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psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety
July 10, 2008 - Study
Classic
A framework for engaging physicians in quality and safety.
Citation Text:
Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf. 2012;21(9):722-728. doi:10.1136/bmjqs-2011-000167.
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psnet.ahrq.gov/issue/does-full-disclosure-medical-errors-affect-malpractice-liability-jury-still-out
November 16, 2011 - Review
Classic
Does full disclosure of medical errors affect malpractice liability? The jury is still out.
Citation Text:
Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Com…
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psnet.ahrq.gov/issue/minimising-human-error-malaria-rapid-diagnosis-clarity-written-instructions-and-health-worker
December 15, 2010 - Study
Minimising human error in malaria rapid diagnosis: clarity of written instructions and health worker performance.
Citation Text:
Rennie W, Phetsouvanh R, Lupisan S, et al. Minimising human error in malaria rapid diagnosis: clarity of written instructions and health worker perform…
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psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
March 10, 2021 - Study
The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events.
Citation Text:
Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in R…
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psnet.ahrq.gov/issue/role-communicating-diagnostic-uncertainty-safety-netting-process-insights-vignette-study
February 20, 2019 - Study
Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study.
Citation Text:
Cox C, Hatfield T, Fritz Z. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. BMJ Qual Saf. 2024;33(1…
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psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system-high-reliability
March 01, 2023 - Study
Race differences in reported harmful patient safety events in healthcare system high reliability organizations.
Citation Text:
Thomas AD, Pandit C, Krevat SA. Race Differences in Reported Harmful Patient Safety Events in Healthcare System High Reliability Organizations. J Patient S…
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psnet.ahrq.gov/issue/test-retest-reliability-experienced-global-trigger-tool-review-team
August 03, 2022 - Study
Test-retest reliability of an experienced Global Trigger Tool review team.
Citation Text:
Bjørn B, Anhøj J, Østergaard M, et al. Test-retest reliability of an experienced Global Trigger Tool review team. J Patient Saf. 2021;17(7):e593-e598. doi:10.1097/pts.0000000000000433.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/intro.html
October 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Previous Page Next Page
Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
Model State Enhanc…
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psnet.ahrq.gov/issue/measurement-harms-community-care-qualitative-study-use-nhs-safety-thermometer
January 23, 2019 - Study
Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer.
Citation Text:
Brewster L, Tarrant C, Willars J, et al. Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. BMJ Qual Saf. 2018;27(8):625-6…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix D
CANDOR Tool
PROCESS
QUESTIONS TO REVIEW
Y/N
CONTRIBUTING OR CAUSAL FACTOR Y/N
FINDINGS /
COMMENTS
COMMUNICATION
Did all caregivers have access to all pertinent information needed to make the best decisions for the patient? (e.g.,…
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psnet.ahrq.gov/issue/cpoe-iran-viable-prospect-physicians-opinions-using-cpoe-iranian-teaching-hospital
June 30, 2011 - Study
CPOE in Iran—a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital.
Citation Text:
Kazemi A, Ellenius J, Tofighi S, et al. CPOE in Iran--a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital. Int J Med Inform. 2009;7…
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psnet.ahrq.gov/issue/medical-error-reporting-patient-safety-and-physician
February 04, 2009 - Study
Medical error reporting, patient safety, and the physician.
Citation Text:
Anderson B, Stumpf PG, Schulkin J. Medical Error Reporting, Patient Safety, and the Physician. J Patient Saf. 2009;5(3):176-179. doi:10.1097/pts.0b013e3181b320b0.
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hcup-us.ahrq.gov/tech_assist/centdist/StatementIntendedUse.pdf
February 20, 2024 - Statement of Intended Use of HCUP State Databases and Description of Project Activities
HCUP 1-23-2024 1 Statement of Intended Use
for HCUP State Data
Statement of Intended Use of HCUP State Databases and
Description of Project Activities
A Statement of Intended Use is required if you are requesting SID,…
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psnet.ahrq.gov/issue/medication-safety-neonatal-care-review-medication-errors-among-neonates
August 15, 2016 - Review
Medication safety in neonatal care: a review of medication errors among neonates.
Citation Text:
Krzyzaniak N, Bajorek B. Medication safety in neonatal care: a review of medication errors among neonates. Ther Adv Drug Saf. 2016;7(3):102-119. doi:10.1177/2042098616642231.
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hcup-us.ahrq.gov/toolssoftware/ccs_svcsproc/ccssvcproc.jsp
July 01, 2025 - The Clinical Classifications Software for Services and Procedures (CCS-Services and Procedures) is one in a family of databases and software tools developed as part of the Healthcare Cost and Utilization Project (HCUP) , a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality. …
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psnet.ahrq.gov/issue/older-adult-misuse-over-counter-medications-effectiveness-novel-pharmacy-based-intervention
March 23, 2022 - Study
Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety.
Citation Text:
Gilson AM, Chladek JS, Stone JA, et al. Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based int…
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psnet.ahrq.gov/issue/diagnostic-discordance-uncertainty-and-treatment-ambiguity-community-acquired-pneumonia
June 07, 2023 - Study
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals.
Citation Text:
Jones BE, Chapman AB, Ying J, et al. Diagnostic discordance, uncertainty, and treatment ambiguity in communit…
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www.ahrq.gov/talkingquality/index.html
Talking Quality: Reporting to Consumers on Health Care Quality
Health Care Quality Report Objectives
Be clear on the aims of your report, whether consumer choice, education, or improvement.
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psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
July 11, 2012 - Commentary
Classic
Effectiveness and efficiency of root cause analysis in medicine.
Citation Text:
Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685.
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psnet.ahrq.gov/issue/physicians-perceptions-preparedness-reporting-and-experiences-related-impaired-and
February 10, 2015 - Study
Classic
Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues.
Citation Text:
DesRoches CM, Rao SR, Fromson J, et al. Physicians' perceptions, preparedness for reporting, and experiences relat…