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digital.ahrq.gov/ahrq-funded-projects/impact-wellness-portal-delivery-patient-centered-prospective-care/annual-summary/2010
January 01, 2010 - Impact of a Wellness Portal on the Delivery of Patient-Centered Prospective Care - 2010
Project Name
Impact of a Wellness Portal on the Delivery of Patient-Centered Prospective Care
Principal Investigator
Mold, James
Organization
University of Oklahoma Health Sciences Center …
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psnet.ahrq.gov/issue/relationship-between-state-malpractice-environment-and-quality-health-care-united-states
June 21, 2017 - Study
Relationship between state malpractice environment and quality of health care in the United States.
Citation Text:
Bilimoria KY, Chung JW, Minami CA, et al. Relationship Between State Malpractice Environment and Quality of Health Care in the United States. Jt Comm J Qual Patient Sa…
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digital.ahrq.gov/medical-condition/respiratory-disease
January 01, 2024 - Respiratory (Lung) Disease
Risk factors for hospital readmission in patients with interstitial lung disease.
Citation
Lee CT, Selvan K, Adegunsoye A, Strykowski RK, Parker WF, Dignam JJ, Lauderdale DS, Strek ME, Press VG. Risk factors for hospital readmission in patients with …
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psnet.ahrq.gov/issue/work-life-balance-behaviours-cluster-work-settings-and-relate-burnout-and-safety-culture
September 14, 2022 - Study
Emerging Classic
Work–life balance behaviours cluster in work settings and relate to burnout and safety culture: a cross-sectional survey analysis.
Citation Text:
Schwartz SP, Adair KC, Bae J, et al. Work-life balance behaviours cluster in work settings an…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-clinical-decision-making-obesity-care/annual-summary/2012
January 01, 2012 - Health Information Technology to Support Clinical Decision Making in Obesity Care - 2012
Project Name
Health Information Technology to Support Clinical Decision Making in Obesity Care
Principal Investigator
Gance-Cleveland, Bonnie
Organization
Arizona State University - Tempe…
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digital.ahrq.gov/ahrq-funded-projects/evaluating-electronic-health-record-data-use-diabetes-quality-reporting/annual-summary/2011
January 01, 2011 - Evaluating electronic health record data for use in diabetes quality reporting - 2011
Project Name
Evaluating Electronic Health Record Data for Use in Diabetes Quality Reporting
Principal Investigator
Hirsch, Annemarie
Organization
The Ohio State University
Funding Me…
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psnet.ahrq.gov/issue/effects-healthcare-organization-actions-and-policies-related-covid-19-perceived
March 24, 2021 - Study
Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support among U.S. internists: a national study.
Citation Text:
Sonis J, Pathman DE, Read S, et al. Effects of healthcare organization actions and policies related to COVID-19 on…
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psnet.ahrq.gov/issue/patients-and-families-teachers-mixed-methods-assessment-collaborative-learning-model-medical
July 12, 2017 - Study
Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention.
Citation Text:
Langer T, Martinez W, Browning DM, et al. Patients and families as teachers: a mixed methods assessment of a collaborative lea…
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www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
January 01, 2024 - Mazzocco and colleagues
described 10 behavioral markers for teamwork in neonatal resuscitation (Mazzocco … Assessment of clinical performance during simulated crises using both
technical and behavioral ratings
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors
483
A Conceptual Model for
Disclosure of Medical Errors
Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus,
Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger
Abstract
Objective: Patient safety is fundamental to high-quality patient…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Falls Prevention
Facilitator Training
Introduction to Falls Reports
Falls Prevention
Electronic Reports
Electronic Reports
Falls High-Risk Report
Summary of Fall Risk Factors (by Unit or Facility)
Contextual Factors Report (by Unit or Facilit…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
January 01, 2025 - data were collected on pilot units
(i.e., medical intensive care unit, acute care unit, and inpatient behavioral … Using Simulation
(Unannounced
Standardized
Patients) To Assess
Team Performance
in Responding to
Behavioral … results, plus survey data, and preliminary
viewing of videos of neonatal resuscitations to define 10 behavioral … independently reviewed for “errors” (deviations from
Neonatal Resuscitation Program [NRP] guidelines) and behavioral
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-13.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.13. Identify and Choose Priority Problem
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. …
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools
January 01, 2023 - All Workflow Tools
Although there are many different tools you can use to collect and analyze workflow information, appropriate use of the following tools will help you better understand current workflows, modify those workflows, or design new workflows that will make it eas…
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psnet.ahrq.gov/node/34649/psn-pdf
June 11, 2014 - On error management: lessons from aviation.
June 11, 2014
Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785.
https://psnet.ahrq.gov/issue/error-management-lessons-aviation
In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and
…
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psnet.ahrq.gov/node/37411/psn-pdf
March 28, 2012 - Professionalism in medicine: results of a national survey
of physicians.
March 28, 2012
Campbell EG, Regan S, Gruen RL, et al. Professionalism in medicine: results of a national survey of
physicians. Ann Intern Med. 2007;147(11):795-802.
https://psnet.ahrq.gov/issue/professionalism-medicine-results-national-survey…
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psnet.ahrq.gov/node/846454/psn-pdf
March 22, 2023 - Society for Maternal-Fetal Medicine Special Statement:
curriculum outline on patient safety and quality for
maternal-fetal medicine fellows.
March 22, 2023
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for
maternal-fetal medicine fellows. Am J Obstet Gyneco…
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psnet.ahrq.gov/node/47895/psn-pdf
March 27, 2019 - Death by 1,000 clicks: where electronic health records
went wrong.
March 27, 2019
Schulte F, Fry E. Kaiser Health News, Fortune Magazine. March 18, 2019.
https://psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong
Despite years of investment and government support, electronic health r…
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psnet.ahrq.gov/node/860732/psn-pdf
April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes
Identified from a Review of NHS Serious Incident Reports.
April 16, 2024
Dorset, UK: Health Services Safety Investigations Body; April 2024.
https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-
serious-incident
…
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psnet.ahrq.gov/node/60716/psn-pdf
July 22, 2020 - A spike in people dying at home suggests coronavirus
deaths in Houston may be higher than reported.
July 22, 2020
Ornstein C, Hixenbaugh M. A spike in people dying at home suggests coronavirus deaths in Houston may
be higher than reported. ProPublica and NBC News. 2020;July 8.
https://psnet.ahrq.gov/issue/spike-pe…