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psnet.ahrq.gov/node/34598/psn-pdf
November 15, 2011 - Complexity and the Adoption of Innovation in Health
Care.
November 15, 2011
Plsek P. Washington DC: National Institute for Health Care Management Foundation and National
Committee for Quality Health Care; 2003.
https://psnet.ahrq.gov/issue/complexity-and-adoption-innovation-health-care
In discussing the complexit…
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psnet.ahrq.gov/node/36216/psn-pdf
August 03, 2012 - Hospital Medication Errors Commonplace.
August 3, 2012
Berwick D; Lassman S; Bates D. National Public Radio. July 28, 2006.
https://psnet.ahrq.gov/issue/hospital-medication-errors-commonplace
This segment features Donald Berwick, David Bates, and other experts discussing the Institute of Medicine
(IOM) report Prev…
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psnet.ahrq.gov/node/42756/psn-pdf
November 20, 2013 - Removing the "me" from "MD."
November 20, 2013
Parikh RB. Removing the “Me” From “MD”. JAMA. 2013;310(18). doi:10.1001/jama.2013.280722.
https://psnet.ahrq.gov/issue/removing-me-md
Recounting what one medical student learned by shadowing a nurse, this commentary emphasizes the
importance of interprofessional commu…
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psnet.ahrq.gov/node/34016/psn-pdf
July 03, 2013 - Profiles in patient safety: authority gradients in medical
error.
July 3, 2013
Cosby K, Croskerry P. Profiles in patient safety: authority gradients in medical error. Acad Emerg Med.
2004;11(12):1341-5.
https://psnet.ahrq.gov/issue/profiles-patient-safety-authority-gradients-medical-error
The authors apply the av…
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psnet.ahrq.gov/node/33968/psn-pdf
July 08, 2016 - Health Literacy: A Prescription to End Confusion.
July 8, 2016
Nielsen-Bohlman L; Panzer AM; Kindig DA; Board on Neuroscience and Behavioral Health, Institute of
Medicine. Washington, DC: The National Academies Press; 2004. ISBN: 9780309283328.
https://psnet.ahrq.gov/issue/health-literacy-prescription-end-confusion…
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www.uspreventiveservicestaskforce.org/uspstf/document/other-supporting-document20627/ovarian-cancer-screening-1996
July 15, 1994 - Share to Facebook
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archived
Review
Ovarian Cancer: Screening, 1996
July 15, 1994
Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as …
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/impact-healthcare-algorithms-racial-ethnic-disparities-March-3.pdf
July 01, 2023 - US Food and Drug
practice for medical device Administration, Health
development: guiding Canada, Medicines
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effectivehealthcare.ahrq.gov/sites/default/files/searching.ppt
January 01, 2011 - Drug Product Search: http://www.hc-sc.gc.ca/dhp-mps/prodpharma/databasdon/index-eng.php
European Medicines … Public Assessment Reports for Authorized Medicinal Products for Human Use: https://www.ema.europa.eu/en/medicines
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digital.ahrq.gov/sites/default/files/docs/publication/AppendixA_Comm_Tech_For_AA_Women.pdf
February 01, 2010 - No
5
Do you take any medicines
prescribed by a doctor? … Yes Prescriptions Continue to 3
5 Do you take any medicines prescribed by a doctor?
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www.ahrq.gov/news/psnet.html
March 01, 2025 - Highlights From AHRQ's Patient Safety Network
AHRQ's Patient Safety Network (PSNet) which highlights journal publications, books, and tools related to patient safety, features a new set of articles including: Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 20…
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www.ahrq.gov/es/questions/question-builder/online.html
August 31, 2025 - Question Builder Online Be prepared for your next medical appointment. Create a list of questions that you can take with you whether you are getting a checkup, talking about a problem or health condition, getting a prescription, or discussing a medical test or surgery. Whatever the reason for your visit, it is importan…
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psnet.ahrq.gov/node/39172/psn-pdf
December 09, 2009 - Advancing Patient Safety: A Decade of Evidence, Design,
and Implementation.
December 9, 2009
Rockville, MD; Agency for Healthcare Research and Quality; November 2009. AHRQ Publication No.
09(10)-0084.
https://psnet.ahrq.gov/issue/advancing-patient-safety-decade-evidence-design-and-implementation
This publication …
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psnet.ahrq.gov/node/39200/psn-pdf
March 28, 2010 - Creating champions for health care quality and safety.
March 28, 2010
Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med
Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108.
https://psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety
Inte…
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psnet.ahrq.gov/node/43035/psn-pdf
October 12, 2018 - Patient's Toolkit for Diagnosis.
October 12, 2018
SIDM Patient Engagement Committee. Evanston, IL: Society to Improve Diagnosis in Medicine; October
2018.
https://psnet.ahrq.gov/issue/patients-toolkit-diagnosis
Patient engagement has been promoted as a strategy to enhance safety in health care. This toolkit helps
…
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psnet.ahrq.gov/node/34606/psn-pdf
July 06, 2011 - Operating at the sharp end: the complexity of human
error.
July 6, 2011
Cook RI, Woods DD. Chapter In: Bogner MS, ed. Human Error in Medicine. Hillsdale NJ: Lawrence
Erlbaum Associates, Inc; 2004.
https://psnet.ahrq.gov/issue/operating-sharp-end-complexity-human-error
The authors provide an introduction to system…
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psnet.ahrq.gov/node/42480/psn-pdf
August 07, 2013 - A multi-tiered approach to safety education.
August 7, 2013
Oates K, Sammut J, Kennedy P. A multi-tiered approach to safety education. Clin Teach. 2013;10(4):214-
8. doi:10.1111/tct.12037.
https://psnet.ahrq.gov/issue/multi-tiered-approach-safety-education
This commentary describes an initiative that incorporated …
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psnet.ahrq.gov/node/37683/psn-pdf
May 02, 2018 - There's more to the 60 Minutes story on heparin errors.
May 2, 2018
ISMP Medication Safety Alert! Acute Care Edition. March 27, 2008;13:1-2.
https://psnet.ahrq.gov/issue/theres-more-60-minutes-story-heparin-errors
Commenting on a recent news segment, this article calls attention to additional human factors and syst…
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psnet.ahrq.gov/node/37642/psn-pdf
March 26, 2008 - Medication, allergy, and adverse drug event
discrepancies in ambulatory care.
March 26, 2008
Stephens M, Fox B, Kukulka G, et al. Medication, allergy, and adverse drug event discrepancies in
ambulatory care. Fam Med. 2008;40(2):107-10.
https://psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepa…
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psnet.ahrq.gov/node/35608/psn-pdf
July 05, 2013 - Battling the obstetric malpractice crisis: improving
patient safety, part 2.
July 5, 2013
Bernstein PS.
https://psnet.ahrq.gov/issue/battling-obstetric-malpractice-crisis-improving-patient-safety-part-2
This article addresses systems issues that need to be resolved in order to improve the safety of obstetric
care…
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psnet.ahrq.gov/node/37418/psn-pdf
October 01, 2024 - Systems Analysis of Critical Incidents: the London
Protocol.
October 1, 2024
Taylor-Adams S, Vincent C. London, UK: NIHR North West London Patient Safety Research Collaboration,
Imperial College London; 2024.
https://psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
This revised report docu…