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psnet.ahrq.gov/node/867522/psn-pdf
January 15, 2025 - What are the unintended patient safety consequences of
healthcare technologies? A qualitative study among
patients, carers and healthcare providers.
January 15, 2025
Abdelaziz S, Garfield S, Neves AL, et al. What are the unintended patient safety consequences of
healthcare technologies? A qualitative study among p…
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www.ahrq.gov/policy/electronic/privacy/pii.html
October 01, 2014 - Notification of Breach Routine Use Language
Notice of HHS response plan for the new requirements regarding safeguarding against and responding to the breach of personally identifiable information.
October 9, 2007
TO: HHS Privacy Act Contacts
FROM:
Robert Eckert
Director
FOI/Privacy Acts Division
Off…
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psnet.ahrq.gov/node/39392/psn-pdf
September 20, 2011 - Effect of point-of-care computer reminders on physician
behaviour: a systematic review.
September 20, 2011
Shojania KG, Jennings A, Mayhew A, et al. Effect of point-of-care computer reminders on physician
behaviour: a systematic review. CMAJ. 2010;182(5):E216-25. doi:10.1503/cmaj.090578.
https://psnet.ahrq.gov/iss…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/5steps.pdf
June 02, 2025 - Treating Tobacco Use and Dependence - Five Major Steps to Intervention (The “5A’s”)
Five Major Steps to
Intervention (The “5A’s”)
Successful intervention begins with identifying users and appropriate
interventions based upon the patient’s willingness to quit. The five major steps
to intervention are the “5 A’s”: Ask…
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psnet.ahrq.gov/node/46484/psn-pdf
August 20, 2018 - Defining and measuring diagnostic uncertainty in
medicine: a systematic review.
August 20, 2018
Bhise V, Rajan SS, Sittig DF, et al. Defining and Measuring Diagnostic Uncertainty in Medicine: A
Systematic Review. J Gen Intern Med. 2018;33(1):103-115. doi:10.1007/s11606-017-4164-1.
https://psnet.ahrq.gov/issue/defi…
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psnet.ahrq.gov/node/39896/psn-pdf
July 03, 2014 - Effect of availability bias and reflective reasoning on
diagnostic accuracy among internal medicine residents.
July 3, 2014
Mamede S, Van Gog T, Van den Berge K, et al. Effect of availability bias and reflective reasoning on
diagnostic accuracy among internal medicine residents. JAMA. 2010;304(11):1198-1203.
doi:1…
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psnet.ahrq.gov/node/41047/psn-pdf
November 26, 2014 - Failure to follow-up test results for ambulatory patients: a
systematic review.
November 26, 2014
Callen JL, Westbrook JI, Georgiou A, et al. Failure to Follow-Up Test Results for Ambulatory Patients: A
Systematic Review. J Gen Intern Med. 2011;27(10):1334-1348. doi:10.1007/s11606-011-1949-5.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/41863/psn-pdf
November 21, 2012 - How reliable are patient-completed medication
reconciliation forms compared with pharmacy lists?
November 21, 2012
Meyer C, Stern M, Woolley W, et al. How reliable are patient-completed medication reconciliation forms
compared with pharmacy lists? Am J Emerg Med. 2012;30(7):1048-54. doi:10.1016/j.ajem.2011.06.038.
…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-written-statement.pdf
June 02, 2025 - Written Statement
WRITTEN STATEMENT
TO: AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
FROM: PEDJA TRJC MEASUREMENT CENTER OF EXCELLENCT (PMCoE)
SUBJECT: WRITTEN STATEMENT GUARANTEErNG PUBLIC A V All..ABILITY OF PICU
MEASURE "rNITIAL BASELINE SCREEN OF NUTRITIONAL STATUS FOR
EVERY PATIENT WITHIN 24 HOURS OF PICU …
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www.ahrq.gov/topics/falls.html
Falls
Each year, somewhere between 700,000 and 1,000,000 people in the United States fall in the hospital, and about 1.3 million residents in nursing facilities fall. Falls can lead to serious injuries, decreased ability to function, reduced quality of life, increased fear of falling, and increase…
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psnet.ahrq.gov/node/35868/psn-pdf
July 10, 2008 - Incidence, patterns, and prevention of wrong-site surgery.
July 10, 2008
Kwaan MR, Studdert DM, Zinner MJ, et al. Incidence, patterns, and prevention of wrong-site surgery. Arch
Surg. 2006;141(4):353-358.
https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
This AHRQ-supported study an…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/05-pfe-planning-60-seconds.pdf
August 01, 2021 - 60 Seconds To Improve Diagnostic Safety Planning Worksheet
Toolkit for Engaging Patients
To Improve Diagnostic Safety
AHRQ Publication No. 21-0047-4-EF
August 2021
60 Seconds To Improve
Diagnostic Safety
Planning Worksheet
When planning your implementation, be sure to have the following materials
available s…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-1.html
September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Learning From Diagnostic Errors
Previous Page Next Page
Table of Contents
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Learning From Diagnost…
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digital.ahrq.gov/events/national-web-conference-e-prescribing-and-medication-management-current-realities-and-future
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/node/43401/psn-pdf
August 02, 2015 - Morning handover of on-call issues: opportunities for
improvement.
August 2, 2015
Devlin MK, Kozij NK, Kiss A, et al. Morning handover of on-call issues: opportunities for improvement.
JAMA Intern Med. 2014;174(9):1479-85. doi:10.1001/jamainternmed.2014.3033.
https://psnet.ahrq.gov/issue/morning-handover-call-issu…
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psnet.ahrq.gov/node/45957/psn-pdf
August 15, 2018 - Comparison of appendectomy outcomes between senior
general surgeons and general surgery residents.
August 15, 2018
Siam B, Al-Kurd A, Simanovsky N, et al. Comparison of Appendectomy Outcomes Between Senior General
Surgeons and General Surgery Residents. JAMA Surg. 2017;152(7):679-685.
doi:10.1001/jamasurg.2017.057…
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psnet.ahrq.gov/node/48150/psn-pdf
August 21, 2019 - Communication between primary and secondary care:
deficits and danger.
August 21, 2019
Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits
and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037.
https://psnet.ahrq.gov/issue/communication-between-primary…
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psnet.ahrq.gov/node/46358/psn-pdf
December 22, 2017 - We want to know: eliciting hospitalized patients'
perspectives on breakdowns in care.
December 22, 2017
Fisher K, Smith KM, Gallagher TH, et al. We want to know: eliciting hospitalized patients' perspectives on
breakdowns in care. J Hosp Med. 2017;12(8):603-609. doi:10.12788/jhm.2783.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/42787/psn-pdf
January 19, 2014 - The effects of electronic prescribing by community-based
providers on ambulatory medication safety.
January 19, 2014
Abramson EL, Pfoh ER, Barrón Y, et al. The effects of electronic prescribing by community-based
providers on ambulatory medication safety. Jt Comm J Qual Patient Saf. 2013;39(12):545-552.
https://ps…
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psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
June 24, 2020 - Journal Article
E-collection: Safety and Error Prevention in Health.
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May 3, 2017
The increasing implementation of health informati…