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psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational-learning-failure
July 21, 2021 - Study
Towards safer healthcare: qualitative insights from a process view of organisational learning from failure.
Citation Text:
Monazam Tabrizi N, Masri F. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. BMJ Open. 2021;11(8):e0…
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psnet.ahrq.gov/issue/alert-burden-pediatric-hospitals-cross-sectional-analysis-six-academic-pediatric-health
September 29, 2021 - Study
Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics.
Citation Text:
Orenstein EW, Kandaswamy S, Muthu N, et al. Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health …
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psnet.ahrq.gov/issue/patient-feedback-reporting-tool-opennotes-implications-patient-clinician-safety-and-quality
June 06, 2018 - Study
A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships.
Citation Text:
Bell SK, Gerard M, Fossa A, et al. A patient feedback reporting tool for OpenNotes: implications for patient-clinician safety and quality partnerships…
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psnet.ahrq.gov/issue/frequency-and-types-patient-reported-errors-electronic-health-record-ambulatory-care-notes
June 05, 2019 - Study
Classic
Frequency and types of patient-reported errors in electronic health record ambulatory care notes.
Citation Text:
Bell SK, Delbanco T, Elmore JG, et al. Frequency and types of patient-reported errors in electronic health record ambulatory care notes…
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psnet.ahrq.gov/issue/what-us-hospitals-are-doing-prevent-common-device-associated-infections-during-coronavirus
May 08, 2019 - Study
What US hospitals are doing to prevent common device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey in the United States.
Citation Text:
Saint S, Greene MT, Krein SL, et al. What US hospitals are doing to prevent common…
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digital.ahrq.gov/health-care-theme/patient-reported-outcomes
January 01, 2023 - Patient-Reported Outcomes
Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect
Description
This research developed and maintained the CDS Connect platform, including its public repository of CDS resources and tools. Current work explores the potential of…
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digital.ahrq.gov/medical-condition/coronary-artery-disease-cad
January 01, 2024 - Coronary Artery Disease (CAD)
Rural EMS STEMI patients - why the delay to PCI?
Citation
Stopyra JP, Snavely AC, Ashburn NP, Supples MW, Brown WM, Miller CD, Mahler SA. Rural EMS STEMI patients - why the delay to PCI? Prehosp Emerg Care. 2024 Jan 18:1-8. doi: 10.1080/10903127.2…
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digital.ahrq.gov/2020-year-review/research-summary/anesthesiology-control-tower-air-traffic-control-operating-rooms
January 01, 2020 - The Anesthesiology Control Tower: Like Air Traffic Control for Operating Rooms
Using algorithms for real-time monitoring during surgery can predict and prevent adverse outcomes, leading to better outcomes for patients.
Principal Investigator: Avidan, Michael Organization: Washington University…
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digital.ahrq.gov/ahrq-funded-projects/childrens-ehr-format-enhancement
January 01, 2023 - Children's EHR Format Enhancement
Project Final Report ( PDF , 1.71 MB)
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290-2009-00021I…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment
January 01, 2013 - An official website of the Department of Health & Human Services
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integrationacademy.ahrq.gov/
September 03, 2025 - An official website of the Department of Health & Human Services
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pso.ahrq.gov/resources/readmission
August 01, 2022 - SHARE:
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Resources
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Resources About the Patient Safety and Quality Improvement Act of 2005
Resources for Improving Patient Safety and Healthcare Quality
Reducing Avoidable Hospital Readmissions
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psnet.ahrq.gov/issue/qualitative-study-what-care-workers-do-provide-patient-safety-home-through-telecare
September 08, 2021 - Study
A qualitative study of what care workers do to provide patient safety at home through telecare.
Citation Text:
Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at home through telecare. BMC Health Serv Res. 2021;21(1):553. d…
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psnet.ahrq.gov/issue/systematic-review-exploring-content-and-outcomes-interventions-improve-psychological-safety
October 28, 2020 - Review
Classic
A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour.
Citation Text:
O’Donovan R, McAuliffe E. A systematic review exploring the content and outcomes of interventi…
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psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays
July 22, 2020 - Study
A strategic solution to preventing the harm associated with ambulance handover delays.
Citation Text:
Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199.
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psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
February 10, 2011 - Study
Classic
Incident reporting system does not detect adverse drug events: a problem for quality improvement.
Citation Text:
Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events: a problem for quality improvem…
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psnet.ahrq.gov/issue/making-soft-intelligence-hard-multi-site-qualitative-study-challenges-relating-voice-about
June 16, 2021 - Study
Emerging Classic
Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns.
Citation Text:
Martin G, Aveling E-L, Campbell A, et al. Making soft intelligence hard: a multi-site qualitative study of …
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psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study
June 16, 2021 - Study
What is the role of individual accountability in patient safety? A multi-site ethnographic study.
Citation Text:
Aveling E-L, Parker M, Dixon-Woods M. What is the role of individual accountability in patient safety? A multi-site ethnographic study. Sociol Health Illn. 2016;38(2):21…
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psnet.ahrq.gov/issue/hospital-nurses-and-physicians-experiences-practicing-patient-safety-work-recognize
October 20, 2021 - Study
Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study.
Citation Text:
Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…
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psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge
July 08, 2008 - Study
Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched cohort study.
Citation Text:
Lapointe-Shaw L, Bell CM, Austin PC, et al. Community pharmacy medication review, death and re-admission after hospital discharge: a propen…