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  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
    August 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Implications for Practice Improvement, Research, and Policy Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Uniqu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33702/psn-pdf
    November 01, 2010 - In Conversation with...Patrick S. Romano, MD, MPH November 1, 2010 In Conversation with..Patrick S. Romano, MD, MPH. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph Editor's note: Patrick S. Romano, MD, MPH, is Professor of Medicine and Pediatrics at the Universit…
  3. www.ahrq.gov/sites/default/files/2024-02/whitney-report.pdf
    January 01, 2024 - Final Progress Report: A new approach to the allocation of decisional authority FINAL REPORT A new approach to the allocation of decisional authority Simon Whitney, MD, JD, Principal Investigator Team members Robert Volk, PhD, vice chair for research, Baylor College of Medicine, Department of Family …
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
    January 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4p Selected Best Practices and Suggestions for Improvement PDI 02: Pressure Ulcer Why focus on pressure ulcers in children? • Although children are typi…
  5. www.ahrq.gov/action-alliance/resources/type-harm.html
    September 01, 2025 - Resources by Safety Topic Contents Diagnostic Safety Emergency Preparedness Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Diagnostic Safety AHRQ Diagnostic Steward…
  6. www.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
    November 15, 2022 - Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care Traber D. Giardina, PhD, MSW1,2 , LeChauncy D. Woodard, MD, MPH3, and Hardeep Singh, MD, MPH1,2 1Houston Cent…
  7. psnet.ahrq.gov/perspective/ems-patient-safety-field
    July 28, 2021 - Do they have rapid processing of an emergency call and get appropriate EMS resources en route quickly
  8. digital.ahrq.gov/ahrq-funded-projects/decision-making-and-clinical-work-test-result-followup-health-information/citation/barriers
    January 01, 2023 - Barriers and facilitators impacting reliability of the electronic health record-facilitated total testing process. Citation Murphy DR, Satterly T, Rogith D, Sittig DF, Singh H. Barriers and facilitators impacting reliability of the electronic health record-facilitated total testing process. Int J Med …
  9. digital.ahrq.gov/ahrq-funded-projects/emergency-community-implementing-social-needs-assessment-and-referral/citation/secondary
    January 01, 2024 - A secondary data analysis of technology access as a determinant of health and impediment in social needs screening and referral processes. Citation Bybee SG, Sharareh N, Guo JW, Luther B, Grigorian E, Wang CY, Wong B, Wallace AS. A secondary data analysis of technology access as a determinant of hea…
  10. digital.ahrq.gov/ahrq-funded-projects/engaging-diverse-patients-using-online-patient-portal/citation/adapting
    January 01, 2023 - Adapting patient experience data collection processes for lower literacy patient populations using tablets at the point of care. Citation Tieu L, Hobbs A, Sarkar U, Nacev EC, Lyles CR. Adapting patient experience data collection processes for lower literacy patient populations using tablets at the poi…
  11. digital.ahrq.gov/sites/default/files/docs/resource/Joanne_Pohl_IQHIT_Q1_Communications_Tracking_Tool.pdf
    June 16, 2021 - Communications Tracking to Document Partnership Support Communications Tracking to Document Partnership Support 1. Maintain log of phone and face to face communications: Date Communication type (e.g.: Face to face meeting, conference call, phone request) Who present Initiated by Length Key agenda/…
  12. digital.ahrq.gov/ahrq-funded-projects/rural-iowa-redesign-care-delivery-ehr-functions/citation/changing-patient-care
    January 01, 2023 - Changing patient care orders from paper to computerized provider order entry-based process. Citation Brokel JM, Ward MM, Wakefield DS, et al. Changing patient care orders from paper to computerized provider order entry-based process. Comput Inform Nurs 2012 Aug;30(8):417-25. Link http://www.nc…
  13. digital.ahrq.gov/ahrq-funded-projects/information-needs-homecare-nurses-during-admission-and-care-planning/citation/knowledge
    January 01, 2023 - Knowledge elicitation of homecare admission decision making processes via focus group, member checking and data visualization. Citation Yang Y, Bass EJ, Sockolow PS, Bowles KH. Knowledge elicitation of homecare admission decision making processes via focus group, member checking and data visualization…
  14. digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medicati-6
    January 01, 2023 - Effects of self-management support on structure, process, and outcomes among vulnerable patients with diabetes: a three-arm practical clinical trial. Citation Schillinger D, Handley M, Wang F, et al. Effects of self-management support on structure, process, and outcomes among vulnerable patients with…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47539/psn-pdf
    November 28, 2018 - The star of the diagnostic journey: assessing patient perspectives. November 28, 2018 Gipson K. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):39-45. https://psnet.ahrq.gov/issue/star-diagnostic-journey-assessing-patient-perspectives Patients are increasingly seen as partners in efforts to improve health ca…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73872/psn-pdf
    September 22, 2021 - Parenteral nutrition safety. September 22, 2021 Mirtallo JM, Ayers P. Pharmacy Practice News. September 7, 2021;48(9):17-20. https://psnet.ahrq.gov/issue/parenteral-nutrition-safety Parenteral nutrition (PN) processes contain various steps that are prone to errors resulting in patient harm. This article discusses …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866357/psn-pdf
    July 24, 2024 - People’s Experiences of Diagnosis. July 24, 2024 People’s Experiences Of Diagnosis. London, England: National Voices; June 2024. https://psnet.ahrq.gov/issue/peoples-experiences-diagnosis The discussion of diagnostic safety has expanded to include an effort to realize excellence. This report explores the diagnosti…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45646/psn-pdf
    November 23, 2016 - Patient safety in the emergency department. November 23, 2016 Farmer B. Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9). doi:10.12788/emed.2016.0052. https://psnet.ahrq.gov/issue/patient-safety-emergency-department Emergency departments are high-risk environments due to the urgency of care …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73326/psn-pdf
    June 01, 2021 - CANDOR Webinar Series. June 1, 2021 Patient Safety Movement Foundation. 2021.  https://psnet.ahrq.gov/issue/candor-webinar-series The Communication and Optimal Resolution (CANDOR) model was designed to support early error disclosure with patients and families after mistakes in care occur. This three-part webi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38324/psn-pdf
    January 14, 2009 - Effectiveness of random and focused review in detecting surgical pathology error. January 14, 2009 Raab SS, Grzybicki DM, Mahood LK, et al. Effectiveness of random and focused review in detecting surgical pathology error. Am J Clin Pathol. 2008;130(6):905-12. doi:10.1309/AJCPPIA5D7MYKDWF. https://psnet.ahrq.gov/is…