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psnet.ahrq.gov/node/44987/psn-pdf
February 01, 2017 - International recommendations for national patient safety
incident reporting systems: an expert Delphi consensus-
building process.
February 1, 2017
Howell A-M, Burns EM, Hull L, et al. International recommendations for national patient safety incident
reporting systems: an expert Delphi consensus-building process…
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psnet.ahrq.gov/node/48014/psn-pdf
July 10, 2019 - Patient safety morning report: innovation in teaching core
patient safety principles to third-year medical students.
July 10, 2019
Beekman M, Emani VK, Wolford R, et al. Patient Safety Morning Report: Innovation in Teaching Core
Patient Safety Principles to Third-Year Medical Students. J Med Educ Curric Dev.
2019;…
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psnet.ahrq.gov/node/72530/psn-pdf
January 01, 2021 - A realist synthesis of pharmacist-conducted medication
reviews in primary care after leaving hospital: what works
for whom and why?
December 2, 2020
Luetsch K, Rowett D, Twigg MJ. A realist synthesis of pharmacist-conducted medication reviews in primary
care after leaving hospital: what works for whom and why? BMJ…
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psnet.ahrq.gov/node/61004/psn-pdf
October 07, 2020 - National Nursing Home COVID Action Network.
October 7, 2020
Rockville, MD: Agency for Healthcare Research and Quality; September 2020.
https://psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
Nursing home residents are especially vulnerable to COVID-19 due to their age, and communal living
condition…
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psnet.ahrq.gov/node/36634/psn-pdf
March 03, 2011 - Surgeon information transfer and communication: factors
affecting quality and efficiency of inpatient care.
March 3, 2011
Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors
affecting quality and efficiency of inpatient care. Ann Surg. 2007;245(2):159-69.
https://psn…
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psnet.ahrq.gov/node/45500/psn-pdf
September 28, 2016 - PIPc study: development of indicators of potentially
inappropriate prescribing in children (PIPc) in primary
care using a modified Delphi technique.
September 28, 2016
Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate
prescribing in children (PIPc) in primary…
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psnet.ahrq.gov/node/42980/psn-pdf
February 17, 2017 - Disclosing adverse events to patients: international
norms and trends.
February 17, 2017
Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and
Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107.
https://psnet.ahrq.gov/issue/disclosing-adverse-event…
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psnet.ahrq.gov/node/46031/psn-pdf
April 12, 2017 - Chief of Residents for Quality Improvement and Patient
Safety: a recipe for a new role in graduate medical
education.
April 12, 2017
Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A
Recipe for a New Role in Graduate Medical Education. Mil Med. 2017;182(3):e17…
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psnet.ahrq.gov/node/34939/psn-pdf
June 16, 2011 - The effect of executive walk rounds on nurse safety
climate attitudes: a randomized trial of clinical units.
June 16, 2011
Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate
attitudes: a randomized trial of clinical units[ISRCTN85147255] [corrected]. BMC Health Serv…
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psnet.ahrq.gov/node/866636/psn-pdf
January 01, 2025 - Hospital commitments to address diagnostic errors: an
assessment of 95 US hospitals.
September 4, 2024
Campione Russo A, Tilly J?L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an
assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13485.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/45967/psn-pdf
July 05, 2017 - Root-cause analysis: swatting at mosquitoes versus
draining the swamp.
July 5, 2017
Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ
Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229.
https://psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-…
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digital.ahrq.gov/location/usa-md-bethesda
January 01, 2023 - USA, MD, Bethesda
American Medical Informatics Association Health Policy Conference
Description
The objectives of the 2015 and 2016 AMIA Policy Invitational meetings are to develop consensus recommendations on policy to improve health information technology for patient care, f…
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psnet.ahrq.gov/node/867631/psn-pdf
February 26, 2025 - Implicit bias in the patient descriptor "homeless" and its
association with emergency department opioid
administration and disposition.
February 26, 2025
Lauricella M, Nene RV, Coyne CJ, et al. Implicit bias in the patient descriptor “homeless” and its
association with emergency department opioid administration an…
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digital.ahrq.gov/organization/pajaro-valley-community-health
January 01, 2023 - Pajaro Valley Community Health
Community Chronic Care Network (CCCN) Online Publication and Education: User Needs Survey
Description
This is a questionnaire designed to be completed by clinical staff in an ambulatory setting. The tool includes questions to assess the usability…
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digital.ahrq.gov/location/usa-ca-watsonville
January 01, 2023 - USA, CA, Watsonville
Community Chronic Care Network (CCCN) Online Publication and Education: User Needs Survey
Description
This is a questionnaire designed to be completed by clinical staff in an ambulatory setting. The tool includes questions to assess the usability of diseas…
-
hcup-us.ahrq.gov/datainnovations/MNAbstractFinal.pdf
September 29, 2013 - Title:
State: Minnesota
Title: Using Clinically Enhanced Claims Data to Guide Treatment of
Acute Heart Failure
Principal Investigator: Mark Sonneborn
Organization: Minnesota Hospital Association
Project Dates: September 30, 2010, to September 29, 2013
Grant Number: R01 HS20043-01
The long-term objec…
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psnet.ahrq.gov/node/38485/psn-pdf
June 23, 2017 - Impact of a comprehensive patient safety strategy on
obstetric adverse events.
June 23, 2017
Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric
adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.01.022.
https://psnet.ahrq.gov/issu…
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digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-co
January 01, 2023 - Privacy and Security Solutions for Interoperable Health Information Exchange / Colorado
Project Description
Project Details -
Completed
Contract Number
290-05-0015-RTI-033
Funding Mechanism(s)
Health Information Security and Privacy Col…
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psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond
the Pandemic: Creating Total Systems Safety
August 30, 2023
McGaffigan P, Van CM, Mossburg S. In Conversation with.. Patricia McGaffigan about Beyond the
Pandemic: Creating Total Systems Safety . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/con…
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digital.ahrq.gov/sites/default/files/docs/page/iavr_executivesummary.html
December 29, 2006 - Privacy and Security Solutions for Interoperable Health Information Exchange
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December 29, 2006
Privacy and Security Solutions for Interoperable Health Information Exchange
Interim Assessment of Variation
Prepared for
Susan Christensen, Senior Advisor
Agency…