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psnet.ahrq.gov/issue/development-multicomponent-intervention-decrease-racial-bias-among-healthcare-staff
September 23, 2020 - Study
Development of a multicomponent intervention to decrease racial bias among healthcare staff.
Citation Text:
Tajeu GS, Juarez L, Williams JH, et al. Development of a multicomponent intervention to decrease racial bias among healthcare staff. J Gen Intern Med. 2022;37(8):1970-1979. d…
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psnet.ahrq.gov/issue/feasibility-prospective-error-reporting-home-palliative-care-mixed-methods-study
November 11, 2020 - Study
Feasibility of prospective error reporting in home palliative care: a mixed methods study.
Citation Text:
Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692…
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www.ahrq.gov/talkingquality/explain/numbers.html
November 01, 2018 - Why Aren't Numbers and Graphs Sufficient for a Quality Report?
Quality reports need a brief and compelling explanation of the purpose and value of the information they contain, as well as the trustworthiness of the report’s sponsor. This page discusses why this is necessary.
Quality Information Is New
Som…
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear
October 26, 2010 - Study
Classic
Disclosing medical errors to patients: it's not what you say, it's what they hear.
Citation Text:
Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what they hear. J Gen Intern Med. 2009;24(9):1…
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www.ahrq.gov/talkingquality/distribute/promote/social-marketing.html
June 01, 2019 - Applying the Lessons of Social Marketing to a Quality Report
Social marketing is the application of the principles and techniques of commercial marketing to promote socially desirable goals. It has been applied extensively, and with considerable success, in efforts to encourage/discourage specific health beha…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/measures5.html
June 01, 2018 - Chartbook on Person- and Family-Centered Care
End-of-Life Care Measures
Previous Page
Table of Contents
Chartbook on Person- and Family-Centered Care
Acknowledgments
Person- and Family-Centered Care
Summary of Trends
Measures of Person- and Family- Centered Care
Communication Measures: H…
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psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
March 18, 2016 - Study
Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study.
Citation Text:
Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Q…
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psnet.ahrq.gov/issue/potentially-severe-incidents-during-interhospital-transport-critically-ill-patients
October 26, 2022 - Study
Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but rarely reported: a prospective study.
Citation Text:
Eiding H, Røise O, Kongsgaard UE. Potentially severe incidents during interhospital transport of critically ill pati…
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psnet.ahrq.gov/issue/medication-errors-during-patient-transitions-nursing-homes-characteristics-and-association
August 07, 2013 - Study
Medication errors during patient transitions into nursing homes: characteristics and association with patient harm.
Citation Text:
Desai R, Williams CE, Greene SB, et al. Medication errors during patient transitions into nursing homes: characteristics and association with patient…
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psnet.ahrq.gov/issue/qualitative-content-analysis-coworkers-safety-reports-unprofessional-behavior-physicians-and
February 14, 2017 - Study
Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals.
Citation Text:
Martinez W, Pichert JW, Hickson GB, et al. Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by …
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psnet.ahrq.gov/issue/multifaceted-intervention-improve-patient-safety-incident-reporting-intensive-care-units
January 18, 2023 - Study
Multifaceted intervention to improve patient safety incident reporting in intensive care units.
Citation Text:
Griffeth EM, Gajic O, Schueler N, et al. Multifaceted intervention to improve patient safety incident reporting in intensive care units. J Patient Saf. 2023;19(7):422-428.…
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psnet.ahrq.gov/issue/prescription-and-transcription-errors-multidose-dispensed-medications-discharge-hospital
February 15, 2011 - Study
Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study.
Citation Text:
Alassaad A, Gillespie U, Bertilsson M, et al. Prescription and transcription errors in multidose-dispensed medications on…
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www.ahrq.gov/sites/default/files/wysiwyg/nqsfactsheet_2017.pdf
January 01, 2017 - National Quality Strategy Fact Sheet
The National Quality Strategy is a national effort to
align public- and private-sector stakeholders to achieve
better health and health care for all Americans.
About the National Quality Strategy
The National Quality Strategy (NQS) was first published in March 2011 as the Na…
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psnet.ahrq.gov/issue/inter-professional-clinical-handover-post-anaesthetic-care-units-tools-improve-quality-and
April 24, 2013 - Study
Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety.
Citation Text:
Redley B, Bucknall T, Evans S, et al. Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. Int J Qual Health…
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www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp4.html
August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions
Conclusions
Previous Page Next Page
Table of Contents
High-Performance Work Practices in CLABSI Prevention Interventions
Case Studies
Key Findings
Conclusions
References
Table 1. Case Study Sites
Table 2. Summary of Key …
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psnet.ahrq.gov/issue/incidence-opioid-misuse-among-surgical-patients-persistent-opioid-use
October 13, 2018 - Study
The incidence of opioid misuse among the surgical patients with persistent opioid use.
Citation Text:
Namiranian, MD, PhD K. The incidence of opioid misuse among the surgical patients with persistent opioid use. J Opioid Manag. 2023;19(1):69-76. doi:10.5055/jom.2023.0760.
Copy Ci…
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psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review
March 13, 2013 - Review
Simulation exercises as a patient safety strategy: a systematic review.
Citation Text:
Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-2013…
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psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
June 07, 2023 - Study
Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project.
Citation Text:
Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement projec…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-11-12.pdf
June 02, 2025 - Section 7.A, Tables 11 and 12
Indicator Indicator White Hispanic Black Other
ID (n=585) (n=308) (n=94) (n=222)
Care Coordination Services
Has care coordinator FECC-1 70.3 82.1** 61.0 70.3
Access to care coordinator FECC-2 97.0 93.5 100 95.2
Care coordinator helped to obtain …
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psnet.ahrq.gov/issue/what-do-healthcare-staff-think-about-quality-and-safety-care-provided-children-and-young
February 07, 2024 - Study
What do healthcare staff think about the quality and safety of care provided to children and young people with an intellectual disability? A qualitative study using the framework method of analysis.
Citation Text:
Ong N, Lucien A, Long JC, et al. What do healthcare staff think abou…