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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
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Table of Contents
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Introduction
Uniqu…
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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…
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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 …
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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…
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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…
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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…
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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
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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 …
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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…
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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…
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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/…
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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…
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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…
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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…
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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…
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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 …
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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…
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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 …
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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…
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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…