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  1. HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. | PSNet

    psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary-highlights-themes-and
    September 14, 2022 - Book/Report HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. Citation Text: HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. Farnborough, UK: Healthcare Safety Invest…

  2. Measure 1, Section 2, Attachment 6 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-6.pdf
    June 02, 2025 - Measure 1, Section 2, Attachment 6 SNAC Submission Form Measure 1: Accurate ADHD Diagnosis Section 2: Detailed Measure Specifications Attachment 6: Claims Data Specification Example DRAFT Measure #1: Accurate Diagnosis of ADHD Attention Deficit Hyperactivity Disorder (ADHD) A. DESCRIPTION Percentage of …

  3. Communicating With Patients and Families About Antibiotic Decisions (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-one-pager.pdf
    September 01, 2022 - Communicating With Patients and Families About Antibiotic Decisions Communicating With Patients and Families About Antibiotic Decisions Patients want to feel HEARD1-3 • Say: “What I am hearing you say is [repeat the main concerns].” • Sit at eye level with the patient. • Nod your head to…

  4. Fifth Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/reports-congress/fifth-annual-report-congress-high-priority-evidence-gaps-clinical-preventive-services
    December 01, 2016 - Fifth Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services Share to Facebook Share to X Share to WhatsApp Share to Email Print The U.S. Preventive Services Task Force (USPSTF or Task Force) has released it…

  5. National Recovery Month Virtual Event: Recovery Ready, Set, Go! | The Academy

    integrationacademy.ahrq.gov/news-and-events/calendar/event/23656
    September 16, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  6. Artificial intelligence makes bad medicine even worse. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-makes-bad-medicine-even-worse
    November 25, 2020 - Newspaper/Magazine Article Artificial intelligence makes bad medicine even worse. Citation Text: Artificial intelligence makes bad medicine even worse. Aschwanden C. Wired Magazine. January 10, 2020. Copy Citation Save Save to your library Print Download…

  7. Clinical Summary: Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/y3mQMyN2Y8mxKvPPXjM6kV
    Clinical Summary: Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer Clinical Summary: Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer Population Women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have…

  8. Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
    November 27, 2018 - Book/Report Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Citation Text: Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…

  9. Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. | PSNet

    psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help-stat
    August 23, 2007 - Newspaper/Magazine Article Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. Citation Text: Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. Wang SS. Washington Post. August 31, 2007.…

  10. The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. | PSNet

    psnet.ahrq.gov/issue/human-contribution-unsafe-acts-accidents-and-heroic-recoveries
    August 06, 2016 - Book/Report Classic The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. Citation Text: The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. Reason J. Farnham Surrey, UK: Ashgate; 2008. ISBN: 9780754674023. Copy Citation …

  11. Learning Not Blaming. | PSNet

    psnet.ahrq.gov/issue/learning-not-blaming
    March 28, 2018 - Book/Report Learning Not Blaming. Citation Text: Learning Not Blaming. Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN: 9781474123716. Copy Citation Save Save to your library Print Download PDF Share F…

  12. Exhibit 4.2. Suntown Hospital | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.2. Suntown Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Ca…

  13. Physician leadership is key to creating a safer, more reliable health care system. | PSNet

    psnet.ahrq.gov/issue/physician-leadership-key-creating-safer-more-reliable-health-care-system
    November 17, 2009 - Newspaper/Magazine Article Physician leadership is key to creating a safer, more reliable health care system. Citation Text: Physician leadership is key to creating a safer, more reliable health care system. Silbaugh BR, Leider HL. Physician Exec. Sept-Oct 2009;35:12, 14-16. Copy Ci…

  14. Executive Summary | Digital Healthcare Research

    digital.ahrq.gov/program-overview/research-reports/2023-year-review/executive-summary
    January 01, 2023 - Executive Summary Chris Dymek, Ed.D. Director, Digital Healthcare Research Division "At AHRQ’s Digital Healthcare Research (DHR) program, our driving purpose is to improve healthcare delivery. By providing evidence-based insights and practical guidelines and resources, we create value for pa…

  15. Medicine's Shadowside: Revisiting Clinical Iatrogenesis. | PSNet

    psnet.ahrq.gov/issue/medicines-shadowside-revisiting-clinical-iatrogenesis
    September 08, 2021 - Special or Theme Issue Medicine's Shadowside: Revisiting Clinical Iatrogenesis. Citation Text: Medicine's Shadowside: Revisiting Clinical Iatrogenesis. Varley E, Varma S, eds. Anthropol Med. 2021;28(2);141-278.   Copy Citation Save Save to yo…

  16. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. | PSNet

    psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-disparities-health-care
    June 15, 2011 - Book/Report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Citation Text: Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Pres…

  17. Our stubborn quest for diagnostic certainty. | PSNet

    psnet.ahrq.gov/issue/our-stubborn-quest-diagnostic-certainty
    June 21, 2016 - Commentary Our stubborn quest for diagnostic certainty. Citation Text: Kassirer JP. Our stubborn quest for diagnostic certainty. N Engl J Med. 1989;320(22):1489-1491. doi:10.1056/nejm198906013202211. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  18. Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. | PSNet

    psnet.ahrq.gov/issue/improving-healthcare-team-communication-building-lessons-aviation-and-aerospace
    August 08, 2007 - Book/Report Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Citation Text: Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Nemeth CP, ed. Burlington, VT: Ashgate Publishing; 2008. ISBN: 9780754670254. C…

  19. Understanding And Addressing Pre-Hospital Diagnostic Delays. | PSNet

    psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays
    May 15, 2024 - Special or Theme Issue Understanding And Addressing Pre-Hospital Diagnostic Delays. Citation Text: Understanding And Addressing Pre-Hospital Diagnostic Delays. Health Affairs Forefront; May-September 2023. Copy Citation Save Save to your library Print …

  20. Investigators find hospital error caused mother’s death in Brooklyn. | PSNet

    psnet.ahrq.gov/issue/investigators-find-hospital-error-caused-mothers-death-brooklyn
    February 01, 2023 - Newspaper/Magazine Article Investigators find hospital error caused mother’s death in Brooklyn. Citation Text: Investigators find hospital error caused mother’s death in Brooklyn. Goldstein J. New York Times. January 14, 2024. Copy Citation Save Save to your lib…
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