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psnet.ahrq.gov/node/45429/psn-pdf
December 19, 2016 - ONC Health IT Certification Program: Enhanced Oversight
and Accountability.
November 30, 2016
Office of the National Coordinator for Health Information Technology; ONC; Health and Human Services;
HHS.
https://psnet.ahrq.gov/issue/onc-health-it-certification-program-enhanced-oversight-and-accountability
Requiremen…
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psnet.ahrq.gov/node/60674/psn-pdf
July 08, 2020 - Sway: Unravelling Unconscious Bias
July 8, 2020
Agarwal P. London, UK: Bloomsbury Sigma; 2020. ISBN 9781472971357.
https://psnet.ahrq.gov/issue/sway-unravelling-unconscious-bias
Implicit biases influence behavior and decision making. This publication discusses how a range of implicit
biases affect legal…
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psnet.ahrq.gov/node/45508/psn-pdf
September 28, 2016 - Surviving a bad diagnosis.
September 28, 2016
Hobson K. US News News and World Report. September 13, 2016.
https://psnet.ahrq.gov/issue/surviving-bad-diagnosis
Diagnostic error has recently gained recognition as an important patient safety concern. This news article
relates the experiences of patients who were mis…
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psnet.ahrq.gov/node/37479/psn-pdf
February 22, 2011 - Performance of a web-based clinical diagnosis support
system for internists.
February 22, 2011
Graber ML, Mathew A. Performance of a web-based clinical diagnosis support system for internists. J Gen
Intern Med. 2008;23 Suppl 1:37-40. doi:10.1007/s11606-007-0271-8.
https://psnet.ahrq.gov/issue/performance-web-based…
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psnet.ahrq.gov/node/41629/psn-pdf
January 03, 2017 - Improving team performance during the preprocedure
time-out in pediatric interventional radiology.
January 3, 2017
Gottumukkala R, Street M, Fitzpatrick M, et al. Improving team performance during the preprocedure time-
out in pediatric interventional radiology. Jt Comm J Qual Patient Saf. 2012;38(9):387-94.
https…
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psnet.ahrq.gov/node/45757/psn-pdf
December 14, 2016 - Five simple steps to avoid becoming a medical mystery.
December 14, 2016
Boodman SG. Washington Post. December 4, 2016.
https://psnet.ahrq.gov/issue/five-simple-steps-avoid-becoming-medical-mystery
Delays in diagnosis can both diminish the patient–physician relationship and result in harm. This
newspaper article d…
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psnet.ahrq.gov/node/35181/psn-pdf
June 23, 2009 - Communication during trauma resuscitation: do we know
what is happening?
June 23, 2009
Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is
happening? Injury. 2005;36(8):905-11.
https://psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-…
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psnet.ahrq.gov/node/35668/psn-pdf
July 10, 2008 - Duration of anesthesia as an indicator of morbidity and
mortality in office-based facial plastic surgery: a review of
1200 consecutive cases.
July 10, 2008
Gordon NA, Koch ME. Duration of anesthesia as an indicator of morbidity and mortality in office-based
facial plastic surgery: a review of 1200 consecutive case…
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psnet.ahrq.gov/node/35584/psn-pdf
April 06, 2011 - What is the patient really taking? Discrepancies between
surgery and anesthesiology preoperative medication
histories.
April 6, 2011
Burda SA, Hobson D, Pronovost PJ. What is the patient really taking? Discrepancies between surgery and
anesthesiology preoperative medication histories. Qual Saf Health Care. 2005;14…
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psnet.ahrq.gov/node/41396/psn-pdf
May 23, 2012 - In search of common ground in handoff documentation in
an intensive care unit.
May 23, 2012
Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an
Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007.
https://psnet.ahrq.gov/issue/search-c…
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psnet.ahrq.gov/node/43607/psn-pdf
October 15, 2014 - Dallas Ebola case shows even sound plans can fail
spectacularly.
October 15, 2014
Loftis RL. Dallas Morning News. October 5, 2014.
https://psnet.ahrq.gov/issue/dallas-ebola-case-shows-even-sound-plans-can-fail-spectacularly
Guidelines and rules are developed to help augment safety, but they cannot guarantee it. Th…
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psnet.ahrq.gov/node/44502/psn-pdf
May 07, 2018 - Draft Guidelines for the Safe Communication of Electronic
Medication Information.
May 7, 2018
Institute for Safe Medication Practices. Acute Care Edition. August 27, 2015;2;1-3,6.
https://psnet.ahrq.gov/issue/draft-guidelines-safe-communication-electronic-medication-information
How electronic medication-related in…
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psnet.ahrq.gov/node/41503/psn-pdf
January 18, 2013 - Medication safety in primary care practice: results from a
PPRNet quality improvement intervention.
January 18, 2013
Wessell AM, Ornstein SM, Jenkins RG, et al. Medication Safety in Primary Care Practice: results from a
PPRNet quality improvement intervention. Am J Med Qual. 2013;28(1):16-24.
doi:10.1177/106286061…
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digital.ahrq.gov/ahrq-funded-projects/personal-health-information-needs-and-practices-maternal-fetal-care/citation/use
January 01, 2023 - Use of the multidimensional health locus of control to predict information-seeking behaviors and health-related needs in pregnant women and caregivers.
Citation
Holroyd LE, Anders S, Robinson JR, et al. Use of the multidimensional health locus of control to predict information-seeking behaviors and he…
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psnet.ahrq.gov/node/50586/psn-pdf
October 23, 2019 - AHRQ Health Information Technology Research: 2018
Year in Review.
October 23, 2019
AHRQ Health Information Technology Research: 2018 Year in Review. (Prepared by John Snow, Inc.
Under Contract No. HHSN316201200068W.) AHRQ Publication No. 19-0082-EF. Rockville, MD: Agency
for Healthcare Research and Quality. Septem…
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psnet.ahrq.gov/node/38824/psn-pdf
March 04, 2011 - Evaluation of a physician informatics tool to improve
patient handoffs.
March 4, 2011
Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient
handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892.
https://psnet.ahrq.gov/issue/evaluation-phys…
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psnet.ahrq.gov/node/39989/psn-pdf
December 21, 2014 - The incidence and cost of unexpected hospital use after
scheduled outpatient endoscopy.
December 21, 2014
Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled
outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/archinternmed.2010.373.
https://p…
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psnet.ahrq.gov/node/41081/psn-pdf
February 01, 2012 - Workarounds in the use of IS in healthcare: a case study
of an electronic medication administration system.
February 1, 2012
Yang Z, Ng B-Y, Kankanhalli A, et al. Workarounds in the use of IS in healthcare: A case study of an
electronic medication administration system. International Journal of Human-Computer Studi…
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psnet.ahrq.gov/node/36682/psn-pdf
March 28, 2011 - Insufficient communication about medication use at the
interface between hospital and primary care.
March 28, 2011
Glintborg B, Andersen SE, Dalhoff K. Insufficient communication about medication use at the interface
between hospital and primary care. Qual Saf Health Care. 2007;16(1):34-9.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/47784/psn-pdf
February 13, 2019 - Patterns in outpatient benzodiazepine prescribing in the
United States.
February 13, 2019
Agarwal SD, Landon BE. Patterns in Outpatient Benzodiazepine Prescribing in the United States. JAMA
Netw Open. 2019;2(1):e187399. doi:10.1001/jamanetworkopen.2018.7399.
https://psnet.ahrq.gov/issue/patterns-outpatient-benzodi…