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psnet.ahrq.gov/node/42202/psn-pdf
May 01, 2013 - Economic measurement of medical errors using a
hospital claims database.
May 1, 2013
David G, Gunnarsson CL, Waters HC, et al. Economic measurement of medical errors using a hospital
claims database. Value Health. 2013;16(2):305-10. doi:10.1016/j.jval.2012.11.010.
https://psnet.ahrq.gov/issue/economic-measurement-…
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psnet.ahrq.gov/node/39708/psn-pdf
September 09, 2010 - Adverse drug events in the outpatient setting: an 11-year
national analysis.
September 9, 2010
Bourgeois FT, Shannon MW, Valim C, et al. Adverse drug events in the outpatient setting: an 11-year
national analysis. Pharmacoepidemiol Drug Saf. 2010;19(9):901-10. doi:10.1002/pds.1984.
https://psnet.ahrq.gov/issue/adv…
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psnet.ahrq.gov/node/36882/psn-pdf
February 24, 2011 - Resident perceptions of the impact of work hour
limitations.
February 24, 2011
Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen
Intern Med. 2007;22(7):969-75.
https://psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations
The investigators surv…
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psnet.ahrq.gov/node/837347/psn-pdf
June 08, 2022 - Addressing Health Worker Burnout.
June 8, 2022
The U.S. Surgeon General’s Advisory on Building a Thriving Health Workforce. Washington DC:
Office of the Surgeon General; May 2022.
https://psnet.ahrq.gov/issue/addressing-health-worker-burnout
Health care staff and clinician wellbeing is known to affect safety …
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psnet.ahrq.gov/node/40104/psn-pdf
December 22, 2010 - Noise in the operating room—what do we know? A review
of the literature.
December 22, 2010
Hasfeldt D, Laerkner E, Birkelund R. Noise in the operating room--what do we know? A review of the
literature. J Perianesth Nurs. 2010;25(6):380-6. doi:10.1016/j.jopan.2010.10.001.
https://psnet.ahrq.gov/issue/noise-operatin…
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psnet.ahrq.gov/node/42026/psn-pdf
February 20, 2013 - Speaking up—when doctors navigate medical hierarchy.
February 20, 2013
Srivastava R. Speaking up--when doctors navigate medical hierarchy. New Engl J Med. 2013;368(4):302-
305. doi:10.1056/NEJMp1212410.
https://psnet.ahrq.gov/issue/speaking-when-doctors-navigate-medical-hierarchy
This commentary relates a compelli…
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psnet.ahrq.gov/node/37485/psn-pdf
June 29, 2011 - Perceptions of preventable medical errors in Alberta,
Canada.
June 29, 2011
Northcott H, Vanderheyden L, Northcott J, et al. Perceptions of preventable medical errors in Alberta,
Canada. Int J Qual Health Care. 2007;20(2):115-122. doi:10.1093/intqhc/mzm067.
https://psnet.ahrq.gov/issue/perceptions-preventable-medi…
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www.ahrq.gov/nursing-home/resources/module-5-outbreaks.html
April 01, 2022 - Module 5—Outbreaks—Nursing Home Infection Preventionist Training Course
Resource: Module 5—Outbreaks—Nursing Home Infection Preventionist Training Course
This module provides an overview of outbreak investigation and control in nursing homes and will define the steps and activities involved in an outbreak in…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/child-hcahps/key-drivers.html
July 01, 2021 - CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
Key Driver Diagram
Previous Page Next Page
Table of Contents
CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
Introduction
Overview
About Measure Specifications and Reporting
Key Driver Diagram
Quality Improvement Strategies
Improvemen…
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psnet.ahrq.gov/node/849611/psn-pdf
May 31, 2023 - Voices from the Frontlines of Health Care Safety.
May 31, 2023
Boston, MA; Betsy Lehman Center for Patient Safety; April 2023.
https://psnet.ahrq.gov/issue/voices-frontlines-health-care-safety
Well-told stories can motivate change. This video translates the experience of Massachusetts patients and
family members w…
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psnet.ahrq.gov/node/44978/psn-pdf
June 01, 2016 - Josie's Story: A Patient Safety Curriculum.
June 1, 2016
Kaprielian VS, Sullivan DT, eds. Chapel Hill, NC: Josie King Foundation; Duke University School of
Medicine; 2013.
https://psnet.ahrq.gov/issue/josies-story-patient-safety-curriculum
The experience of Sorrel King and the death of her daughter has motivated h…
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digital.ahrq.gov/sites/default/files/docs/citation/appendix-d-cdspain-workflow-design-guidefigures1and2.ppt
August 12, 2024 - Clinical Decision Support (CDS) for Chronic Pain Management
Appendix D: Our Opioid Taper Workflow
*
Customize
Initial Visit
Introduce a Taper
Set Taper Parameters
Confirm Medication Plan
Invite Patient to TAPR-CPM App
Home Experience
Track and Manage Pain and Daily Function
Support Continued Patient Engagemen…
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digital.ahrq.gov/ahrq-funded-projects/portals-inpatient-care-evaluating-usability-use-and-patient-experience/citation/understanding
January 01, 2023 - Understanding secure messaging in the inpatient environment: a new avenue for communication and patient engagement.
Citation
Sieck CJ, Walker DM, Hefner JL, et al. Understanding secure messaging in the inpatient environment: a new avenue for communication and patient engagement. Appl Clin Inform. 201…
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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy
March 10, 2021
Also Read the Essay
Citation Text:
In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021.In Conversation With... Libby Hoy and Stephen Hoy. PSNet [internet]. Rockville (MD): Agenc…
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD
July 1, 2017
Also Read an Essay
Citation Text:
In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Hum…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period
Continuous Respiratory Monitoring and a “Smart”
Infusion System Improve Safety of Patient-Controlled
Analgesia in the Postoperative Period
Ray R. Maddox, PharmD; Harold Oglesby…
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integrationacademy.ahrq.gov/products/ibh-lexicon/functional-definition
January 01, 2025 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
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Integrating Behavioral Health & Primary Care
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions
Improving Clinical Communication and Patient
Safety: Clinician-Recommended Solutions
Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Denise Angst, PhD, RN;
Susan C. Echiverri, MD; Daniel Johnson, MD; David F. Soglin, MD; Gop…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
January 01, 2024 - Americans’ Experiences With Medical Errors and Views on
Patient Safety. … https://www.ihi.org/resources/publications/americans-experiences-medical-errors-and-views-patient-safety … Patient and clinician experiences of uncertainty
in the diagnostic process: current understanding and … Diagnostic error experiences
of patients and families with limited English-language health literacy … Structured case reviews for organizational learning about diagnostic
vulnerabilities: initial experiences
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www.ahrq.gov/sites/default/files/publications/files/caremgmt-brief.pdf
April 01, 2015 - A subgroup of 12 investigators conducted a narrative
synthesis of experiences developing CM programs