture-hospitals-systematic-review
February 14, 2017 - Review
Strategies for improving patient safety culture in hospitals: a systematic review.
Citation Text:
Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf. 2013;22(1):11-8. doi:10.1136/bmjqs-2011-0…
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psnet.ahrq.gov/issue/standardized-formulary-reduce-pediatric-medication-dosing-errors-mixed-methods-study
August 25, 2021 - Study
A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study.
Citation Text:
Bosson N, Kaji AH, Gausche-Hill M. A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study. Prehosp Emerg Care. 2022;26(4):492-502. doi:…
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www.ahrq.gov/priority-populations/observances/bhm/grantees.html
February 01, 2021 - Grantees Focusing on African Americans
Brian William Jack, M.D.
"Maternal health disparities begin well before a positive pregnancy test. Our work aims to offer Black women useful healthcare tools tailored specifically to their needs. Gabby is one such tool."
Implementation and Dissemination of Ga…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-3.html
March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes
Current State of Diagnosis Education
Previous Page Next Page
Table of Contents
Improving Education—A Key to Better Diagnostic Outcomes
Introduction
Foundations of Diagnosis Education
Current State of Diagnosis Education
Competencies To …
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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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/044-vap-prevention-essential.docx
October 01, 2024 - Ventilator-Associated Pneumonia (VAP) Prevention Essential Practices1
Avoid intubation if possible.2-3
Consider alternative strategies, such as, high flow O2 or noninvasive positive pressure ventilation.
Consider each patient’s clinical scenario to determine the most appropriate strategy.
Minimize sedation.2-5
Determ…
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psnet.ahrq.gov/node/74069/psn-pdf
September 20, 2022 - Diagnostic Excellence.
September 20, 2022
JAMA. Nov 2021-Sep 2022.
https://psnet.ahrq.gov/issue/diagnostic-excellence-0
Diagnostic excellence achievement is becoming a primary focus in health care. This 20-article series
covers diagnosis as it relates to the Institute of Medicine quality domains, clinical ch…
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psnet.ahrq.gov/node/41809/psn-pdf
February 28, 2018 - Zebra in the intensive care unit: a metacognitive reflection
on misdiagnosis.
February 28, 2018
Gillon SA, Radford ST. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Crit
Care Resusc. 2012;14(3):216-20.
https://psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-m…
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psnet.ahrq.gov/node/837708/psn-pdf
July 20, 2022 - Without question.
July 20, 2022
Liebowitz J. Without Question. N Engl J Med. 2022;386(26):2456-2457. doi:10.1056/nejmp2204361.
https://psnet.ahrq.gov/issue/without-question
Diagnostic errors caused by premature closure and anchoring bias occur when clinicians rely on initial
diagnosis despite receiving subsequent …
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psnet.ahrq.gov/node/50665/psn-pdf
November 13, 2019 - The SECOND Trial
November 13, 2019
Northwestern University Feinberg School of Medicine
https://psnet.ahrq.gov/issue/second-trial
Surgical resident well-being is paramount to ensuring safe surgical care and a healthy workforce. This
website shares information on the Surgical Education Culture Optimization through t…
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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/40153/psn-pdf
November 26, 2014 - The effect of workload reduction on the quality of
residents' discharge summaries.
November 26, 2014
Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge
summaries. J Gen Intern Med. 2011;26(1):28-32. doi:10.1007/s11606-010-1465-z.
https://psnet.ahrq.gov/issue/effec…
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psnet.ahrq.gov/node/45287/psn-pdf
August 03, 2016 - Mistakes We Make in Dialysis.
August 3, 2016
Rodby RA, Perazella MA, eds. Semin Dial. 2016;29(4):253-328.
https://psnet.ahrq.gov/issue/mistakes-we-make-dialysis
Insufficient application of new evidence to inform treatment decisions can hinder safe care delivery. Articles
in this special issue explore common renal …
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psnet.ahrq.gov/node/38669/psn-pdf
November 25, 2009 - A patient safety objective structured clinical examination.
November 25, 2009
Singh R, Singh A, Fish R, et al. A patient safety objective structured clinical examination. J Patient Saf.
2009;5(2):55-60. doi:10.1097/PTS.0b013e31819d65c2.
https://psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-exami…