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www.ahrq.gov/news/newsroom/case-studies/201518.html
July 01, 2015 - New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety
Search All Impact Case Studies
July 2015
Description
New York City Health and Hospitals Corporation (HHC), the nation’s largest municipal health care delivery system, uses several AHRQ resources to improve patient care…
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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/ncepcr/reports/2024-annual-report/appendix-d.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
8. Appendix D: Grant Summaries
Previous Page Next Page
Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's National Center for Excellence in Primary …
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psnet.ahrq.gov/issue/multicenter-phased-cluster-randomized-controlled-trial-reduce-central-line-associated
January 02, 2017 - Study
A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units.
Citation Text:
Marsteller JA, Sexton B, Hsu Y-J, et al. A multicenter, phased, cluster-randomized controlled trial to reduce central line-a…
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psnet.ahrq.gov/issue/impact-initial-hospital-diagnosis-mortality-acute-myocardial-infarction-national-cohort-study
April 19, 2017 - Study
Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study.
Citation Text:
Wu J, Gale CP, Hall M, et al. Editor's Choice - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: A national cohort study. Eur…
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psnet.ahrq.gov/issue/can-first-year-medical-students-acquire-quality-improvement-knowledge-prior-substantial
April 24, 2019 - Study
Can first-year medical students acquire quality improvement knowledge prior to substantial clinical exposure? A mixed-methods evaluation of a pre-clerkship curriculum that uses education as the context for learning.
Citation Text:
Brown A, Nidumolu A, Stanhope A, et al. Can first-y…
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psnet.ahrq.gov/issue/what-works-medication-reconciliation-treatment-and-site-analysis-marquis2-study
May 19, 2021 - Study
What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study.
Citation Text:
Schnipper JL, Reyes Nieva H, Yoon CS, et al. What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023;32(8):4…
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psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
February 15, 2011 - Study
Classic
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Citation Text:
Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…
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psnet.ahrq.gov/issue/reporting-and-using-near-miss-events-improve-patient-safety-diverse-primary-care-practices
June 22, 2011 - Study
Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes.
Citation Text:
Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Pr…
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psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
June 23, 2015 - Study
Classic
Incidence and types of preventable adverse events in elderly patients: population based review of medical records.
Citation Text:
Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based revie…
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psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
April 04, 2011 - Study
Classic
Temporal trends in rates of patient harm resulting from medical care.
Citation Text:
Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJ…
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psnet.ahrq.gov/issue/making-health-care-safer-critical-analysis-patient-safety-practices
July 27, 2018 - Book/Report
Making Health Care Safer: A Critical Analysis of Patient Safety Practices.
Citation Text:
Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Shojania KG, Duncan BW, McDonald KM, et al, eds. Rockville, MD: Agency for Healthcare Research and Quality; J…
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psnet.ahrq.gov/issue/team-based-approach-improving-medication-reconciliation-rates-family-medicine-residency
June 15, 2022 - Study
Team-based approach to improving medication reconciliation rates in family medicine residency clinics.
Citation Text:
Harper PG, Schafer KM, Van Riper K, et al. Team-based approach to improving medication reconciliation rates in family medicine residency clinics. J Am Pharm Assoc (…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/4RNVtFNUtF85_ErBy9cqC9
June 01, 2023 - USPSTF Clinician Summary of USPSTF Recommendation: Screening For Anxiety Disorders in Adults
USPSTF Clinician Summary of USPSTF Recommendation
Screening For Anxiety Disorders in Adults
June 2023
What does the USPSTF recommend?
B
Grade
Adults 64 years or younger, inc…
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psnet.ahrq.gov/issue/surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second
March 24, 2019 - Study
Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery.
Citation Text:
Hsiao L-H, Kopar PK. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in sur…
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psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative-synthesis-literature
October 09, 2024 - Review
Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature.
Citation Text:
Guise V, Anderson JE, Wiig S. Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. BMC Health Serv …
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digital.ahrq.gov/ahrq-funded-projects/scalable-digital-communication-intervention-support-older-adults-and-care
January 01, 2024 - Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery
Project Description
Publications
Creating a mobile application to support care transitions for older adults after surgery has the potential to prov…
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psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety-policy-england
August 18, 2021 - Study
Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'.
Citation Text:
Lalani M, Morgan S, Basu A, et al. Understanding the factors influencing implementation of a new national patient safety pol…
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digital.ahrq.gov/health-care-theme/clinical-decision-making
January 01, 2023 - Clinical Decision Making
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 implementa…
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psnet.ahrq.gov/issue/what-are-unintended-patient-safety-consequences-healthcare-technologies-qualitative-study
February 26, 2020 - Study
What are the unintended patient safety consequences of healthcare technologies? A qualitative study among patients, carers and healthcare providers.
Citation Text:
Abdelaziz S, Garfield S, Neves AL, et al. What are the unintended patient safety consequences of healthcare technologi…