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psnet.ahrq.gov/issue/our-stubborn-quest-diagnostic-certainty
June 21, 2016 - Commentary
Our stubborn quest for diagnostic certainty.
Citation Text:
Kassirer JP. Our stubborn quest for diagnostic certainty. N Engl J Med. 1989;320(22):1489-1491. doi:10.1056/nejm198906013202211.
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psnet.ahrq.gov/issue/eliminating-clabsi-national-patient-safety-imperative
October 23, 2019 - Book/Report
Eliminating CLABSI: A National Patient Safety Imperative.
Citation Text:
Eliminating CLABSI: A National Patient Safety Imperative. Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/y3mQMyN2Y8mxKvPPXjM6kV
Clinical Summary: Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer
Clinical Summary: Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer
Population
Women with a personal or family history of breast, ovarian, tubal,
or peritoneal cancer or who have…
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psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
November 27, 2018 - Book/Report
What Every Health Care Organization Should Know about Sentinel Events.
Citation Text:
What Every Health Care Organization Should Know about Sentinel Events. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN 9780866889117.
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psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and-financial-loss
July 18, 2018 - Webinar
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss.
Citation Text:
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. Cambridge, MA; CRICO Strategies: July 14, 2020.
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psnet.ahrq.gov/issue/infection-control-intensive-care-unit
May 27, 2011 - Special or Theme Issue
Infection Control in the Intensive Care Unit.
Citation Text:
Infection Control in the Intensive Care Unit. Crit Care Med. 2010;38:S265-S404.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/disparities-quality-improvement_executive.pdf
August 01, 2012 - Evidence-Based
Practice
Evidence-based Practice
Program
The Agency for Healthcare Research and
Quality (AHRQ), through its Evidence-
based Practice Centers (EPCs), sponsors
the development of evidence reports and
technology assessments to assist public-
and private-sector organizations in their
efforts to imp…
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psnet.ahrq.gov/node/60915/psn-pdf
September 16, 2020 - Deprescribing for community-dwelling older adults: a
systematic review and meta-analysis.
September 16, 2020
Bloomfield HE, Greer N, Linsky AM, et al. Deprescribing for community-dwelling older adults: a systematic
review and meta-analysis. J Gen Intern Med. 2020;35(11):3323-3332. doi:10.1007/s11606-020-06089-2.
h…
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psnet.ahrq.gov/node/851657/psn-pdf
July 26, 2023 - Weight stigma and barriers to effective obesity care.
July 26, 2023
Puhl RM. Weight stigma and barriers to effective obesity care. Gastroenterol Clin North Am.
2023;52(2):417-428. doi:10.1016/j.gtc.2023.02.002.
https://psnet.ahrq.gov/issue/weight-stigma-and-barriers-effective-obesity-care
Implicit biases and stigm…
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psnet.ahrq.gov/node/61075/psn-pdf
October 28, 2020 - FDA advises health care professionals and patients about
insulin pen packaging and dispensing.
October 28, 2020
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 13, 2020.
https://psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen-
packag…
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psnet.ahrq.gov/node/45761/psn-pdf
December 21, 2016 - An investigation of diagnostic accuracy and confidence
associated with diagnostic checklists as well as gender
biases in relation to mental disorders.
December 21, 2016
Cwik JC, Papen F, Lemke J-E, et al. An Investigation of Diagnostic Accuracy and Confidence Associated
with Diagnostic Checklists as Well as Gender…
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psnet.ahrq.gov/node/44651/psn-pdf
December 09, 2015 - Measurement of diagnostic errors is a key first step to
their reduction.
December 9, 2015
Singh H. National Quality Measures Expert Commentaries. November 23, 2015.
https://psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction
Recently, diagnostic error has garnered much discussion and …
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psnet.ahrq.gov/node/46582/psn-pdf
February 14, 2018 - Technological distractions—part 1 and part 2.
February 14, 2018
Kane-Gill SL, O'Connor MF, Rothschild JM, et al. Technologic Distractions (Part 1): Summary of
Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert
Fatigue Metrics. Crit Care Med. 2017;45(9):1481-1488. doi:1…
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psnet.ahrq.gov/node/46289/psn-pdf
January 01, 2021 - Communication training, adverse events, and quality
measures: 2 retrospective database analyses in
Washington State hospitals.
August 9, 2017
Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2
Retrospective Database Analyses in Washington State Hospitals. J Patient …
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psnet.ahrq.gov/node/47979/psn-pdf
May 01, 2019 - Inpatient notes: just what the doctor ordered—checklists
to improve diagnosis.
May 1, 2019
Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor
Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.7326/M19-0829.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/42086/psn-pdf
March 13, 2013 - Patient safety strategies targeted at diagnostic errors: a
systematic review.
March 13, 2013
McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic
errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7326/0003-4819-158-5-
201303051-00004.…
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psnet.ahrq.gov/node/41801/psn-pdf
October 31, 2012 - First year with WHO Surgical Safety Checklist in 7148
otorhinolaryngological operations: use and user
attitudes.
October 31, 2012
Helmiö P, Takala A, Aaltonen L-M, et al. First year with WHO Surgical Safety Checklist in 7148
otorhinolaryngological operations: use and user attitudes. Clin Otolaryngol. 2012;37(4):30…
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psnet.ahrq.gov/node/43980/psn-pdf
March 18, 2015 - Adapting The Joint Commission's seven foundations of
safe and effective transitions of care to home.
March 18, 2015
Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to
home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/NHH.0000000000000195.
https://psnet.ahr…
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psnet.ahrq.gov/node/35112/psn-pdf
June 22, 2009 - Medication safety in older adults: home-based practice
patterns.
June 22, 2009
Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am
Geriatr Soc. 2005;53(6):976-982.
https://psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns
This s…
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psnet.ahrq.gov/node/47396/psn-pdf
June 02, 2019 - What is new in paediatric medication safety?
June 2, 2019
Kahn S, Abramson EL. What is new in paediatric medication safety? Arch Dis Child. 2019;104(6):596-599.
doi:10.1136/archdischild-2018-315175.
https://psnet.ahrq.gov/issue/what-new-paediatric-medication-safety
Pediatric patients are particularly vulnerable to…