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psnet.ahrq.gov/issue/hospital-staff-reports-coworker-positive-and-unprofessional-behaviours-across-eight-hospitals
May 01, 2024 - Study
Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom?
Citation Text:
Urwin R, Pavithra A, Mcmullan RD, et al. Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: w…
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psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
November 21, 2017 - Study
Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service.
Citation Text:
Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quali…
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psnet.ahrq.gov/issue/prolonged-diagnostic-intervals-marker-missed-diagnostic-opportunities-bladder-and-kidney
August 10, 2022 - Study
Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study.
Citation Text:
Zhou Y, Walter FM, Singh H, et al. Prolonged diagnostic intervals as marker of missed diagnostic o…
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psnet.ahrq.gov/issue/codifying-knowledge-improve-patient-safety-qualitative-study-practice-based-interventions
January 29, 2014 - Study
Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions.
Citation Text:
Turner S, Higginson J, Oborne A, et al. Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. Soc Sci Med. 2014;113:169-7…
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psnet.ahrq.gov/issue/self-reported-gaps-care-coordination-and-preventable-adverse-outcomes-among-older-adults
July 06, 2022 - Study
Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care.
Citation Text:
Sterling MR, Lau J, Rajan M, et al. Self‐reported gaps in care coordination and preventable adverse outcomes among older adults receiving home heal…
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psnet.ahrq.gov/issue/communication-practices-4-harvard-surgical-services-surgical-safety-collaborative
September 29, 2017 - Study
Communication practices on 4 Harvard surgical services: a surgical safety collaborative.
Citation Text:
Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5. doi:10.…
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psnet.ahrq.gov/issue/increasing-compliance-world-health-organization-surgical-safety-checklist-regional-health
September 12, 2018 - Study
Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience.
Citation Text:
Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical Safety Checklist-A regional health sys…
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psnet.ahrq.gov/issue/prescription-errors-related-use-computerized-provider-order-entry-system-pediatric-patients
November 07, 2018 - Study
Prescription errors related to the use of computerized provider order-entry system for pediatric patients.
Citation Text:
Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider order-entry system for pediatric patients. Int J Med Inf…
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psnet.ahrq.gov/issue/understanding-nurses-and-physicians-fear-repercussions-reporting-errors-clinician
October 13, 2021 - Study
Understanding nurses' and physicians' fear of repercussions for reporting errors: clinician characteristics, organization demographics, or leadership factors?
Citation Text:
Castel ES, Ginsburg LR, Zaheer S, et al. Understanding nurses' and physicians' fear of repercussions for rep…
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psnet.ahrq.gov/issue/changes-weekend-and-weekday-care-quality-emergency-medical-admissions-20-hospitals-england
August 20, 2018 - Study
Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy.
Citation Text:
Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency…
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psnet.ahrq.gov/issue/testing-intervention-improve-health-care-worker-well-being-during-covid-19-pandemic-cluster
October 16, 2024 - Study
Testing an intervention to improve health care worker well-being during the COVID-19 pandemic: a cluster randomized clinical trial.
Citation Text:
Meredith LS, Ahluwalia SC, Chen PG, et al. Testing an intervention to improve health care worker well-being during the COVID-19 pandemi…
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psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
September 25, 2024 - Study
Implementation of electronic triggers to identify diagnostic errors in emergency departments.
Citation Text:
Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.…
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psnet.ahrq.gov/issue/drug-drug-interactions-and-prescription-appropriateness-hospital-discharge-experience-covid
August 11, 2021 - Study
Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients.
Citation Text:
Cattaneo D, Pasina L, Maggioni AP, et al. Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patient…
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psnet.ahrq.gov/issue/too-many-too-few-or-too-unsafe-impact-inappropriate-prescribing-mortality-and-hospitalization
December 02, 2020 - Study
Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old.
Citation Text:
Wauters M, Elseviers M, Vaes B, et al. Too many, too few, or too unsafe? Impact of inappropriate prescribing on morta…
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psnet.ahrq.gov/issue/systematic-review-prevalence-frequency-and-comparative-value-adverse-events-data-social-media
October 06, 2021 - Review
Systematic review on the prevalence, frequency and comparative value of adverse events data in social media.
Citation Text:
Golder S, Norman G, Loke YK. Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. Br J Clin Pharmacol…
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digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
January 01, 2019 - Using Aviation Technology to Prevent Healthcare Errors: The Health IT Black Box
Similar to the airline industry’s use of a “black box” that captures actions leading up to a near miss or error, the health IT black box captures mouse movements and keystrokes made by users of EHRs. This allows for a robust analysis of…
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psnet.ahrq.gov/issue/sustaining-reductions-central-line-associated-bloodstream-infections-michigan-intensive-care
June 16, 2011 - Study
Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis.
Citation Text:
Pronovost P, Watson S, Goeschel CA, et al. Sustaining Reductions in Central Line-Associated Bloodstream Infections in Michigan Intensive Care…
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digital.ahrq.gov/health-care-theme/patient-reported-outcomes
January 01, 2023 - Patient-Reported Outcomes
Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect
Description
This research developed and maintained the CDS Connect platform, including its public repository of CDS resources and tools. Current work explores the potential of…
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psnet.ahrq.gov/issue/understanding-second-victim-experience-among-multidisciplinary-providers-obstetrics-and
December 23, 2020 - Study
Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology.
Citation Text:
Rivera-Chiauzzi E, Finney RE, Riggan KA, et al. Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. J Pat…
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www.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
May 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality
MAY
19
2023
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
Robert Otto Valdez, Ph.D., M.H.S.A.
On May 11, 2023, the Biden-Harris Administrat…