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psnet.ahrq.gov/issue/racial-disparities-maternal-mortality-and-impact-structural-racism-and-implicit-racial-bias
July 13, 2009 - Review
The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature.
Citation Text:
Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and im…
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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/how-does-routine-disclosure-medical-error-affect-patients-propensity-sue-and-their-assessment
December 04, 2016 - Study
How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data.
Citation Text:
Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients' propensity to …
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psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety
July 10, 2008 - Study
Classic
A framework for engaging physicians in quality and safety.
Citation Text:
Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf. 2012;21(9):722-728. doi:10.1136/bmjqs-2011-000167.
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psnet.ahrq.gov/issue/disclosure-and-resolution-programs-include-generous-compensation-offers-may-prompt-complex
November 20, 2024 - Study
Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response.
Citation Text:
Murtagh L, Gallagher TH, Andrew P, et al. Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient r…
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psnet.ahrq.gov/issue/evaluating-medication-process-context-cpoe-use-significance-working-around-system
February 23, 2009 - Study
Evaluating the medication process in the context of CPOE use: the significance of working around the system.
Citation Text:
Niazkhani Z, Pirnejad H, van der Sijs H, et al. Evaluating the medication process in the context of CPOE use: the significance of working around the system.…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Introduction
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Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive Summary
Introduct…
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psnet.ahrq.gov/issue/medication-reconciliation-failures-children-and-young-adults-chronic-disease-during-intensive
June 22, 2022 - Study
Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care.
Citation Text:
DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults with chronic disease during intensi…
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-15.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
A-15. Measure 12: Clinician receipt of treatment plan from the service coordinator (ASCP Physician Survey)
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Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
Executive Summary …
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-16.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
A-16. Measure 13: Clinician discussion of treatment plan with patients or family caregivers (ASCP Physician Survey)
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Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
Executive…
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psnet.ahrq.gov/issue/effect-lawsuits-professional-well-being-and-medical-error-rates-among-orthopaedic-surgeons
May 18, 2022 - Study
Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons.
Citation Text:
Adelani MA, Hong Z, Miller AN. Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. J Am Acad Orthop Surg. 2023;31(16):893-9…
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www.ahrq.gov/talkingquality/assess/what-you-evaluate/results.html
November 01, 2018 - Evaluating the Results of a Quality Reporting Project
The purpose of results- or outcome-oriented evaluation goes beyond answering the “did it work” question. To evaluate results, however, you have to be clear about what you wanted to achieve.
What consumer audience were you trying to reach?
What changes …
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www.ahrq.gov/talkingquality/resources/writing/tip7.html
November 01, 2019 - Tip 7. Test a Health Care Quality Report With Your Audience
Members of your intended audience are the ones who will decide whether your report card is worth reading, and whether they can understand and use it. This means that feedback from readers is the “gold standard” of how well your report card is working…
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-12.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
A-12. Measure 9: Physician satisfaction with service coordination (Alzheimer’s Service Coordination Program Physician Survey)
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Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
…
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psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety
June 07, 2023 - Study
Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety.
Citation Text:
Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:…
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psnet.ahrq.gov/issue/assessment-emergency-department-antibiotic-discharge-prescription-dosing-errors-pediatric
March 01, 2011 - Study
Assessment of emergency department antibiotic discharge prescription dosing errors for pediatric patients in a community hospital health system.
Citation Text:
Barstow L, Herman E, Phillips H, et al. Assessment of Emergency Department Antibiotic Discharge Prescription Dosing Errors…
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psnet.ahrq.gov/issue/improved-pain-resolution-hospitalized-patients-through-targeting-pain-mismanagement-medical
March 24, 2019 - Study
Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error.
Citation Text:
Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage.…
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-13.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
A-13. Measure 10: Changes in clinicians’ knowledge of available services in the local community (ASCP Physician Survey)
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Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
Execu…
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-14.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
A-14. Measure 11: Whether or not a clinician would refer any family caregiver to intervention in the future (ASCP Physician Survey)
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Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgem…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-c.html
October 01, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Appendix C. Methodological References Cited by Grantees
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Table of Contents
Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Background
A Practical…