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psnet.ahrq.gov/issue/critical-incident-monitoring-anaesthesia
September 04, 2024 - Review
Critical incident monitoring in anaesthesia.
Citation Text:
Choy CY. Critical incident monitoring in anaesthesia. Curr Opin Anaesthesiol. 2008;21(2):183-6. doi:10.1097/ACO.0b013e3282f33592.
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psnet.ahrq.gov/issue/south-carolina-medication-error-bill-dangerously-target
October 14, 2015 - Newspaper/Magazine Article
South Carolina medication error bill is dangerously off target.
Citation Text:
South Carolina medication error bill is dangerously off target. ISMP Medication Safety Alert! Acute Care Edition. April 9, 2015;20:1,4.
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www.ahrq.gov/news/newsroom/case-studies/201701.html
March 01, 2017 - To address the problem, the Meadowlands project incorporated educational activities and mobile technology
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psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021
October 05, 2016 - Book/Report
Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021.
Citation Text:
Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023.
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psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
July 15, 2015 - Review
The incidence of diagnostic error in medicine.
Citation Text:
Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. doi:10.1136/bmjqs-2012-001615.
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digital.ahrq.gov/health-care-theme/provider-burden
January 01, 2023 - Provider Burden
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation of a…
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www.ahrq.gov/diagnostic-safety/research/index.html
November 01, 2024 - in Fiscal Year 2022 In fiscal year 2022, Congress authorized funding to support AHRQ's research to address
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psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
March 03, 2021 - Commentary
Classic
Leading change: why transformation efforts fail.
Citation Text:
Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev 1995;73(2);59-67.
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digital.ahrq.gov/program-overview/research-stories/telehealth-transition-and-improving-health-systems
January 01, 2023 - The Telehealth Transition and Improving Health Systems
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Leveraging Telehealth to Improve Health Systems
Evaluation of the rapid transition to telehealth due to the COVID-19 pandemic will inform patient care post-COVID-19 …
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www.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program
Select for:
Planning Grant Evaluation Report ( PDF , 715 KB)
Demonstration Grant Evaluation Report ( PDF , 928 KB)
On September 9, 2009, President Obama directed the Secretary of the U.S. Department of H…
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www.ahrq.gov/news/newsroom/case-studies/201506.html
April 01, 2015 - improvements in its Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS ® ) data that address
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-what-you-need-know
December 17, 2014 - Commentary
Patient Safety and Quality Improvement Act of 2005: what you need to know.
Citation Text:
Rohrich RJ. Patient Safety and Quality Improvement Act of 2005: what you need to know. Plast Reconstr Surg. 2006;117(2):671-2.
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digital.ahrq.gov/snomed-ct
January 01, 2023 - Let us know the nature of the problem, the Web address of what you want, and your contact information
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/puerto-rico
January 01, 2023 - If you would like to get involved, please contact us at the following e-mail address: mevargas@ciracet.com
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-report-quality-and-safety-2008
November 23, 2016 - Book/Report
Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.
Citation Text:
Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. Oakbrook Terrace, IL: The Joint Commission; November 2008.
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psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
July 12, 2017 - Book/Report
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era.
Citation Text:
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Imp…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence1.html
April 01, 2025 - CEs focusing on diagnostic excellence need to address challenges specific to patient safety: The complexity
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digital.ahrq.gov/program-overview/research-stories/using-machine-learning-military-service-members-and-veterans-risk
January 01, 2023 - Using Machine Learning for Military Service Members and Veterans at Risk for Suicide
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Leveraging Machine Learning to Assess Risk
The use of a risk-prediction tool for both suicide ideation and suicide attempt has the potential to allo…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/2025-06/USPSTF-public-engagement-2025-update.pdf
January 01, 2025 - Recommendations
address only services offered in the primary care setting or services referred by a
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psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition
April 30, 2008 - Toolkit
AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition.
Citation Text:
AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Brach C, ed. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Publication No. 15-0023-EF.
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