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psnet.ahrq.gov/node/39193/psn-pdf
April 21, 2011 - Disclosing harmful mammography errors to patients.
April 21, 2011
Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology.
2009;253(2). doi:10.1148/radiol.2532082320.
https://psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients
Disclosing errors to pati…
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psnet.ahrq.gov/node/34714/psn-pdf
February 18, 2011 - Relation between malpractice claims and adverse events
due to negligence. Results of the Harvard Medical
Practice Study III.
February 18, 2011
Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events
Due to Negligence. New England Journal of Medicine. 2010;325(4). doi:10.1…
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psnet.ahrq.gov/node/60523/psn-pdf
May 27, 2020 - "We're not ready, but I don't think you're ever ready."
Clinician perspectives on implementation of crisis
standards of care.
May 27, 2020
Chuang E, Cuartas PA, Powell T, et al. "We're not ready, but I don't think you're ever ready." Clinician
perspectives on implementation of crisis standards of care. AJOB Empir …
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psnet.ahrq.gov/node/42474/psn-pdf
September 19, 2015 - A new, evidence-based estimate of patient harms
associated with hospital care.
September 19, 2015
James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf.
2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69.
https://psnet.ahrq.gov/issue/new-evidence-based-estimate-pat…
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psnet.ahrq.gov/node/43707/psn-pdf
November 26, 2014 - America's Hospitals: Improving Quality and Safety: The
Joint Commission's Annual Report 2014.
November 26, 2014
Oakbrook Terrace, IL: The Joint Commission; November 2014.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2014
This Joint Commission annual…
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psnet.ahrq.gov/node/36150/psn-pdf
September 29, 2010 - Nurse-physician communication during labor and birth:
implications for patient safety.
September 29, 2010
Simpson KR, James DC, Knox E. Nurse-physician communication during labor and birth: implications for
patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(4):547-56.
https://psnet.ahrq.gov/issue/nurse-physic…
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psnet.ahrq.gov/node/41858/psn-pdf
November 21, 2012 - Disorganized care: the findings of an iterative, in-depth
analysis of surgical morbidity and mortality.
November 21, 2012
Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth
analysis of surgical morbidity and mortality. J Surg Res. 2012;177(1):43-8. doi:10.1016/j.jss.…
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psnet.ahrq.gov/node/72774/psn-pdf
February 24, 2021 - Preventable adverse drug events causing hospitalisation:
identifying root causes and developing a surveillance and
learning system at an urban community hospital, a cross-
sectional observational study.
February 24, 2021
de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug events causing hospitalisation…
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psnet.ahrq.gov/node/849329/psn-pdf
May 24, 2023 - Interorganizational health information exchange-related
patient safety incidents: a descriptive register-based
qualitative study.
May 24, 2023
Hyvämäki P, Sneck S, Meriläinen M, et al. Interorganizational health information exchange-related patient
safety incidents: a descriptive register-based qualitative study. …
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www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
March 01, 2021 - EvidenceNOW in Action
EvidenceNOW cooperatives have provided tailored support to small practices in their regions to help them use evidence and data to enhance patient care. For example, external consultants helped practices use their electronic health record data to identify at-risk patients and improve care. …
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psnet.ahrq.gov/node/42123/psn-pdf
June 18, 2013 - On higher ground: ethical reasoning and its relationship
with error disclosure.
June 18, 2013
Cole AP, Block L, Wu AW. On higher ground: ethical reasoning and its relationship with error disclosure.
BMJ Qual Saf. 2013;22(7):580-585. doi:10.1136/bmjqs-2012-001496.
https://psnet.ahrq.gov/issue/higher-ground-ethical-…
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psnet.ahrq.gov/node/35935/psn-pdf
June 16, 2011 - Operating room teamwork among physicians and nurses:
teamwork in the eye of the beholder.
June 16, 2011
Makary MA, Sexton B, Freischlag JA, et al. Operating room teamwork among physicians and nurses:
teamwork in the eye of the beholder. J Am Coll Surg. 2006;202(5):746-52.
https://psnet.ahrq.gov/issue/operating-roo…
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digital.ahrq.gov/dhr-20
January 01, 2023 - AHRQ's Digital Healthcare Research Program's 20th Anniversary
…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/n6zHNuxCoZRTdKJ_m2JFtU
July 07, 2009 - Screening For Impaired Visual Acuity In Older Adults: Clinical Summary
SCREENING FOR IMPAIRED VISUAL ACUITY IN OLDER ADULTS*
CLINICAL SUMMARY OF U.S. PREVENTIVE TASK FORCE RECOMMENDATION
Population
Adults Age 65 and Older
Recommendation
Grade I: Insufficient Evidence
Ris…
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www.ahrq.gov/prevention/chronic-care/decision/index.html
April 01, 2018 - Evidence-Based Decisionmaking
Evidence-based practice is the use of the best available evidence together with a clinician's expertise and a patient's values and preferences in making health care decisions. The Prevention and Chronic Care Program works to expand the available evidence base for evidence-based pra…
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digital.ahrq.gov/funding-mechanism/developing-new-clinical-decision-support-disseminate-and-implement-evidence-based
January 01, 2023 - Developing New Clinical Decision Support to Disseminate and Implement Evidence-Based Research Findings (R18)
Scalable Decision Support and Shared Decision Making for Lung Cancer Screening
Description
Researchers successfully developed Decision Precision+, a shared decision mak…
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psnet.ahrq.gov/node/837311/psn-pdf
June 01, 2022 - Effects of healthcare organization actions and policies
related to COVID-19 on perceived organizational support
among U.S. internists: a national study.
June 1, 2022
Sonis J, Pathman DE, Read S, et al. Effects of healthcare organization actions and policies related to
COVID-19 on perceived organizational support a…
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psnet.ahrq.gov/node/840484/psn-pdf
November 30, 2022 - Interdisciplinary collaboration across secondary and
primary care to improve medication safety in the elderly
(The IMMENSE study) - a randomized controlled trial.
November 30, 2022
Johansen JS, Halvorsen KH, Svendsen K, et al. Interdisciplinary collaboration across secondary and
primary care to improve medication …
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psnet.ahrq.gov/node/866554/psn-pdf
August 21, 2024 - Multi-team shared expectations tool (MT-SET): an
exercise to improve teamwork across health care teams.
August 21, 2024
Marsteller JA, Rosen MA, Wyskiel R, et al. Multi-team shared expectations tool (MT-SET): an exercise to
improve teamwork across health care teams. Jt Comm J Qual Patient Saf. 2024;50(10):737-744.
…
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psnet.ahrq.gov/node/42047/psn-pdf
March 18, 2013 - Do you have to re-examine to reconsider your diagnosis?
Checklists and cardiac exam.
March 18, 2013
Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis?
Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-2012-001537.
https://psnet.ahrq.gov…