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psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors
December 12, 2014 - November 16, 2022
Defining the landscape of patient harm after osteopathic manipulative
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psnet.ahrq.gov/issue/emergent-cscw-systems-resolution-and-bandwidth-workplaces
May 01, 2015 - October 18, 2023
Defining and enhancing collaboration between community pharmacists and
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psnet.ahrq.gov/issue/interview-peter-pronovost
July 01, 2017 - Improve Management of Sepsis
May 31, 2023
Diagnostic error in the critically ill: defining
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psnet.ahrq.gov/issue/beware-basal-opioid-infusions-pca-therapy
June 05, 2018 - March 16, 2011
Defining the incidence of cardiorespiratory instability in patients in
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse_research-protocol.pdf
April 28, 2010 - a multi-disciplinary group of clinical, content, and
methodological experts who provide input in defining
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hcup-us.ahrq.gov/reports/statbriefs/sb269-Influenza-ED-Visits-2016-2018.pdf
January 01, 2018 - Case definition
The ICD-10-CM codes defining influenza/influenza-like illnesses are shown in Table 2
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psnet.ahrq.gov/node/50942/psn-pdf
February 26, 2020 - Understanding the roles of three academic communities
in a prospective learning health ecosystem for diagnostic
excellence.
February 26, 2020
Satterfield K, Rubin JC, Yang D, et al. Understanding the roles of three academic communities in a
prospective learning health ecosystem for diagnostic excellence. Learn Hea…
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digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-ri
January 01, 2023 - Privacy and Security Solutions for Interoperable Health Information Exchange / Rhode Island
Project Description
Project Details -
Completed
Contract Number
290-05-0015-RTI-012
Funding Mechanism(s)
Health Information Security and Privacy…
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effectivehealthcare.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_recruiting.pdf
May 29, 2025 - Slide 1
Recruiting/Selecting Participants
Susan Dorr Goold, MD, MHSA, MA
Professor of Internal Medicine and
Health Management and Policy
University of Michigan
1
Alternatives to Random Sampling
• Substantive representation
– Based on extent to which groups affected by
decision at issue …
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/GroundRulesForConductingaRiskAssessment.pdf
January 01, 2010 - Ground rules for conducting a proactive risk assessment
Ground Rules for Conducting a Risk Assessment
• Clearly define the process. (For example, “followup for high risk diabetics.”)
• Limit the scope. (For example, “diabetics with poor compliance.”)
• Ensure that the process selected is relevant to the health …
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psnet.ahrq.gov/node/867694/psn-pdf
March 05, 2025 - Hospital ward incidents through the eyes of nurses – a
thick description on the appeal and deadlock of incident
reporting systems.
March 5, 2025
Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses
- a thick description on the appeal and deadlock of incident rep…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assessment.html
July 01, 2023 - Labor and Delivery Unit Staff Safety Assessment
AHRQ Safety Program for Perinatal Care
Purpose: To tap into the knowledge and experiences of labor and delivery (L&D) providers and other clinical and nonclinical staff (e.g., health unit coordinators and environmental services personnel) to find ou…
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psnet.ahrq.gov/node/36186/psn-pdf
September 30, 2010 - Findings of the first consensus conference on medical
emergency teams.
September 30, 2010
DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical
Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e.
https://psnet.ahrq.gov/issue/findings-first-c…
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psnet.ahrq.gov/node/843320/psn-pdf
February 01, 2023 - Society for Maternal-Fetal Medicine Special Statement:
telemedicine in obstetrics-quality and safety
considerations.
February 1, 2023
Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine
in obstetrics-quality and safety considerations. Am J Obstet Gynecol. 2023…
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psnet.ahrq.gov/node/837859/psn-pdf
August 17, 2022 - The barriers and enhancers to trust in a just culture in
hospital settings: a systematic review.
August 17, 2022
van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital
settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e1075. doi:10.1097/pts.00000000000010…
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psnet.ahrq.gov/node/60154/psn-pdf
March 25, 2020 - Detecting patient deterioration using artificial intelligence
in a rapid response system.
March 25, 2020
Cho K-J, Kwon O, Kwon J-myoung, et al. Detecting patient deterioration using artificial intelligence in a
rapid response system. Crit Care Med. 2020;48(4):e285-e289. doi:10.1097/ccm.0000000000004236.
https://ps…
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hcup-us.ahrq.gov/reports/factsandfigures/2009/figures/2009_2_1.jsp
January 01, 2009 - Hospital Stays per 10,000 Population by Most Frequent Major Reason, 1997-2009
Hospital Stays per 10,000 Population by Most Frequent Major Reason, 1997-2009
Major Diagnostic Category
Stays per 10,000 Population
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
20…
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psnet.ahrq.gov/node/36294/psn-pdf
July 14, 2010 - Care management implementation and patient safety.
July 14, 2010
Alexander JA; Weiner BJ; Baker LC; et al. J Patient Saf. 2006;2(2):83-96.
https://psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety
The Institute of Medicine's Crossing the Quality Chasm report endorsed care management, defined as…
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psnet.ahrq.gov/node/34666/psn-pdf
December 22, 2009 - Error reduction and performance improvement in the
emergency department through formal teamwork training:
evaluation results of the MedTeams project.
December 22, 2009
Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in the emergency
department through formal teamwork training: evaluati…
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psnet.ahrq.gov/node/36254/psn-pdf
February 02, 2011 - Extended work duration and the risk of self-reported
percutaneous injuries in interns.
February 2, 2011
Ayas N, Barger LK, Cade BE, et al. Extended work duration and the risk of self-reported percutaneous
injuries in interns. JAMA. 2006;296(9):1055-62.
https://psnet.ahrq.gov/issue/extended-work-duration-and-risk-s…