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psnet.ahrq.gov/node/46397/psn-pdf
August 30, 2017 - Making Dialysis Safer for Patients Coalition.
August 30, 2017
Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/making-dialysis-safer-patients-coalition
Dialysis is a common procedure that carries risks if not performed correctly. This initiative represents a
collective effort that aims to d…
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psnet.ahrq.gov/node/36197/psn-pdf
February 02, 2011 - Tracking progress in patient safety: an elusive target.
February 2, 2011
Pronovost P, Miller MR, Wachter R. Tracking progress in patient safety: an elusive target. JAMA.
2006;296(6):696-9.
https://psnet.ahrq.gov/issue/tracking-progress-patient-safety-elusive-target
The authors discuss weaknesses in current methods…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-poster.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making Poster
Does the resident have symptoms that suggest an infection?
What type of infection is it? Have we collected appropriate cultures
before starting antibiotics? What empiric therapy should be initiated?
1
What duration of antibiotic therapy is needed for the resident’…
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psnet.ahrq.gov/node/44573/psn-pdf
October 21, 2015 - Getting the diagnosis wrong.
October 21, 2015
Ofri D. New York Times. October 8, 2015.
https://psnet.ahrq.gov/issue/getting-diagnosis-wrong
This news article offers insights from a physician about the complexities around establishing a diagnosis in
frontline practice and the recent IOM report recommendation to imp…
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digital.ahrq.gov/ahrq-funded-projects/decision-making-and-clinical-work-test-result-followup-health-information/citation/helping
January 01, 2023 - Helping health care organizations to define diagnostic errors as missed opportunities in diagnosis.
Citation
Singh H. Editorial: Helping health care organizations to define diagnostic errors as missed opportunities in diagnosis. Jt Comm J Qual Patient Saf 2014;40(3):99-101.
Link
http://www.ncb…
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digital.ahrq.gov/ahrq-funded-projects/decision-making-and-clinical-work-test-result-followup-health-information/citation/burden
January 01, 2023 - The burden of inbox notifications in commercial electronic health records.
Citation
Murphy DR, Meyer AND, Russo E, et al. The burden of inbox notifications in commercial electronic health records. JAMA Intern Med 2016 Apr;176(4):559–60. PMID: 26974737.
Link
https://www.ncbi.nlm.nih.gov/pubmed/…
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digital.ahrq.gov/ahrq-funded-projects/decision-making-and-clinical-work-test-result-followup-health-information/citation/understanding
January 01, 2023 - Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation.
Citation
Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. Br J Cancer 2015 Mar 31;…
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digital.ahrq.gov/ahrq-funded-projects/decision-making-and-clinical-work-test-result-followup-health-information/citation/informing
January 01, 2023 - Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care.
Citation
Pfoh ER, Engineer L, Singh H, et al. Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care. J Patient Saf 2017 Feb 28. doi: 10.1097/PTS.0000000…
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digital.ahrq.gov/ahrq-funded-projects/decision-making-and-clinical-work-test-result-followup-health-information/citation/learning
January 01, 2023 - Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety.
Citation
Giardina TD, Haskell H, Menon S, et al. Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. Health Aff (Millwood). 2018 Nov;3…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017248-adams-final-report-2011.pdf
January 01, 2011 - Hibbard, J.H., et al., Development and testing of a
short form of the patient activation measure.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017163-baker-final-report-2011.pdf
January 01, 2011 - The primary study outcome was the completion of colorectal cancer screening using fecal occult
blood testing
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www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
January 01, 2024 - Pre-test and post-test questions were submitted by faculty testing knowledge
content for each of the
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digital.ahrq.gov/sites/default/files/docs/page/UHIN_BusinessCaseReport.pdf
November 01, 2005 - Resource
Center for Health Information Technology (NRC) to AHRQ projects involved in the developing, testing
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapr.html
April 01, 2018 - Designing and Testing Methods to Stratify Risk of Surgical Site Infections
Chapter 4.
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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - analysis can be used to develop standardized processes for patient screening and routing, diagnostic testing
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/colorectal-surgery-preparation_research-protocol.pdf
March 26, 2013 - meta-analysis on the basis of clinical heterogeneity of patient
populations and interventions and testing
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
July 25, 2018 - AHRQ and Westat are currently doing more cognitive testing of the survey items and will be
conducting
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - Doing more by doing less: reducing over testing and over treating.
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - Doing more by doing less: reducing over testing and over treating.
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cds.ahrq.gov/sites/default/files/cds/artifact/106/AMIA_presentation.pptx
January 01, 2012 - Healthy Weight
Stage 1:
Freehand mockup
Stage 2
Wireframe mockup
Stage 3
Interactive module
Stage 4
User testing … Stage 1
Quick, easy, low overhead, adaptable
Stage 2
Layout, spacing, internal workflow (white box testing … Testing before implementation
Everything functions as expected
Patient data is appropriately handled … The CDS does not break the EHR
Testing after implementation
How do different clinical workflows impact … is possible
Even minimally tested CDS can have an immediate impact on patient care, but inadequate testing