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psnet.ahrq.gov/issue/measurement-adverse-events-using-incidence-flagged-diagnosis-codes
June 18, 2013 - Study
Measurement of adverse events using "incidence flagged" diagnosis codes.
Citation Text:
Jackson T, Duckett S, Shepheard J, et al. Measurement of adverse events using "incidence flagged" diagnosis codes. J Health Serv Res Policy. 2006;11(1):21-6.
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psnet.ahrq.gov/issue/identifying-cross-contaminants-and-specimen-mix-ups-surgical-pathology
July 22, 2020 - Review
Identifying cross contaminants and specimen mix-ups in surgical pathology.
Citation Text:
Hunt JL. Identifying cross contaminants and specimen mix-ups in surgical pathology. Adv Anat Pathol. 2008;15(4):211-7. doi:10.1097/PAP.0b013e31817bf596.
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psnet.ahrq.gov/issue/researchers-roles-patient-safety-improvement
December 01, 2010 - Commentary
Researchers' roles in patient safety improvement.
Citation Text:
Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf. 2016;12(1):25-33. doi:10.1097/PTS.0000000000000096.
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psnet.ahrq.gov/issue/alternative-perspectives-safety-home-delivered-health-care-sequential-exploratory-mixed
February 17, 2016 - Study
Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study.
Citation Text:
Jones S. Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. J Adv Nurs. 2016;72(10):2536-46. doi…
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psnet.ahrq.gov/issue/importance-failing-forward-all-us-will-fail-and-make-mistakes-how-can-they-benefit-us-and-our
July 27, 2016 - Newspaper/Magazine Article
The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations?
Citation Text:
Hofmann PB. The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and ou…
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psnet.ahrq.gov/issue/adapting-joint-commissions-seven-foundations-safe-and-effective-transitions-care-home
July 10, 2024 - Commentary
Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home.
Citation Text:
Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/N…
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psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high-reliability
October 19, 2022 - Study
Dental patient safety in the military health system: joining medicine in the journey to high reliability.
Citation Text:
Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability. Mil Med. 2019. doi:1…
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psnet.ahrq.gov/issue/does-your-patient-really-understand
January 25, 2023 - Newspaper/Magazine Article
Does your patient really understand?
Citation Text:
Huff C. Does your patient really understand? Hospitals & health networks. 2011;85(10):34-5, 37-8, 2.
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psnet.ahrq.gov/issue/geometric-probability-distribution-modeling-error-risk-during-prescription-dispensing
December 24, 2008 - Study
Geometric probability distribution for modeling of error risk during prescription dispensing.
Citation Text:
Carnahan BJ, Maghsoodloo S, Flynn EA, et al. Geometric probability distribution for modeling of error risk during prescription dispensing. Am J Health Syst Pharm. 2006;63(…
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psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing-errors
February 03, 2011 - Study
Frequency, types, and potential clinical significance of medication-dispensing errors.
Citation Text:
Bohand X, Simon L, Perrier E, et al. Frequency, types, and potential clinical significance of medication-dispensing errors. Clinics (Sao Paulo). 2009;64(1):11-6.
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psnet.ahrq.gov/issue/doctors-new-dilemma
November 13, 2024 - Commentary
The doctor's new dilemma.
Citation Text:
Koven S. The Doctor's New Dilemma. N Engl J Med. 2016;374(7):608-9. doi:10.1056/NEJMp1513708.
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psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict-or
December 29, 2014 - Commentary
Accountability, organisational learning and risks to patient safety in England: conflict or compromise?
Citation Text:
Dodds A, Kodate N. Accountability, organisational learning and risks to patient safety in England: Conflict or compromise? Health Risk Soc. 2011;13(4):327-3…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
May 01, 2024 - Enhanced Kidney Follow-up for AKI Survivors in Care Transitions (the ACT Study) (R03) PI: Erin Frazee
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-205-fullreport.pdf
January 01, 2014 - The Health IT workflow for this measure could be enhanced in four ways (see Attachment 8A.2
for a summary … This measure framework was reviewed,
enhanced, and refined by a DSF Expert Workgroup (Attachment 13.1
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
March 06, 2025 - Strategies to Better Engineer Safety into Healthcare Delivery
Page 1 of 17
Engineering Safe Practices Affinity Group
Strategies to Better Engineer Safety into
Healthcare Delivery
March 6, 2025
Table of Contents
Problem Statement ...............................................................................…
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cdsic.ahrq.gov/sites/default/files/2023-02/Stakeholder%20Center%20Quarterly%20Report%20Two_508_Jan26.pdf
January 01, 2023 - CDSiC Stakeholder Community and Outreach Center: Quarterly Report
STAKEHOLDER CENTER PROGRESS REPORT
S E P T E M B E R 2 0 2 2
CDSiC Stakeholder
Community and Outreach
Center:
Quarterly Report
Presented by:
NORC at the University of Chicago
4350 East - West Highway Suite
800 Bethesda, MD 20814…
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digital.ahrq.gov/sites/default/files/Stakeholder%20Center%20Quarterly%20Report%20Two_508_Jan26.pdf
September 01, 2023 - CDSiC Stakeholder Community and Outreach Center: Quarterly Report
STAKEHOLDER CENTER PROGRESS REPORT
S E P T E M B E R 2 0 2 2
CDSiC Stakeholder
Community and Outreach
Center:
Quarterly Report
Presented by:
NORC at the University of Chicago
4350 East - West Highway Suite
800 Bethesda, MD 20814…
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-operational-systems-support-integration
January 01, 2022 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-ahrq-ambulatory-safety-and-quality-program.pdf
August 09, 2013 - technologies supported a
range of approaches for delivering high-quality care
across transitions, such as enhanced … found a significant decrease in hospital bed days
in the 6 months following the implementation of the
enhanced
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
September 01, 2017 - intervene earlier to prevent resident decline and the need for resident transfer is going to be greatly enhanced