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psnet.ahrq.gov/issue/err-human-building-safer-health-system
July 08, 2016 - Book/Report
Classic
To Err Is Human: Building a Safer Health System.
Citation Text:
To Err Is Human: Building a Safer Health System. Kohn KT, Corrigan JM, Donaldson MS, eds. Washington, DC: Committee on Quality Health Care in America, Institute of Medicine: Nati…
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psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-need-improve-measurement
November 03, 2015 - Commentary
Classic
Toward a safer health care system: the critical need to improve measurement.
Citation Text:
Jha AK, Pronovost P. Toward a Safer Health Care System: The Critical Need to Improve Measurement. JAMA. 2016;315(17):1831-2. doi:10.1001/jama.2016.3448…
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psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers
March 29, 2023 - Study
Anesthesia-related closed claims in free-standing ambulatory surgery centers.
Citation Text:
Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700.
C…
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psnet.ahrq.gov/issue/nurses-perspectives-impact-management-approaches-blame-culture-health-care-organizations
September 02, 2020 - Study
Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations.
Citation Text:
Okpala P. Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. Int J Healthc Manage. 2020;13(sup1)…
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digital.ahrq.gov/program-overview/research-stories/designing-digital-healthcare-technology-support-cognitive-team
January 01, 2023 - Designing Digital Healthcare Technology to Support Cognitive Team Work in Pediatric Trauma Settings
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Optimizing Data Visualization to Improve Care
Simple and informative graphic displays in emergency department trauma bays can streaml…
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psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care-systematic-review
January 22, 2016 - Review
The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review.
Citation Text:
Davis JJ, Harrington N, Fagan HB, et al. The Accuracy of Trigger Tools to Detect Preventable Adverse Events in Primary Care: A Systematic Review. J Am Board Fam …
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psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-patients-2010-2019
June 22, 2022 - Study
Trends in adverse event rates in hospitalized patients, 2010-2019.
Citation Text:
Eldridge N, Wang Y, Metersky M, et al. Trends in adverse event rates in hospitalized patients, 2010-2019. JAMA. 2022;328(2):173-183. doi:10.1001/jama.2022.9600.
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digital.ahrq.gov/ahrq-funded-projects/examining-feasibility-and-effectiveness-mhealth-solution-designed-enhance
August 01, 2024 - Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain
Project Description
Improving patient engagement in physical therapy (PT) through remote therapeutic monit…
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psnet.ahrq.gov/issue/use-technology-improve-adherence-surgical-safety-checklists-operating-room
December 03, 2014 - Study
Use of technology to improve the adherence to surgical safety checklists in the operating room.
Citation Text:
Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(…
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psnet.ahrq.gov/issue/review-patient-safety-measures-based-routinely-collected-hospital-data
February 10, 2012 - Review
A review of patient safety measures based on routinely collected hospital data.
Citation Text:
Tsang C, Palmer WL, Bottle A, et al. A review of patient safety measures based on routinely collected hospital data. Am J Med Qual. 2012;27(2):154-69. doi:10.1177/1062860611414697.
C…
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psnet.ahrq.gov/issue/improving-resident-engagement-quality-improvement-and-patient-safety-initiatives-bedside
December 21, 2017 - Study
Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE).
Citation Text:
Schleyer AM, Best JA, McIntyre LK, et al. Improving resident engagement in quality improvement and patient safety initiati…
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psnet.ahrq.gov/issue/im-concerned-multi-site-assessment-emergency-medicine-resident-speaking-behaviors
December 02, 2020 - Study
“I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors.
Citation Text:
Feldman N, Volz N, Snow T, et al. “I’m concerned”: A multi-site assessment of emergency medicine resident speaking up behaviors. J Patient Saf Risk Manag. 2022;27(5):229-23…
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hcup-us.ahrq.gov/db/vars/i10_ndx/nrdnote.jsp
August 10, 2015 - Healthcare Cost and Utilization Project (HCUP) NRD Notes
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/pediatric-trainees-speaking-about-unprofessional-behavior-and-traditional-patient-safety
December 21, 2017 - Study
Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats.
Citation Text:
Kesselheim JC, Shelburne JT, Bell SK, et al. Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. Acad Pediatr. 2021…
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hcup-us.ahrq.gov/reports/infographics/Substance-RelatedInpatientsStays.jsp
February 01, 2019 - Substance-Related Inpatient Stays Across U.S. States and Counties
An official website of the Department of Health & Human Services
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Careers
Contact Us
Espanol
…
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psnet.ahrq.gov/issue/high-risk-medication-errors-insight-uk-national-reporting-and-learning-system
January 12, 2022 - Study
High-risk medication errors: insight from the UK National Reporting and Learning System.
Citation Text:
Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531. d…
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psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-control-campaign-patient
June 15, 2016 - Study
Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety.
Citation Text:
Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection prevention and control campaign fo…
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psnet.ahrq.gov/issue/implementing-patient-safety-interventions-your-hospital-what-try-and-what-avoid
June 03, 2010 - Review
Implementing patient safety interventions in your hospital: what to try and what to avoid.
Citation Text:
Ranji SR, Shojania KG. Implementing patient safety interventions in your hospital: what to try and what to avoid. Med Clin North Am. 2008;92(2):275-93, vii-viii. doi:10.1016…
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psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident
March 11, 2020 - Study
Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations.
Citation Text:
Wrigstad J, Bergström J, Gusta…
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integrationacademy.ahrq.gov/sites/default/files/2021-09/PHQ-9.pdf
January 01, 2021 - Patient Health Questionnaire (PHQ-9)
PATIENT HEALTH QUESTIONNAIRE (PHQ-9)
NAME: DATE:
Over the last 2 weeks, how often have you been
bothered by any of the following problems?
(use "ⁿ" to indicate your answer) Not at all Several
days
More than
half the
days
Nearly
every day
1. Little interest…