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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/woods-k-et-al-2000
January 01, 2000 - Woods K et al. 2000 "Sickle cell disease telemedicine network for rural outreach."
Reference
Woods KF, Johnson JA, Kutlar A, et al. Sickle cell disease telemedicine network for rural outreach. J Telemed Telecare 2000;6(5):285-290.
Abstract
"The Medical College of Georgia (MCG) Sickle Cell Cent…
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psnet.ahrq.gov/issue/reimagining-healthcare-teams-leveraging-patient-clinician-ai-triad-improve-diagnostic-safety
September 13, 2023 - Book/Report
Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety.
Citation Text:
Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety. James C, Singh K, Valley TS, et al. Rockville, MD; Agency…
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digital.ahrq.gov/ahrq-funded-projects/health-care-stakeholder-participation-health-information-exchanges
January 01, 2023 - Health Care Stakeholder Participation in Health Information Exchanges
Project Description
Publications
Project Details -
Completed
Contract Number
290-05-0007-2
Funding Mechanism(s)
Health Information Technology Community Tracking…
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psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wrong-procedures
November 14, 2018 - Study
Application of human error theory in case analysis of wrong procedures.
Citation Text:
Duthie EA. Application of Human Error Theory in Case Analysis of Wrong Procedures. J Patient Saf. 2010;6(2):108-114. doi:10.1097/pts.0b013e3181de47f9.
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www.ahrq.gov/news/newsroom/case-studies/ktcquips82.html
October 01, 2014 - Five Nebraska Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Across Care Settings
Search All Impact Case Studies
November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider …
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psnet.ahrq.gov/issue/changing-narratives-patient-safety
April 17, 2019 - Commentary
Changing the narratives for patient safety.
Citation Text:
Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392.
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psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
December 23, 2016 - Sentinel Event Alerts
Medical device alarm safety in hospitals.
Citation Text:
Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3.
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psnet.ahrq.gov/issue/use-standardized-protocol-decrease-medication-errors-and-adverse-events-related-sliding-scale
January 05, 2017 - Study
Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin.
Citation Text:
Donihi AC, DiNardo MM, Devita MA, et al. Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insul…
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psnet.ahrq.gov/issue/observational-teamwork-assessment-surgery-feasibility-clinical-and-nonclinical-assessor
January 19, 2016 - Study
Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training.
Citation Text:
Russ S, Hull L, Rout S, et al. Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor cali…
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psnet.ahrq.gov/issue/presenting-complaint-use-language-disempowers-patients
July 13, 2022 - Commentary
Presenting complaint: use of language that disempowers patients.
Citation Text:
doi:10.1136/bmj-2021-066720.
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www.ahrq.gov/data/resources/index.html
August 31, 2025 - Data Resources
The Agency for Healthcare Research and Quality (AHRQ) offers practical, research-based tools and other resources to help a variety of health care organizations, providers and others make care safer in all health care settings. Results
1-10 of 10 Resources displayed
Compendium of U.S. Health…
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psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease-2019-covid-19
June 10, 2018 - Newspaper/Magazine Article
Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations.
Citation Text:
Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. ISMP Medicat…
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psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors
January 14, 2015 - Commentary
What about doctors? The impact of medical errors.
Citation Text:
Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004.
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psnet.ahrq.gov/issue/failure-report-poor-care-breach-moral-and-professional-expectation
March 05, 2025 - Commentary
Failure to report poor care as a breach of moral and professional expectation.
Citation Text:
Ion R, Olivier S, Darbyshire P. Failure to report poor care as a breach of moral and professional expectation. Nurs Inq. 2019;26(3):e12299. doi:10.1111/nin.12299.
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psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-review
May 11, 2019 - Review
2019 update on pediatric medical overuse: a systematic review.
Citation Text:
Money NM, Schroeder AR, Quinonez RA, et al. 2019 Update on Pediatric Medical Overuse. JAMA Pediatr. 2020;174(4):375-382. doi:10.1001/jamapediatrics.2019.5849.
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www.ahrq.gov/takeheart/training/module-6/index.html
December 01, 2022 - Module 6: Laying the Groundwork for Care Coordination
YouTube embedded video: https://www.youtube-nocookie.com/embed/Zvp6SFaH-8g
Video: Laying the Groundwork for Care Coordination (1:00:12)
Slides: Laying the Groundwork for Effective Care Coordination (PDF, 1.4 MB)
Implementation Guide: Laying th…
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psnet.ahrq.gov/issue/speaking-factors-and-issues-nurses-advocating-patients-when-patients-are-jeopardy
April 28, 2021 - Commentary
Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy.
Citation Text:
Rainer J. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. J Nurs Care Qual. 2015;30(1):53-62. doi:10.1097/NCQ.000000…
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psnet.ahrq.gov/issue/model-developing-high-reliability-teams
September 01, 2018 - Commentary
A model for developing high-reliability teams.
Citation Text:
Riley W, Davis SE, Miller KK, et al. A model for developing high-reliability teams. J Nurs Manag. 2010;18(5):556-63. doi:10.1111/j.1365-2834.2010.01121.x.
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psnet.ahrq.gov/issue/ethical-issues-patient-safety-implications-nursing-management
June 10, 2020 - Commentary
Ethical issues in patient safety: implications for nursing management.
Citation Text:
Kangasniemi M, Vaismoradi M, Jasper M, et al. Ethical issues in patient safety: Implications for nursing management. Nurs Ethics. 2013;20(8):904-16. doi:10.1177/0969733013484488.
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digital.ahrq.gov/ahrq-funded-projects/randomized-controlled-trial-embedded-electronic-health-record/annual-summary/2010
January 01, 2010 - Randomized Control Trial Embedded in an Electronic Health Record - 2010
Project Name
Randomized Controlled Trial Embedded in an Electronic Health Record
Principal Investigator
Kahn, James
Organization
University of California, San Francisco
Funding Mechanism
RFA: HS…