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  1. 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 …
  2. psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
    March 23, 2022 - Study Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. Citation Text: Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1)…
  3. psnet.ahrq.gov/issue/vital-signs-maternity-care-experiences-united-states-april-2023
    July 19, 2023 - Study Vital signs: maternity care experiences — United States, April 2023. Citation Text: Mohamoud YA, Cassidy E, Fuchs E, et al. Vital Signs: Maternity Care Experiences — United States, April 2023. MMWR Morb Mortal Wkly Rep. 2023;72(35):961–967. doi:10.15585/mmwr.mm7235e1. Copy Citati…
  4. digital.ahrq.gov/principal-investigator/safran-charles
    July 17, 2017 - Safran, Charles InfoSAGE: usage pattern of a family-centric care coordination online platform. Citation Quintana Y, Henao J, Kaldany E, Gorenbeg M, Chen YP, Adra M, Lipsitzc L, Safran C. InfoSAGE: usage pattern of a family-centric care coordination online platform. Stud Health…
  5. psnet.ahrq.gov/issue/diagnostic-uncertainty-among-critically-ill-children-admitted-picu-multicenter-study
    June 14, 2023 - Study Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. Citation Text: Cifra CL, Custer JW, Smith CM, et al. Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. Crit Care Med. 2025;53(2):e294-e307. …
  6. psnet.ahrq.gov/issue/latent-safety-threats-and-countermeasures-operating-theater-national-situ-simulation-based
    February 22, 2023 - Study Latent safety threats and countermeasures in the operating theater: a national in situ simulation-based observational study. Citation Text: Long JA, Webster CS, Holliday T, et al. Latent safety threats and countermeasures in the operating theater: a national in situ simulation-base…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g1_combo_availablecomprehensiveqiguides.pdf
    June 02, 2025 - Available Comprehensive Quality Improvement Guides Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Available Comprehensive Quality Improvement Guides What is the purpose of this tool? This tool provides information on oth…
  8. www.ahrq.gov/sops/about/patient-safety-culture.html
    June 01, 2024 - What Is Patient Safety Culture? Patient Safety Culture Defined Patient safety culture is the extent to which an organization's culture supports and promotes patient safety. It refers to the values, beliefs, and norms that are shared by healthcare practitioners and other staff throughout the organization that in…
  9. psnet.ahrq.gov/issue/influence-professional-identity-how-receiver-receives-and-responds-speaking-message-cross
    August 10, 2022 - Study The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study. Citation Text: Barlow M, Watson B, Jones EW, et al. The influence of professional identity on how the receiver receives and responds to a speaking up …
  10. psnet.ahrq.gov/issue/effects-accreditation-council-graduate-medical-education-duty-hour-limits-sleep-work-hours
    March 03, 2011 - Study Classic Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety. Citation Text: Landrigan CP, Fahrenkopf AM, Lewin D, et al. Effects of the accreditation council for graduate medical education…
  11. psnet.ahrq.gov/issue/helping-healthcare-teams-debrief-effectively-associations-debriefers-actions-and-participants
    February 02, 2022 - Study Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. Citation Text: Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively: associations of debriefers’ a…
  12. digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-ma
    January 01, 2023 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow Project Final Report ( PDF , 3.82 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications …
  13. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/clinical-case-scenarios.html
    July 01, 2023 - Clinical Case Scenarios AHRQ Safety Program for Perinatal Care, Phase 2 The two clinical case scenarios below illustrate 10 teamwork tools and strategies for improving perinatal care. One scenario focuses on obstetric hemorrhage, and the other scenario focuses on severe hypertension in pregnancy. Both scena…
  14. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/chapman-l-2009-ehr
    January 01, 2009 - Chapman L 2009 "EHR supports healthier patients and a healthier bottom line." Reference Chapman L. EHR supports healthier patients and a healthier bottom line. 2009 [cited 2010 February 16] Abstract "Graybill Medical Group boasts 130,000 patient visits per year and annual revenues of more th…
  15. psnet.ahrq.gov/issue/disclosure-medical-errors-what-factors-influence-how-patients-respond
    December 23, 2008 - Study Classic Disclosure of medical errors: what factors influence how patients respond? Citation Text: Mazor KM, Reed G, Yood RA, et al. Disclosure of medical errors: what factors influence how patients respond? J Gen Intern Med. 2006;21(7):704-10. Copy Cit…
  16. digital.ahrq.gov/funding-mechanism/understanding-user-needs-and-context-inform-consumer-health-information-technology
    January 01, 2023 - Understanding User Needs and Context to Inform Consumer Health Information Technology (IT) Design (R01) Patient portal use and experience among older adults: systematic review. Citation Sakaguchi-Tang DK, Bosold AL, Choi YK, et al. Patient portal use and experience among olde…
  17. digital.ahrq.gov/population/individuals-end-life-care-needs
    January 01, 2023 - Individuals with End-of-Life Care Needs A Demonstration Project: Assessing the Significance and Impact of Utilizing a Novel Telemedicine Application in the Delivery of Community-Based Palliative Care in a Rural Seriously Ill Population - Final Report Citation Bull J. A Demonst…
  18. psnet.ahrq.gov/issue/lifetime-prevalence-and-correlates-patient-perceived-medical-errors-experienced-us-ambulatory
    June 09, 2021 - Study Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study. Citation Text: Sundwall DN, Munger MA, Tak CR, et al. Lifetime prevalence and correlates of patient-perceived medical errors experienced in t…
  19. psnet.ahrq.gov/issue/attending-emotional-well-being-health-care-workforce-new-york-city-health-system-during-covid
    December 23, 2020 - Commentary Emerging Classic Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic. Citation Text: Ripp JA, Peccoralo L, Charney D. Attending to the emotional well-being of the health care…
  20. psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
    February 09, 2011 - Study Classic A surgical safety checklist to reduce morbidity and mortality in a global population. Citation Text: Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;3…