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psnet.ahrq.gov/issue/toolkit-engaging-patients-improve-diagnostic-safety
October 19, 2022 - Tools/Toolkit
Toolkit for Engaging Patients to Improve Diagnostic Safety.
Citation Text:
Toolkit for Engaging Patients to Improve Diagnostic Safety. Rockville, MD: Agency for Healthcare Research and Quality; August 2021. AHRQ Publication No. 21-0047-2-EF.
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psnet.ahrq.gov/issue/promise-learn-commitment-act-improving-safety-patients-england
June 17, 2014 - Book/Report
A Promise to Learn—a Commitment to Act: Improving the Safety of Patients in England.
Citation Text:
A Promise to Learn—a Commitment to Act: Improving the Safety of Patients in England. National Advisory Group on the Safety of Patients in England. London, England: Crown …
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psnet.ahrq.gov/issue/opportunities-improve-patient-safety-advancing-us-innovation-and-innovation-hubs
September 13, 2023 - Webinar
Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs.
Citation Text:
Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs. President’s Council of Advisors on Science and Technology. Washington, DC: White House;…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/cauldwell-m
January 01, 2023 - Cauldwell M et al. 2007 "The impact of electronic patient records on workflow in general practice."
Reference
Cauldwell M, Beattie C, Cox B, et al. The impact of electronic patient records on workflow in general practice. Health Informatics J 2007;13(2):155-160.
Abstract
"[A patient access sys…
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psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional
March 08, 2023 - Grant Announcement
Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional).
Citation Text:
Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). National Institutes of Health. August 11, 2022. RFA-HD-23-035.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/andre-b-et-al-2008
January 01, 2008 - Andre B et al. 2008 "Experiences with the implementation of computerized tools in health care units: a review article."
Reference
Andre B, Ringdal GI, Loge JH, et al. Experiences with the implementation of computerized tools in health care units: a review article. Int J Hum Comput Interact 2008;24(8):…
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psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care
January 22, 2017 - Commentary
Falls prevention at Mayo Clinic Rochester: a path to quality care.
Citation Text:
Sulla SJ, McMyler E. Falls prevention at Mayo Clinic Rochester: a path to quality care. J Nurs Care Qual. 2007;22(2):138-44.
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Google Scholar PubMed BibTeX End…
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psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors-may-slip-through
June 24, 2020 - Newspaper/Magazine Article
Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks.
Citation Text:
Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks. O'Donnell J. USA Today. September 8, 2020
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psnet.ahrq.gov/issue/advancing-safety-acute-pain-management
January 08, 2020 - Book/Report
Advancing the Safety of Acute Pain Management.
Citation Text:
Advancing the Safety of Acute Pain Management. Boston, MA: Institute for Healthcare Improvement; 2019.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-pfe.pdf
January 01, 2023 - $1,203,753 Purpose: To assess whether providing medical error
information to patients and physicians reduces … promotes professional self-
governance, fosters a fair and just culture of safety and
kindness, and reduces
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psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - X-ray Flip
Citation Text:
Shapiro MJ. X-ray Flip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downl…
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www.ahrq.gov/patient-safety/reports/engage/faq.html
April 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Frequently Asked Questions
Implementation
Be Prepared to Be Engaged
Create a Safe Medicine List Together
Teach-Back
Warm Handoff Plus
Implementation
1. How do I get leadership buy-in?
Leaders play an imp…
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psnet.ahrq.gov/node/865698/psn-pdf
April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges
April 24, 2024
Leary KB, Lee M, Mossburg S. Patient Safety Amid Nursing Workforce Challenges . PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
Introduction
Nurses are essential to patient care, and having a…
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psnet.ahrq.gov/web-mm/hold-tpa
July 29, 2020 - Hold the tPA
Citation Text:
Fagan SC. Hold the tPA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Dow…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/4-overview-facilitator-guide.docx
January 01, 2019 - ISCR Overview: Facilitator Guide AHRQ Safety Program for Improving
Surgical Care and Recovery
Slide Title and Commentary
Slide Number and Slide
Title slide: ISCR Overview
Hello, and thank you for joining me. Today I'll be providing an overview of the Agency for Healthcare Research and Quality’s, or AHRQ’s, Safety…
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx
Spotlight
When the Indications for Drug
Administration Blur
Source and Credits
• This presentation is based on the June 2020 AHRQ
WebM&M Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: Julia Munsch,…
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psnet.ahrq.gov/node/49751/psn-pdf
January 01, 2016 - New Patient Mistakenly Checked in as Another
January 1, 2016
Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
The Case
A 55-year-old man, presented to a primary care physician's office for an initial vis…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
June 02, 2025 - Articulate Word Output
Primary Prevention of Cardiovascular Disease (CVD) Events with
Statins
1 Primary Prevention of Cardiovascular Disease (CVD) Events with Statins
2 Welcome by Michael Pignone, MD, MPH
Hi, my name is Dr. Michael Pignone. I’m a General Internist and faculty member at The
Univer…
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psnet.ahrq.gov/node/49616/psn-pdf
December 01, 2010 - Milliliters vs. Milligrams
December 1, 2010
Poole RL, Dixon T. Milliliters vs. Milligrams. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
The Case
A 32-year-old man was admitted to the hospital after a vehicle collision and multiple traumatic injuries. His
evaluation showed acu…
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-dissemination
January 01, 2022 - Research Dissemination
The dissemination of DHR-funded research findings is critical to the transfer of successful digital healthcare knowledge, tools, and strategies that improve healthcare delivery, optimize clinician decision making, and engage patients and caregivers. Throughout the year…