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psnet.ahrq.gov/issue/what-do-patients-and-their-carers-do-support-safety-cancer-treatment-and-care-scoping-review
January 08, 2020 - Review
What do patients and their carers do to support the safety of cancer treatment and care? A scoping review.
Citation Text:
Tillbrook D, Absolom K, Sheard L, et al. What do patients and their carers do to support the safety of cancer treatment and care? A scoping review. J Patient S…
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psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
May 18, 2022 - Review
Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review.
Citation Text:
Driesen BEJM, Baartmans M, Merten H, et al. Root cause analysis using the prevention and recovery in…
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psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications
October 19, 2022 - Study
Improving emergency medicine clinician awareness of prehospital-administered medications.
Citation Text:
Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-administered medications. Prehosp Emerg Care. 2024;28(3):506-512. doi:10.1080/1…
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psnet.ahrq.gov/issue/situ-simulation-quality-improvement-tool-identify-and-mitigate-latent-safety-threats
February 22, 2023 - Study
In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative.
Citation Text:
Yang CJ, Saggar V, Seneviratne N, et al. In situ simulation as a quality improveme…
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psnet.ahrq.gov/issue/co-worker-unprofessional-behaviour-and-patient-safety-risks-analysis-co-worker-reports-across
January 31, 2024 - Study
Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals.
Citation Text:
McMullan RD, Churruca K, Hibbert P, et al. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports a…
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digital.ahrq.gov/principal-investigator/gustafson-david-h
October 11, 2023 - Gustafson, David H.
Digital Healthcare Innovations to Engage and Empower Patients in Their Care
Event Date
October 11, 2023 - 12:30pm
- October 11, 2023 - 2:00pm
AHRQ hosted a presentation highlighting how patient engagement in healthcare allows patients and their fam…
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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-medical-imaging-services-systematic-review
June 14, 2017 - Study
The impact of computerized provider order entry systems on medical-imaging services: a systematic review.
Citation Text:
Georgiou A, Prgomet M, Markewycz A, et al. The impact of computerized provider order entry systems on medical-imaging services: a systematic review. J Am Med I…
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psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns
January 19, 2022 - Study
Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey.
Citation Text:
Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRN…
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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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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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psnet.ahrq.gov/issue/medication-reconciliation-during-hospitalization-and-hospital-home-interface-observational
June 16, 2021 - Study
Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study.
Citation Text:
Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital-home interface: an observational retrosp…
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psnet.ahrq.gov/issue/relationships-within-inpatient-physician-housestaff-teams-and-their-association-hospitalized
December 18, 2013 - Study
Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes.
Citation Text:
McAllister C, Leykum LK, Lanham H, et al. Relationships within inpatient physician housestaff teams and their association with hospitalized patient out…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/06-pfe-planning-evaluation.pdf
August 01, 2021 - Evaluation Planning Tool
Evaluation Planning Tool
Toolkit for Engaging Patients
To Improve Diagnostic Safety
After you implement the Be The Expert On You note sheet and the 60 Seconds To Improve Diagnostic Safety,
you will need to evaluate the interventions’ impact. You can use this Evaluation Planning Worksheet…
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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/efficacy-medical-team-training-improved-team-performance-and-decreased-operating-room-delays
October 06, 2016 - Study
The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases.
Citation Text:
Wolf FA, Way LW, Stewart L. The efficacy of medical team training: improved team performance and decreased operating room delays…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ptexp-research-meeting-agenda-2023.pdf
January 01, 2023 - Patient Experience Research Meeting - Agenda
Patient Experience, Patient Safety, and Provider Well-Being:
Associations and Paths for Quality Improvement
A Virtual Research Meeting
Sponsored by the U.S. Agency for Healthcare Research and Quality (AHRQ)
October 19, 2023
11:00 a.m. – 4:00 p.m. ET
MEETING PU…
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www.ahrq.gov/news/newsroom/case-studies/201518.html
July 01, 2015 - New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety
Search All Impact Case Studies
July 2015
Description
New York City Health and Hospitals Corporation (HHC), the nation’s largest municipal health care delivery system, uses several AHRQ resources to improve patient care…
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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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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave1.html
July 01, 2025 - Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
Introduction
Previous Page Next Page
Table of Contents
Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
Introduction
Understanding the AI Wave—What Is AI?
Understanding AI’s…
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psnet.ahrq.gov/issue/patient-readmissions-emergency-visits-and-adverse-events-after-software-assisted-discharge
November 16, 2022 - Study
Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial.
Citation Text:
Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after software-assisted dischar…