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psnet.ahrq.gov/issue/examination-maternal-near-miss-experiences-hospital-setting-among-black-women-united-states
August 26, 2020 - Study
Examination of maternal near-miss experiences in the hospital setting among Black women in the United States.
Citation Text:
Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lo…
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psnet.ahrq.gov/issue/effect-workload-reduction-quality-residents-discharge-summaries
February 17, 2011 - Study
The effect of workload reduction on the quality of residents' discharge summaries.
Citation Text:
Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge summaries. J Gen Intern Med. 2011;26(1):28-32. doi:10.1007/s11606-010-1465-z.
Co…
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psnet.ahrq.gov/issue/how-can-criminal-law-support-provision-quality-healthcare
December 19, 2018 - Review
How can the criminal law support the provision of quality in healthcare?
Citation Text:
Yeung K, Horder J. How can the criminal law support the provision of quality in healthcare? BMJ Qual Saf. 2014;23(6):519-24. doi:10.1136/bmjqs-2013-002688.
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psnet.ahrq.gov/issue/patient-safety-trauma-maximal-impact-management-errors-level-i-trauma-center
February 19, 2020 - Study
Patient safety in trauma: maximal impact management errors at a level I trauma center.
Citation Text:
Ivatury RR, Guilford K, Malhotra AK, et al. Patient safety in trauma: maximal impact management errors at a level I trauma center. J Trauma. 2008;64(2):265-270; discussion 270-27…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3)
Guide to Patient and Family Engagement :: 1
Improving Discharge Outcomes with Patients and Families
Evidence for engaging patients
and families in discharge planning
Nearly 20 percent of patients experience an adverse
event within 30 days of discharge.1,2 Re…
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psnet.ahrq.gov/issue/unmeasured-quality-metric-burn-out-and-second-victim-syndrome-healthcare
September 25, 2024 - Commentary
The unmeasured quality metric: burn out and the second victim syndrome in healthcare.
Citation Text:
Heiss K, Clifton M. The unmeasured quality metric: Burn out and the second victim syndrome in healthcare. Semin Pediatr Surg. 2019;28(3):189-194. doi:10.1053/j.sempedsurg.2019.…
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psnet.ahrq.gov/issue/year-1-medical-undergraduates-knowledge-and-attitudes-medical-error
March 24, 2011 - Study
Year 1 medical undergraduates' knowledge of and attitudes to medical error.
Citation Text:
Flin R, Patey R, Jackson J, et al. Year 1 medical undergraduates' knowledge of and attitudes to medical error. Med Educ. 2009;43(12):1147-55. doi:10.1111/j.1365-2923.2009.03499.x.
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psnet.ahrq.gov/issue/patient-safety-helping-medical-students-understand-error-healthcare
December 16, 2009 - Study
Patient safety: helping medical students understand error in healthcare.
Citation Text:
Patey R, Flin R, Cuthbertson BH, et al. Patient safety: helping medical students understand error in healthcare. Qual Saf Health Care. 2007;16(4):256-9.
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psnet.ahrq.gov/issue/pros-and-cons-electronic-prescribing-children
October 30, 2024 - Commentary
The pros and cons of electronic prescribing for children.
Citation Text:
Caldwell NA, Power B. The pros and cons of electronic prescribing for children. Arch Dis Child. 2011;97(2). doi:10.1136/adc.2010.204446.
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psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-safety-or
May 25, 2016 - Commentary
Applying human-centered design thinking to enhance safety in the OR.
Citation Text:
Criscitelli T, Goodwin W. Applying Human-Centered Design Thinking to Enhance Safety in the OR. AORN J. 2017;105(4):408-412. doi:10.1016/j.aorn.2017.02.004.
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psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa
November 18, 2015 - Book/Report
Classic
The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA.
Citation Text:
The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Vaughan D. Chicago, IL: University of Chicago Press; 1996. ISBN…
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digital.ahrq.gov/organization/university-utah
January 01, 2023 - University of Utah
An Age-Friendly Learning Healthcare System: A Transformative Digital Solution for Geriatrics Clinics
Description
The study will create and implement digital tools using the SMART on FHIR framework to support Age-Friendly care in clinical practice and institu…
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psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital
August 17, 2005 - Study
Voluntary incident reporting by anaesthetic trainees in an Australian hospital.
Citation Text:
Freestone L, Bolsin S, Colson M, et al. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Int J Qual Health Care. 2006;18(6):452-7.
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digital.ahrq.gov/type-care/preventive-care
January 01, 2023 - Preventive Care
A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide
Description
This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data from US military service…
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psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
December 23, 2008 - Commentary
Ambiguity and workarounds as contributors to medical error.
Citation Text:
Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630.
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psnet.ahrq.gov/issue/problem-incident-reporting
February 28, 2024 - Commentary
The problem with incident reporting.
Citation Text:
Macrae C. The problem with incident reporting. BMJ Qual Saf. 2016;25(2):71-75. doi:10.1136/bmjqs-2015-004732.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/issue/why-sociotechnical-framework-necessary-address-diagnostic-error
September 14, 2022 - Commentary
Why a sociotechnical framework is necessary to address diagnostic error.
Citation Text:
Ladell MM, Yale S, Bordini BJ, et al. Why a sociotechnical framework is necessary to address diagnostic error. BMJ Qual Saf. 2024;33(12):823-828. doi:10.1136/bmjqs-2024-017231.
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www.ahrq.gov/data/resources/index.html
August 31, 2025 - Data Resources
The Agency for Healthcare Research and Quality (AHRQ) offers practical, research-based tools and other resources to help a variety of health care organizations, providers and others make care safer in all health care settings. Results
1-10 of 10 Resources displayed
Compendium of U.S. Health…
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digital.ahrq.gov/health-care-theme/medication-safety
January 01, 2023 - Medication Safety
Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using Large Language Models and Machine Learning
Description
This research uses large language models and machine learning to retrospectively analyze electronic health records of pa…
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psnet.ahrq.gov/issue/do-no-harm-and-most-good-ai-health-care
March 19, 2019 - Commentary
To do no harm - and the most good - with AI in health care.
Citation Text:
Goldberg CB, Adams L, Blumenthal D, et al. To do no harm - and the most good - with AI in health care. NEJM AI. 2024;1(3). doi:10.1056/aip2400036.
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