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psnet.ahrq.gov/issue/how-can-regulatory-authorities-improve-safety-organizations-influencing-safety-culture
July 07, 2021 - Commentary
How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications.
Citation Text:
Nævestad T-O, Storesund Hesjevoll I, Elvik R. How can regulatory authorities improve safety in…
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psnet.ahrq.gov/issue/introductions-during-time-outs-do-surgical-team-members-know-one-anothers-names
November 09, 2015 - Study
Introductions during time-outs: do surgical team members know one another's names?
Citation Text:
Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Introductions during time-outs: do surgical team members know one another's names? Jt Comm J Qual Patient Saf. 2017;43(6):284-288. doi:10.1…
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psnet.ahrq.gov/issue/medical-misadventures-errors-and-mistakes-and-motor-vehicular-accidents-disproportionate
March 05, 2025 - Study
Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden of childhood mortality among Blacks/African Americans in the United States: CDC Dataset, 1968-2015.
Citation Text:
Holmes L, Enwere M, Mason R, et al. Medical misadventures as …
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psnet.ahrq.gov/issue/measuring-overall-development-patient-safety-new-hospital-using-trigger-tools
April 12, 2019 - Study
Measuring the overall development of patient safety in a new hospital using trigger tools.
Citation Text:
Adamovic I, Dahlem P, Brachmann J. Measuring the overall development of patient safety in a new hospital using trigger tools. Int J Qual Health Care. 2024;36(3):mzae064. doi:10…
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psnet.ahrq.gov/issue/use-quality-indicators-compare-point-care-testing-errors-neonatal-unit-and-errors-stat
December 02, 2020 - Study
Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory.
Citation Text:
Cantero M, Redondo M, Martín E, et al. Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a S…
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psnet.ahrq.gov/issue/reducing-treatment-errors-through-point-care-glucometer-configuration
September 23, 2020 - Study
Reducing treatment errors through point-of-care glucometer configuration.
Citation Text:
Estock JL, Pham I-T, Curinga HK, et al. Reducing Treatment Errors Through Point-of-Care Glucometer Configuration. Jt Comm J Qual Patient Saf. 2018;44(11):683-694. doi:10.1016/j.jcjq.2018.03.014…
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psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis
June 19, 2019 - Review
Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review.
Citation Text:
Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis …
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psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understand-adverse-medical-events
November 15, 2023 - Journal Article
Combined SNA and LDA methods to understand adverse medical events
Citation Text:
Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/CAHPS-Database-Brief_01_2014.pdf
January 01, 2014 - The CAHPS Database
The CAHPS Database
The CAHPS Database is funded by
the U.S. Agency for Healthcare
Research and Quality (AHRQ) to
support the use of the Consumer
Assessment of Healthcare Providers
and Systems (CAHPS®) patient
experience surveys by health plans,
medical groups and practices. CAHPS
survey…
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www.ahrq.gov/cahps/consumer-reporting/research/index.html
May 01, 2022 - Research on Reporting Information to Consumers
The ability to report CAHPS ® survey results in a way that supports consumers in making informed decisions has been a key element of the CAHPS project since its inception in the mid-1990s. 1 Over the years, the CAHPS grantees have conducted numerous studies to an…
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www.ahrq.gov/cahps/about-cahps/index.html
June 01, 2025 - About the CAHPS Program and Surveys
The Agency for Healthcare Research and Quality’s (AHRQ) Consumer Assessment of Healthcare Providers and Systems (CAHPS ® ) program began in 1995. Its purpose is to boost our scientific understanding of patient experience with healthcare as part of a larger effort to advance t…
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psnet.ahrq.gov/issue/information-transfer-hospital-discharge-systematic-review
February 21, 2015 - Review
Classic
Information transfer at hospital discharge: a systematic review.
Citation Text:
Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.000000000000…
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psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
July 11, 2012 - Commentary
Classic
Effectiveness and efficiency of root cause analysis in medicine.
Citation Text:
Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685.
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digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-donor-heart-utilization-predictive-analytics
September 30, 2024 - Improving Pediatric Donor Heart Utilization with Predictive Analytics
Project Description
Integrating predictive risk models and decision aids for clinicians to assess the likelihood of successful pediatric heart transplants in real-time can reduce waitlist mortality, lower don…
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www.ahrq.gov/ncepcr/tools/confid-report/index.html
March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Next Page
Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Introduction
Part One: Physician Feedback Report Fundamentals
Part Two: Design of Physi…
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hcup-us.ahrq.gov/db/nation/nis/corrections_2000.jsp
January 01, 2000 - NIS Database Documentation - Corrections 2000
An official website of the Department of Health & Human Services
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Careers
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digital.ahrq.gov/health-care-theme/technology-usability
January 01, 2023 - Technology Usability
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…
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psnet.ahrq.gov/issue/strategies-prevent-healthcare-associated-infections-through-hand-hygiene
July 03, 2014 - Commentary
Strategies to prevent healthcare-associated infections through hand hygiene.
Citation Text:
Ellingson K, Haas JP, Aiello AE, et al. Strategies to prevent healthcare-associated infections through hand hygiene. Infect Control Hosp Epidemiol. 2014;35(8):937-960. doi:10.1086/67714…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/berlin-et-al-2006
January 01, 2006 - Berlin A et al. 2006 "A taxonomic description of computer-based clinical decision support systems."
Reference
Berlin A, Sorani M, Sim I. A taxonomic description of computer-based clinical decision support systems. J Biomed Inf 2006;39(6):656-667.
Abstract
"Objective. Computer-based clinical de…
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psnet.ahrq.gov/issue/leveraging-artificial-intelligence-reduce-diagnostic-errors-emergency-medicine-challenges
May 29, 2019 - Commentary
Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions.
Citation Text:
Taylor RA, Sangal RB, Smith ME, et al. Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: c…