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psnet.ahrq.gov/issue/high-reliability-organization-mindset
April 01, 2020 - Commentary
A high-reliability organization mindset.
Citation Text:
Merchant NB, O’Neal J, Dealino-Perez C, et al. A high-reliability organization mindset. Am J Med Qual. 2022;37(6):504-510. doi:10.1097/jmq.0000000000000086.
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psnet.ahrq.gov/issue/facing-ambiguous-threats
December 24, 2008 - Commentary
Facing ambiguous threats.
Citation Text:
Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157.
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psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
November 16, 2022 - Commentary
Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning.
Citation Text:
Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Com…
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hcup-us.ahrq.gov/reports/infographics/neonatal-abstinence-syndrome.jsp
January 01, 2016 - Number of Newborns with Neonatal Abstinence Syndrome Continued to Increase Through 2016
An official website of the Department of Health & Human Services
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Careers
Cont…
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psnet.ahrq.gov/issue/conversations-diagnostic-uncertainty-and-its-management-among-pediatric-acute-care-physicians
March 17, 2021 - Study
Conversations on diagnostic uncertainty and its management among pediatric acute care physicians.
Citation Text:
Patel SJ, Ipsaro A, Brady PW. Conversations on diagnostic uncertainty and its management among pediatric acute care physicians. Hosp Pediatr. 2022;12(3):317-324. doi:10.…
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psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-and-strategies
May 01, 2024 - Study
Negative behaviours in health care: prevalence and strategies.
Citation Text:
Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660.
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psnet.ahrq.gov/issue/impact-pharmacist-provided-medication-therapy-management-healthcare-quality-and-utilization
November 16, 2022 - Study
Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients.
Citation Text:
Haag JD, Davis AZ, Hoel RW, et al. Impact of Pharmacist-Provided Medication Therapy Management on Healthcare Quality and Utiliza…
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psnet.ahrq.gov/issue/building-learning-organization
June 16, 2011 - Study
Classic
Building a learning organization.
Citation Text:
Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91.
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psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
October 19, 2022 - Commentary
Utilizing pharmacy students in transitions-of-care services.
Citation Text:
L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561.
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psnet.ahrq.gov/issue/zero-harm-health-care
August 12, 2020 - Commentary
Zero harm in health care.
Citation Text:
Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2). doi:10.1056/cat.19.1137.
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psnet.ahrq.gov/issue/are-personal-health-records-phrs-facilitating-patient-safety-scoping-review
February 09, 2022 - Review
Are personal health records (PHRs) facilitating patient safety? A scoping review.
Citation Text:
Joseph AL, Monkman H, Kushniruk AW, et al. Are personal health records (PHRs) facilitating patient safety? A scoping review. Stud Health Technol Inform. 2022;2022:535-539. doi:10.3233/…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-fullreport.pdf
April 01, 2018 - Appropriate Antibiotic Prophylaxis for Children With Sickle Cell Disease
1
Appropriate Antibiotic Prophylaxis for Children with
Sickle Cell Disease
Section 1. Basic Measure Information
1.A. Measure Name
Appropriate Antibiotic Prophylaxis for Children with Sickle Cell Disease
1.B. Measure Number
0138
1.C…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
June 01, 2023 - collection of work have achieved their aims with varied outcomes
but have collectively produced:
■ An enhanced … project
concluded that barcode/eMAR technology shows
great promise combined with a CPOE system with
enhanced
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017220-wolf-final-report-2012.pdf
January 01, 2012 - STUDY 2 INTERVENTION: ENHANCED COMMUNICATION FOR NEW PRESCRIPTIONS
Using the same strategy as … & RECRUITMENT
STUDY 1 INTERVENTION: MEDICATION RECONCILIATION
STUDY 2 INTERVENTION: ENHANCED
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
July 28, 2016 - other risk-based contract care management
Bundled payment episode management
Disease-specific enhanced … hospital‐based transitional care processes,
collaborating with cross‐setting partners, and delivering enhanced … delivery of a “bundle” of transitional care best practices to “all”
patients, or this may be the “enhanced … health home medical director if high-risk patient is not
currently in care management to advocate for enhanced
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-virtual-research-meeting-summary_2022.pdf
January 01, 2022 - Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2022 Virtual Research Meeting Summary: Assessing Patient Experience for Insights into Enhancing Equity in Healthcare
Consumer Assessment of Healthcare Providers and
Systems (CAHPS®) 2022 Virtual Research Meeting
Summary: Assessing Patient Experience …
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - understanding that resolution may not be possible ( 4 ), so that safe patient care is supported and enhanced
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
June 02, 2025 - parent/ practice "advisory group" promotes family-centered strategies, practices
and policies (e.g. enhanced
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - When we put work settings through this we found that the resilience is enhanced, the work–life balance
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www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
October 01, 2014 - during the care of simulated ill and injured children in CEDs; (3) implement a statewide, simulation-enhanced