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psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power-protect-them
June 28, 2023 - Newspaper/Magazine Article
Millions of people used tainted breathing machines. The FDA failed to use its power to protect them.
Citation Text:
Millions of people used tainted breathing machines. The FDA failed to use its power to protect them. Cenziper D, Sallah MD, Korsh M. ProPublica. …
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psnet.ahrq.gov/issue/diagnostic-centers-excellence-partnerships-improve-diagnostic-safety-and-quality-r18
March 08, 2023 - Grant Announcement
Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18).
Citation Text:
Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18). Rockville, MD: Agency for Healthcare Research and Quality; April…
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psnet.ahrq.gov/issue/understanding-and-improving-diagnostic-safety-ambulatory-care
August 17, 2022 - Grant Announcement
Understanding and Improving Diagnostic Safety in Ambulatory Care.
Citation Text:
Understanding and Improving Diagnostic Safety in Ambulatory Care. Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023.
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psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
September 20, 2023 - Newspaper/Magazine Article
Many people of color worry good health care is tied to their appearance.
Citation Text:
Many people of color worry good health care is tied to their appearance. DeGuzman C. KFF Health News. December 5, 2023
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psnet.ahrq.gov/issue/agency-information-collection-activities-nursing-home-survey-patient-safety-culture-database
June 16, 2021 - Press Release/Announcement
Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request.
Citation Text:
Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request. Agency for Healt…
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psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop
May 19, 2021 - Meeting/Conference Proceedings
Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop.
Citation Text:
Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. National Academies of Sciences, Engineering, and Medicine. June 7-8, 2021.
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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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February 26, 2025
Innovation
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step
Technique Innovation Summary
February 26, 2025
https://psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-
summary
Summary
This innovation describes the Veteran Health Administration (VHA) National Center for Patient Saf…
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - mental illness alone do not speak to a patient’s ability to weigh care decisions and reason through
options … by forgoing certain
treatments.10,11
Reasoning refers to one’s ability to compare the treatment options … asking open-
ended questions about how they came to their decision or why they decided to forgo the options
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psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed
September 14, 2011 - Newspaper/Magazine Article
Why are so many women being misdiagnosed?
Citation Text:
Why are so many women being misdiagnosed? Mickle K. Glamour. August 11, 2017.
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psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety
July 12, 2017 - Press Release/Announcement
Safer Together Survey: Advancing Patient and Workforce Safety
Citation Text:
Safer Together Survey: Advancing Patient and Workforce Safety Cambridge, MA: Institute for Healthcare Improvement: January 2023.
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psnet.ahrq.gov/Information/Privacy
May 23, 2025 - Privacy Policy
Thank you for visiting AHRQ PSNet.
The site is produced by an editorial team at the University of California, Davis under a contract from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services.
We collect no personal information about you when you visit …
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psnet.ahrq.gov/issue/contribution-diagnostic-errors-maternal-morbidity-and-mortality-during-and-immediately-after
February 17, 2021 - Book/Report
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science.
Citation Text:
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of …
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psnet.ahrq.gov/issue/business-case-investing-physician-well-being
June 05, 2019 - Commentary
The business case for investing in physician well-being.
Citation Text:
Shanafelt TD, Goh J, Sinsky CA. The Business Case for Investing in Physician Well-being. JAMA Intern Med. 2017;177(12):1826-1832. doi:10.1001/jamainternmed.2017.4340.
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psnet.ahrq.gov/node/50927/psn-pdf
February 21, 2020 - Increased shared decision-making can ensure that treatment
options align with patient preferences and
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psnet.ahrq.gov/perspective/patient-safety-primary-care
January 31, 2020 - Increased shared decision-making can ensure that treatment options align with patient preferences and
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psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - Managing Ascites: Hazards of Fluid Removal
Citation Text:
Moore K. Managing Ascites: Hazards of Fluid Removal. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - study, clinicians were 19% more likely
to stick with an initial management plan if confronted by three options … instead of two options.(13) In this
case, unilateral foot pain has a broad differential diagnosis requiring
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psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
March 30, 2016 - initial error in transcribing the order in this case may have been a "juxtaposition" error, in which the options
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psnet.ahrq.gov/issue/caregiver-advise-record-enable-care-act
March 15, 2017 - Commentary
The Caregiver Advise, Record, Enable (CARE) act.
Citation Text:
Anthony M. The Caregiver Advise, Record, Enable (CARE) Act. Home Healthc Now. 2018;36(2):69-70. doi:10.1097/nhh.0000000000000655.
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