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psnet.ahrq.gov/node/837193/psn-pdf
May 25, 2022 - Defining diagnostic error: a scoping review to assess the
impact of the National Academies' report Improving
Diagnosis in Health Care.
May 25, 2022
Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the
National Academies' report Improving Diagnosis in Health …
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psnet.ahrq.gov/node/60934/psn-pdf
September 23, 2020 - Hospital ward adaptation during the COVID-19 pandemic:
a national survey of academic medical centers.
September 23, 2020
Auerbach AD, O'Leary KJ, Greysen SR, et al. Hospital ward adaptation during the COVID-19 pandemic: a
national survey of academic medical centers. J Hosp Med. 2020;15(8):483-488. doi:10.12788/jhm.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/RCInfographic.pdf
September 01, 2010 - Prevention is Key to a Healthy America
Prevention Is Key to a Healthy America
Vaccines. Screening tests. Preventive medications. Counseling for healthy behavior.
All are clinical preventive services that your health care team can give you.
But clinical preventive care works only if the right people get the right c…
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psnet.ahrq.gov/node/37530/psn-pdf
December 15, 2008 - Do medical inpatients who report poor service quality
experience more adverse events and medical errors?
December 15, 2008
Taylor BB, Marcantonio ER, Pagovich O, et al. Do medical inpatients who report poor service quality
experience more adverse events and medical errors? Med Care. 2008;46(2):224-228.
doi:10.1097…
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psnet.ahrq.gov/node/44601/psn-pdf
February 23, 2018 - Emergency department visits for adverse events related
to dietary supplements.
February 23, 2018
Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary
Supplements. N Engl J Med. 2015;373(16):1531-40. doi:10.1056/NEJMsa1504267.
https://psnet.ahrq.gov/issue/emergenc…
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psnet.ahrq.gov/node/845277/psn-pdf
March 01, 2023 - Risk assessment of the acute stroke diagnostic process
using failure modes, effects, and criticality analysis.
March 1, 2023
Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure
modes, effects, and criticality analysis. Acad Emerg Med. 2022;30(3):187-195. doi:10.…
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psnet.ahrq.gov/node/37873/psn-pdf
June 16, 2009 - Dropping the baton: a qualitative analysis of failures
during the transition from emergency department to
inpatient care.
June 16, 2009
Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the
transition from emergency department to inpatient care. Ann Emerg Med. …
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psnet.ahrq.gov/node/866315/psn-pdf
July 17, 2024 - Physician specialty differences in unprofessional
behaviors observed and reported by coworkers.
July 17, 2024
Cooper WO, Hickson GB, Dmochowski RR, et al. Physician specialty differences in unprofessional
behaviors observed and reported by coworkers. JAMA Netw Open. 2024;7(6):e2415331.
doi:10.1001/jamanetworkopen.…
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psnet.ahrq.gov/node/42038/psn-pdf
June 03, 2013 - A systematic review of simulation for multidisciplinary
team training in operating rooms.
June 3, 2013
Cumin D, Boyd MJ, Webster CS, et al. A systematic review of simulation for multidisciplinary team training
in operating rooms. Simul Healthc. 2013;8(3):171-179. doi:10.1097/SIH.0b013e31827e2f4c.
https://psnet.ahr…
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www.ahrq.gov/cahps/news-and-events/events/20150917/webinar-091715.html
September 01, 2016 - Introducing the New CAHPS Clinician & Group Survey 3.0 (Webcast)
September 17, 2015
Summary
Speakers and PowerPoint Slides
Recording
Transcript
Related Material
Summary
This free Webcast from the Agency for Healthcare Research and Quality (AHRQ) highlighted the 3.0 version of the CAHPS Clini…
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psnet.ahrq.gov/node/73140/psn-pdf
April 14, 2021 - Association between primary care physician diagnostic
knowledge and death, hospitalisation and emergency
department visits following an outpatient visit at risk for
diagnostic error: a retrospective cohort study using
medicare claims.
April 14, 2021
Gray BM, Vandergrift JL, McCoy RG, et al. Association between pr…
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psnet.ahrq.gov/node/39729/psn-pdf
September 20, 2011 - Contextual errors and failures in individualizing patient
care: a multicenter study.
September 20, 2011
Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a
multicenter study. Ann Intern Med. 2010;153(2):69-75. doi:10.7326/0003-4819-153-2-201007200-00002.
https…
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psnet.ahrq.gov/node/866104/psn-pdf
June 12, 2024 - When agency fails: an analysis of the association
between hospital agency staffing and quality outcomes.
June 12, 2024
Beauvais B, Pradhan R, Ramamonjiarivelo Z, et al. When agency fails: an analysis of the association
between hospital agency staffing and quality outcomes. Risk Manag Healthc Policy. 2024;17:1361-13…
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psnet.ahrq.gov/node/37499/psn-pdf
January 10, 2017 - Medicare's decision to withhold payment for hospital
errors: the devil is in the details.
January 10, 2017
Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in
the det. Jt Comm J Qual Patient Saf. 2008;34(2):116-23.
https://psnet.ahrq.gov/issue/medicares-deci…
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psnet.ahrq.gov/node/35572/psn-pdf
February 03, 2011 - The long road to patient safety: a status report on patient
safety systems.
February 3, 2011
Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety
systems. JAMA. 2005;294(22):2858-65.
https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-tables1-3.pdf
June 02, 2025 - Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Tables 1-3
Table 1. Documentation of Weight Addressed
Table 2: ICD-9 Codes for Weight-Related Comorbidities
Description Code
Diabetes 250.xx
Hyperlipidemia 272.0, 272.1, 272.2, 272.3, 272.4
Hypertension 401
…
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psnet.ahrq.gov/node/42789/psn-pdf
December 04, 2013 - Development of the just culture assessment tool:
measuring the perceptions of health-care professionals in
hospitals.
December 4, 2013
Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the
perceptions of health-care professionals in hospitals. J Patient Saf. 2013…
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psnet.ahrq.gov/node/39670/psn-pdf
July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in
Reducing Harm, Improving Care.
July 7, 2010
Washington DC: National Quality Forum; 2010.
https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
The landmark Institute of Medicine (IOM) report, To Err Is Human,…
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psnet.ahrq.gov/node/836808/psn-pdf
March 30, 2022 - Medication safety in the emergency department: a study
of serious medication errors reported by 101 hospitals
from 2011 to 2020.
March 30, 2022
Kukielka E, Jones R. Medication safety in the emergency department: a study of serious medication errors
reported by 101 hospitals from 2011 to 2020. Patient Safety. 2022;…
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psnet.ahrq.gov/node/39405/psn-pdf
March 31, 2010 - ED overcrowding is associated with an increased
frequency of medication errors.
March 31, 2010
Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of
medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014.
https://psnet.ahrq.gov/issue/ed-ov…