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psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors-0
December 15, 2014 - Commentary
What about doctors? The impact of medical errors.
Citation Text:
Abd Elwahab S, Doherty E. What about doctors? The impact of medical errors. The Surgeon. 2014;12(6). doi:10.1016/j.surge.2014.06.004.
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psnet.ahrq.gov/issue/influences-observed-incidence-and-reporting-medication-errors-anesthesia
October 19, 2022 - Study
Influences observed on incidence and reporting of medication errors in anesthesia.
Citation Text:
Cooper L, DiGiovanni N, Schultz L, et al. Influences observed on incidence and reporting of medication errors in anesthesia. Can J Anaesth. 2012;59(6):562-70. doi:10.1007/s12630-012-…
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psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance
December 16, 2015 - Review
Tubing misconnections: normalization of deviance.
Citation Text:
Simmons D, Symes L, Guenter P, et al. Tubing misconnections: normalization of deviance. Nutr Clin Pract. 2011;26(3):286-293. doi:10.1177/0884533611406134.
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psnet.ahrq.gov/issue/patient-safety-front-and-center
November 20, 2024 - Newspaper/Magazine Article
Patient safety front and center.
Citation Text:
Terry K. Patient safety front and center. National forces converge, strategies emerge to push the movement forward. Hospitals & health networks. 2011;85(7):38-40, 42.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix B
Detailed Review Timeline
Event Type:
Individuals Interviewed:
NAME
TITLE/ROLE
Nurse #1
Charge nurse
Nurse #2
RN
CNA X
Nursing tech
Manager MS
Manager
Pertinent Interview Findings
There was only one certifi…
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psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
October 19, 2022 - Commentary
Medication bar coding: to scan or not to scan?
Citation Text:
Galvin L, McBeth S, Hasdorff C, et al. Medication bar coding: to scan or not to scan? Comput Inform Nurs. 2007;25(2):86-92.
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www.ahrq.gov/sops/surveys/hospital/index.html
March 01, 2025 - SOPS Hospital Survey
In 2004, the Agency for Healthcare Research and Quality (AHRQ) released the Surveys on Patient Safety Culture® (SOPS®) Hospital Survey for providers and other staff to assess patient safety culture in their hospitals. Since then, hundreds of hospitals across the United States and internat…
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digital.ahrq.gov/health-care-theme/medication-errors
January 01, 2023 - Medication Errors
Artificial Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug Event Prediction
Description
This research will use artificial intelligence and machine learning to create prediction tools i…
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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/cahps/surveys-guidance/end-of-life/index.html
May 01, 2025 - CAHPS End-of-Life Care Survey
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) End-of-Life Care Survey assesses healthcare experiences in the last month of life, including care experiences across a range of care providers and settings, such as at a doctor’s office or clinic, in a hospital or…
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meps.ahrq.gov/about_meps/workshops_events.jsp
Medical Expenditure Panel Survey Workshops and Events
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psnet.ahrq.gov/issue/role-automation-complex-system-failures
June 28, 2013 - Commentary
The role of automation in complex system failures.
Citation Text:
Perry SJ, Wears RL, Cook RI. The role of automation in complex system failures. J Patient Saf. 2005;1(1):56-61. https://journals.lww.com/journalpatientsafety/Fulltext/2005/03000/The_Role_of_Automation_in_Compl…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence1.html
April 01, 2025 - Four Pillars for Sustainable Centers of Excellence
Introduction
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Table of Contents
Four Pillars for Sustainable Centers of Excellence
Introduction
Center of Excellence Operations
Alignment
Integration
Leadership Support
Windows of Opportunity
Conclusion
Acknowl…
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integrationacademy.ahrq.gov/news-and-events/calendar/event/22909
September 11, 2024 - An official website of the Department of Health & Human Services
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Careers
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Español
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The Academy
Integrating Behavioral Health & Primary Care
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psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
November 23, 2016 - Measurement Tool/Indicator
Nursing Home Survey on Patient Safety Culture.
Citation Text:
Nursing Home Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; October 2020.
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integrationacademy.ahrq.gov/expert-insight/niac-video/10871
January 01, 2013 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
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www.ahrq.gov/cahps/index.html
April 11, 2025 - Consumer Assessment of Healthcare Providers and Systems (CAHPS®)
CAHPS Virtual Research Meeting – September 18
Register now to learn how meaningful patient and family involvement can enhance care experi…
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/reports-congress/third-annual-report-congress-high-priority-evidence-gaps-clinical-preventive-services
December 01, 2013 - Third Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services
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The U.S. Preventive Services Task Force (USPSTF or Task Force) has released it…
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digital.ahrq.gov/principal-investigator/xie-anping
October 19, 2021 - Xie, Anping
Application of participatory ergonomics to the dissemination of a quality improvement program for optimizing blood culture use.
Citation
Xie A, Koontz DW, Colantuoni EA, Voskertchian A, Miller MR, Fackler JC, Milstone AM, Woods-Hill CZ. Application of participatory…
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www.ahrq.gov/ncepcr/tools/obesity/obpcp-ack.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Acknowledgements
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Table of Contents
Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Acknowledgements
Support
Foreword
Oregon Rural Practice-based Resea…