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psnet.ahrq.gov/node/41028/psn-pdf
May 14, 2018 - Health care worker fatigue and patient safety.
May 14, 2018
Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018).
https://psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety
The Joint Commission issues sentinel event alerts to emphasize pressing safety issues and provide
guideli…
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psnet.ahrq.gov/node/42588/psn-pdf
September 18, 2013 - Cognitive debiasing; part 1 and part 2.
September 18, 2013
Croskerry P, Singhal G, Mamede S. Cognitive debiasing 1: origins of bias and theory of debiasing. BMJ
Qual Saf. 2013;22 Suppl 2:ii58-ii64. doi:10.1136/bmjqs-2012-001712.
https://psnet.ahrq.gov/issue/cognitive-debiasing-part-1-and-part-2
Experienced diagnos…
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psnet.ahrq.gov/node/42051/psn-pdf
October 08, 2013 - A closer look at associations between hospital leadership
walkrounds and patient safety climate and risk reduction:
a cross-sectional study.
October 8, 2013
Schwendimann R, Milne J, Frush K, et al. A closer look at associations between hospital leadership
walkrounds and patient safety climate and risk reduction: a…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/access-community-health-network.html
February 26, 2015 - Access Community Health Network
Status:
Active
Registered Date:
February 26, 2015
PBRN Acronym:
ACCESS
PBRN Type:
Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties)
Network Category:
Established
City:
Ch…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/cincinnati-area-research-improvement-group-network.html
January 01, 2012 - Cincinnati Area Research Improvement Group Network
Status:
Active
Registered Date:
January 1, 2012
PBRN Acronym:
CARInG Network
PBRN Type:
Family Medicine Network (at least 75% are Family Medicine Clinicians)
Network Category:
Established
City:
Cincinnati
Stat…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/colorado-research-network.html
January 01, 2012 - Colorado Research Network
Status:
Active
Registered Date:
January 1, 2012
PBRN Acronym:
CaReNet
PBRN Type:
Family Medicine Network (at least 75% are Family Medicine Clinicians)
Network Category:
Established
Street Address:
12631 E 17th Ave, Campus Box F496
Cit…
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psnet.ahrq.gov/node/837193/psn-pdf
May 25, 2022 - Defining diagnostic error: a scoping review to assess the
impact of the National Academies' report Improving
Diagnosis in Health Care.
May 25, 2022
Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the
National Academies' report Improving Diagnosis in Health …
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/fbba97.html
December 01, 2017 - Federal Balance Budget Act of 1997: Excerpts
Child Health Care Quality Toolbox
The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.
The Federal Balanced Budget Act of 1997, Public Law 105-33, increased the attention given to performance monito…
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psnet.ahrq.gov/node/48193/psn-pdf
August 28, 2019 - Automated detection of wrong-drug prescribing errors.
August 28, 2019
Lambert BL, Galanter W, Liu KL, et al. Automated detection of wrong-drug prescribing errors. BMJ Qual
Saf. 2019;28(11):908-915. doi:10.1136/bmjqs-2019-009420.
https://psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors
Look-al…
-
psnet.ahrq.gov/node/47516/psn-pdf
December 19, 2018 - Patient groups, clinicians and healthcare professionals
agree—all test results need to be seen, understood and
followed up.
December 19, 2018
Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all
test results need to be seen, understood and followed up. Diagnosis…
-
psnet.ahrq.gov/node/44601/psn-pdf
February 23, 2018 - Emergency department visits for adverse events related
to dietary supplements.
February 23, 2018
Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary
Supplements. N Engl J Med. 2015;373(16):1531-40. doi:10.1056/NEJMsa1504267.
https://psnet.ahrq.gov/issue/emergenc…
-
psnet.ahrq.gov/node/44042/psn-pdf
November 03, 2015 - Deployment of rapid response teams by 31 hospitals in a
statewide collaborative.
November 3, 2015
Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative.
Jt Comm J Qual Patient Saf. 2015;41(4):186-191.
https://psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-…
-
psnet.ahrq.gov/node/42789/psn-pdf
December 04, 2013 - Development of the just culture assessment tool:
measuring the perceptions of health-care professionals in
hospitals.
December 4, 2013
Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the
perceptions of health-care professionals in hospitals. J Patient Saf. 2013…
-
psnet.ahrq.gov/node/840170/psn-pdf
November 16, 2022 - Predicting dispensing errors in community pharmacies:
an application of the Systematic Human Error Reduction
and Prediction Approach (SHERPA).
November 16, 2022
Ashour A, Phipps DL, Ashcroft DM. PLoS ONE. 2022;17(1):e0261672.
https://psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-…
-
psnet.ahrq.gov/node/38173/psn-pdf
October 29, 2008 - The use of medical emergency teams in medical and
surgical patients: impact of patient, nurse and
organisational characteristics.
October 29, 2008
Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and
surgical patients: impact of patient, nurse and organisational charac…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-written-statement.pdf
June 02, 2025 - Intellectual Property Rights Statement
Intellectual Property Rights Statement
Re: Measure Number 0144: Children with Disabilities Algorithm (CWDA)
This work was funded by the Agency for Healthcare Research and Quality (AHRQ) and
the Centers for Medicare & Medicaid Services (CMS) under the CHIPRA Pediatric
Quali…
-
psnet.ahrq.gov/node/46547/psn-pdf
April 16, 2018 - Hidden curricula, ethics, and professionalism: clinical
learning environments in becoming and being a
physician: a position paper of the American College of
Physicians.
April 16, 2018
Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimizing
Clinical Learning Environments i…
-
psnet.ahrq.gov/node/855086/psn-pdf
November 08, 2023 - Psychological safety as a new ACGME requirement: a
comprehensive all-in-one guide to radiology residency
programs.
November 8, 2023
Mohamed I, Hom GL, Jiang S, et al. Psychological safety as a new ACGME requirement: a comprehensive
all-in-one guide to radiology residency programs. Acad Radiol. 2023;30(12):3137-314…
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digital.ahrq.gov/sites/default/files/docs/page/A_ReferenceLibrary_1.pdf
February 16, 2006 - Summary: RHIO Governance Series: A Road Map for Establishing Your Health
Information Organization. … While the form of the organization may vary, the process for
establishing a RHIO is fairly straightforward … and can be divided into the following 6
phases: (1) establishing the team, (2) data gathering and analysis
-
digital.ahrq.gov/sites/default/files/docs/page/A_ReferenceLibrary_0.pdf
February 16, 2006 - Summary: RHIO Governance Series: A Road Map for Establishing Your Health
Information Organization. … While the form of the organization may vary, the process for
establishing a RHIO is fairly straightforward … and can be divided into the following 6
phases: (1) establishing the team, (2) data gathering and analysis