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psnet.ahrq.gov/issue/tragedy-advocacy
October 05, 2016 - Newspaper/Magazine Article
From tragedy to advocacy.
Citation Text:
DerGurahian J. From tragedy to advocacy. Modern healthc. 2009;39(36):6-7, 12, 1.
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psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working
February 14, 2024 - Commentary
Why your TeamSTEPPS program may not be working.
Citation Text:
Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs. 2012;9(8). doi:10.1016/j.ecns.2012.03.007.
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www.ahrq.gov/news/newsroom/case-studies/cp31103.html
October 01, 2014 - University of Missouri Uses AHRQ's Health Literacy Toolkit to Train and Coach Physicians
Search All Impact Case Studies
September 2011
The University of Missouri Center for Health Policy, through funding from Health Literacy Missouri, a nonprofit organization based in St. Louis, incorporated AHRQ's "Health …
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www.ahrq.gov/evidencenow/model/profiles/walkers-point.html
March 01, 2021 - An Urban Hub for Preventive Care
Steve helped launch Walker's Point Community Clinic in a small one-room office about 25 years ago, when Aurora Health Care, a large health care system, recruited him to help care for the homeless and underserved. Since then, the practice has grown into one of the largest communi…
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psnet.ahrq.gov/issue/studying-technical-work-emergency-care
September 29, 2010 - Commentary
Studying the technical work of emergency care.
Citation Text:
Nemeth CP, Cook RI, Wears RL. Studying the technical work of emergency care. Ann Emerg Med. 2007;50(4):384-6.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
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Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cognitive Load
Interplay …
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
December 01, 2017 - Perioperative Staff Safety Assessment
AHRQ Safety Program for Surgery
Introduction
Problem Statement
One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety risks in the…
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psnet.ahrq.gov/issue/improving-health-care-quality-and-safety-people-disabilities-interview-lisa-iezzoni
October 26, 2022 - Commentary
Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni.
Citation Text:
Iezzoni LI. Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Interview by Steven Berman. Jt Comm J Qual P…
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psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
June 26, 2019 - Newspaper/Magazine Article
Report focuses on risk to patients from ED errors.
Citation Text:
Report focuses on risk to patients from ED errors. Palmer J. Patient Saf Qual Healthcare. Sept/Oct 2019.
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psnet.ahrq.gov/issue/theres-science-team-development-interventions-organizations
January 15, 2020 - Review
There's a science for that: team development interventions in organizations.
Citation Text:
Shuffler ML, DiazGranados D, Salas E. There’s a Science for That. Curr Dir Psychol Sci. 2011;20(6). doi:10.1177/0963721411422054.
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psnet.ahrq.gov/issue/putting-patient-patient-safety-qualitative-study-consumer-experiences
October 12, 2011 - Study
Putting the 'patient' in patient safety: a qualitative study of consumer experiences.
Citation Text:
Rathert C, Brandt J, Williams E. Putting the 'patient' in patient safety: a qualitative study of consumer experiences. Health Expect. 2012;15(3):327-36. doi:10.1111/j.1369-7625.20…
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psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
July 12, 2017 - Book/Report
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era.
Citation Text:
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Imp…
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psnet.ahrq.gov/issue/value-close-calls-improving-patient-safety
July 12, 2006 - Book/Report
The Value of Close Calls in Improving Patient Safety.
Citation Text:
The Value of Close Calls in Improving Patient Safety. Wu AW, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2011. ISBN: 9781599404158.
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digital.ahrq.gov/care-setting/critical-access-hospital
January 01, 2023 - Critical Access Hospital
HIT-Based Regional Medication Management Pharmacy System
Description
Implemented an interactive video-conferencing system at rural hospitals to provide continuing education for pharmacist and pharmacy technicians as well as a model for bedside verifica…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt1.pdf
January 01, 2016 - 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part I
PATIENT
SAFETY
NURSING
HOME
SURVEY ON
PATIENT SAFETY
CULTURE:
2016 User
Comparative
Database Report
The authors of this report are responsible for its content. Statements in the report should not be
construed as endorsement by the Agency for Health…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021290-agha-final-report-2017.pdf
January 01, 2017 - Quantifying Electronic Health Record Usability to Improve Clinical Workflow - Final Report
1
Final Progress Report
1. Title: Quantifying Electronic Health Record Usability to Improve Clinical Workflow
Principal Investigator: Zia Aghaa,d,f
Team Members: Shazia Ashfaqa, Alan Calvittia, Harry Hochheiserb, Kristi…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017234-wagner-final-report-2011.pdf
January 01, 2011 - Using an Electronic Personal Health Record to Empower Patients with Hypertension
Grant Final Report
Grant ID: 18HS017234
Using an Electronic Personal Health Record to
Empower Patients with Hypertension
Inclusive project dates: 09/01/07 - 08/31/11
Principal Investigator:
Peggy J. W…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Case 3. Grand Hospital Center
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook)
Strategy 4: IDEAL Discharge Planning (Implementation Handbook)
Care Transitions from
Hospital to Home:
IDEAL Discharge Planning
Implementation Handbook
Strategy 3: Bedside Shift Report (Implementation Handbook)
Strategy 4: IDEAL Discharge Planning (Implem…
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018238-eaton-final-report-2012.pdf
January 01, 2012 - eHealth Blood Pressure Control Program (eHealth BP) - Final Report
Grant Final Report
Grant ID: R21HS018238
eHealth Blood Pressure Control Program (eHealth BP)
Inclusive project dates: 09/30/09 - 09/29/12
Principal Investigator:
Charles B. Eaton, MD, MS
Team members:
Lisa Uebelacker, PhD, co-inve…