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psnet.ahrq.gov/node/43376/psn-pdf
January 16, 2017 - Resilience and resilience engineering in health care.
January 16, 2017
Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J
Qual Patient Saf. 2014;40(8):376-383.
https://psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
Resilience is a charac…
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psnet.ahrq.gov/node/837076/psn-pdf
May 11, 2022 - AHRQ Challenge on Innovative Solutions To Update or
Re-Create TeamSTEPPS Videos.
May 11, 2022
Rockville, MD; Agency for Healthcare Research and Quality: April 2022.
https://psnet.ahrq.gov/issue/ahrq-challenge-innovative-solutions-update-or-re-create-teamstepps-videos
TeamSTEPPS promotes effective teamwork, collabo…
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psnet.ahrq.gov/node/43936/psn-pdf
December 04, 2015 - Exploring the Potential Use of Safety Cases in Health
Care.
December 4, 2015
Safety Cases Working Group. London, UK: Health Foundation; 2015.
https://psnet.ahrq.gov/issue/exploring-potential-use-safety-cases-health-care
This report describes a consensus-building initiative in the United Kingdom seeking to determin…
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psnet.ahrq.gov/node/42306/psn-pdf
May 29, 2013 - Do team processes really have an effect on clinical
performance? A systematic literature review.
May 29, 2013
Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic
literature review. Br J Anaesth. 2013;110(4). doi:10.1093/bja/aes513.
https://psnet.ahrq.gov/issue/do-team…
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psnet.ahrq.gov/node/42768/psn-pdf
November 27, 2013 - Findings and Lessons From the Improving Management
of Individuals With Complex Health Care Needs Through
Health IT Grant Initiative.
November 27, 2013
Rockville, MD: Agency for Healthcare Research and Quality; September 2013. AHRQ Publication No. 13-
0058-EF.
https://psnet.ahrq.gov/issue/findings-and-lesso…
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psnet.ahrq.gov/node/43100/psn-pdf
April 02, 2014 - Taking National Action to Prevent and Eliminate
Healthcare-Associated Infections.
April 2, 2014
Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.
https://psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections
This special issue explores a national initiativ…
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psnet.ahrq.gov/node/41926/psn-pdf
January 02, 2013 - As she lay dying: how I fought to stop medical errors
from killing my mom.
January 2, 2013
Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood).
2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833.
https://psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-m…
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psnet.ahrq.gov/node/46177/psn-pdf
March 09, 2018 - Diagnosis: Interpreting the Shadows.
March 9, 2018
Croskerry P, Cosby KS, Graber ML, Singh H. Boca Raton, FL: CRC Press; 2017. ISBN: 9781409432333.
https://psnet.ahrq.gov/issue/diagnosis-interpreting-shadows
Efforts to enhance the reliability of the diagnostic process must take various elements into consideration.
…
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psnet.ahrq.gov/node/44623/psn-pdf
November 11, 2015 - Quality, Safety, and Noninterpretive Skills.
November 11, 2015
Kruskal JB, Kung JW, eds. Radiographics. 2015;35(6):1627-1848.
https://psnet.ahrq.gov/issue/quality-safety-and-noninterpretive-skills
Increased radiation exposure has emerged as a patient safety problem, with the potential to result in harm
for provide…
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psnet.ahrq.gov/node/72611/psn-pdf
December 23, 2020 - Improving Diagnosis in Medicine Act of 2020.
December 23, 2020
116th Congress 2d session. December 10, 2020.
https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020
The strengthening of diagnostic error research and processes can strategically ensure lasting diagnostic
improvement. The ‘‘Improving Diagn…
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psnet.ahrq.gov/node/855435/psn-pdf
November 15, 2023 - Technology, Education and Safety
November 15, 2023
Arnal-Velasco, D, ed. Curr Opin Anaesthesiol. 2023;36(6):649-705.
https://psnet.ahrq.gov/issue/technology-education-and-safety-2
Adoption of new ideas is necessary to create safety in the perioperative environment. This collection of
reviews illustrates relationsh…
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www.ahrq.gov/antibiotic-use/long-term-care/improve/tools.html
June 01, 2021 - General Implementation Tools
These tools are designed to help support implementation of your program. The Gap Analysis helps identify activities that are fundamental to an antibiotic stewardship program as well as those that can enhance established programs. The Commitment Poster is a public display of yo…
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digital.ahrq.gov/sites/default/files/docs/medicaid/us_chs_states-role-in-hie.pdf
September 25, 2006 - through our Enterprise Risk
Services practice), all of which can support organizations focused on
enhancing
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www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
January 01, 2024 - and
organizational settings to use the Reporting systems and the Feedback Review
Systems, thereby enhancing
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psnet.ahrq.gov/primer/leadership-role-improving-safety
September 15, 2024 - Leadership Role in Improving Safety
Citation Text:
Leadership Role in Improving Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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digital.ahrq.gov/ahrq-funded-projects/using-social-knowledge-networking-skn-technology-enable-meaningful-use-ehr
January 01, 2023 - Using Social Knowledge Networking (SKN) Technology To Enable Meaningful Use of EHR Technology
Project Final Report ( PDF , 2.48 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not ne…
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digital.ahrq.gov/ahrq-funded-projects/implementing-uspstf-recommendations-breast-cancer-screening-and-prevention
August 31, 2025 - Implementing USPSTF Recommendations for Breast Cancer Screening and Prevention by Integrating Clinical Decision Support Tools with the Electronic Health Record
Project Description
Research Story
Integrating patient-generated breast cancer risk information with patients’ e…
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cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Presentation.pdf
January 01, 2021 - October 2021 CDS Connect Work Group Call
October 2021 CDS Connect Work Group Call
Agenda
Schedule Topic
3:00 - 3:02 Roll Call, Michelle Lenox (MITRE)
3:02 - 3:05 Review of the Agenda, Maria Michaels (CDC)
3:05 - 3:50 Share and Discuss CDS Connect Priorities through September 2022,
Lacy Fabian (MITRE)
3:50 - …
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digital.ahrq.gov/ahrq-funded-projects/i-matter-investigating-mhealth-texting-tool-embedding-patient-reported-data
June 30, 2023 - i-Matter: Investigating an mHealth Texting Tool for Embedding Patient-Reported Data into Diabetes Management
Project Final Report ( PDF , 916.17 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content…
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psnet.ahrq.gov/node/33603/psn-pdf
September 15, 2024 - Surgical Site Infections
September 15, 2024
Surgical Site Infections. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/surgical-site-infections
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety …