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psnet.ahrq.gov/issue/reader-bias-breast-cancer-screening-related-cancer-prevalence-and-artificial-intelligence
February 01, 2013 - Study
Reader bias in breast cancer screening related to cancer prevalence and artificial intelligence decision support-a reader study.
Citation Text:
Al-Bazzaz H, Janicijevic M, Strand F. Reader bias in breast cancer screening related to cancer prevalence and artificial intelligence deci…
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psnet.ahrq.gov/issue/impact-original-methodological-tool-identification-corrective-and-preventive-actions-after
March 15, 2017 - Study
Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial.
Citation Text:
Vacher A, El Mhamdi S, dʼHollander A, et al. Impact o…
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psnet.ahrq.gov/issue/investigating-adverse-event-free-admissions-medicare-inpatients-patient-safety-indicator
May 04, 2016 - Study
Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator.
Citation Text:
King A, Bottle A, Faiz O, et al. Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. Ann Surg. 2017;265(5):910-915. doi:10.…
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psnet.ahrq.gov/issue/associations-between-attending-physician-workload-teaching-effectiveness-and-patient-safety
July 02, 2014 - Study
Associations between attending physician workload, teaching effectiveness, and patient safety.
Citation Text:
Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:…
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psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health
October 05, 2022 - Review
Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review.
Citation Text:
Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical E…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g1_combo_availablecomprehensiveqiguides.pdf
June 02, 2025 - Available Comprehensive Quality Improvement Guides
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Available Comprehensive Quality Improvement Guides
What is the purpose of this tool? This tool provides information on oth…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-joy-in-work.pdf
June 02, 2025 - Job Aid: Joy in Work
Primary Care Practice Facilitator
Training Series
1
Job Aid: Joy in Work
Joy in work is one of three categories of common goals practices
have for improvement. Joy in work is central to good patient
care and in recognition of this, the national triple aim has been
expanded to…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-practice-assessments.pdf
June 02, 2025 - Job Aid: Practice Assessments and Surveys
Primary Care Practice Facilitator
Training Series
1
Job Aid: Practice Assessments and Surveys
Overview
Practice assessments and surveys are simple and non-threatening ways for a practice to gather
information, generate ideas for improvements, and test and…
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psnet.ahrq.gov/issue/types-and-effects-feedback-emergency-ambulance-staff-systematic-mixed-studies-review-and-meta
April 06, 2022 - Study
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis.
Citation Text:
Wilson C, Janes G, Lawton R, et al. Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. BMJ…
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psnet.ahrq.gov/issue/seen-through-their-eyes-residents-reflections-cognitive-and-contextual-components-diagnostic
November 18, 2013 - Study
Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine.
Citation Text:
Ogdie AR, Reilly JB, Pang WG, et al. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/149-cusp-tip-sheet-assembling-team.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
CUSP Tip Sheet:
Assembling the CUSP Team
ICU & Non-ICU
Purpose
Teamwork and interprofessional collaboration are important to high-quality patient care. A culture of teamwork and learning from mistakes helps improve patient safety. The Comprehensive Unit-based Safety Program (CUS…
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psnet.ahrq.gov/issue/weekend-hospitalization-and-additional-risk-death-analysis-inpatient-data
September 23, 2015 - Study
Weekend hospitalization and additional risk of death: an analysis of inpatient data.
Citation Text:
Freemantle N, Richardson M, Wood J, et al. Weekend hospitalization and additional risk of death: An analysis of inpatient data. J R Soc Med. 2012;105(2). doi:10.1258/jrsm.2012.1200…
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psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
December 18, 2019 - Study
Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports.
Citation Text:
Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations - text mining analysis usin…
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psnet.ahrq.gov/issue/clinical-and-economic-outcomes-attributable-health-care-associated-sepsis-and-pneumonia
December 09, 2015 - Study
Clinical and economic outcomes attributable to health care–associated sepsis and pneumonia.
Citation Text:
Eber MR, Laxminarayan R, Perencevich E, et al. Clinical and economic outcomes attributable to health care-associated sepsis and pneumonia. Arch Intern Med. 2010;170(4):347-53.…
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www.ahrq.gov/talkingquality/plan/subject.html
December 01, 2022 - What Will Be the Subject of Your Health Care Quality Report?
The subject of a quality report could be any level of the health care system, including:
Health plans and insurance carriers.
Hospitals.
Medical groups or clinics.
Individual clinicians.
Nursing homes.
Home health agencies.
Behavioral …
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digital.ahrq.gov/track-4-assessing-value-and-evaluating-project-impact
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/issue/medication-event-huddles-tool-reducing-adverse-drug-events
December 19, 2014 - Commentary
Medication event huddles: a tool for reducing adverse drug events.
Citation Text:
Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45.
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psnet.ahrq.gov/issue/do-eps-change-their-clinical-behaviour-hallway-or-when-companion-present-cross-sectional
June 29, 2022 - Study
Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey.
Citation Text:
Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg …
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www.ahrq.gov/hai/cauti-tools/ena-slides/preface.html
October 01, 2015 - The Emergency Nurses Association Presents CAUTI Slides and Transcript
Opening Materials: Attribution, Objectives, Introduction, and Main Menu
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Table of Contents
The Emergency Nurses Association Presents CAUTI Slides and Transcript
Opening Materials: Attribution, Objectives, …
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psnet.ahrq.gov/issue/impact-interruptions-duration-nursing-interventions-direct-observation-study-academic
February 13, 2019 - Study
The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department.
Citation Text:
Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a direct observation stud…