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psnet.ahrq.gov/issue/long-term-solution-malpractice-crises-reduce-harm-patients
September 12, 2018 - Commentary
Long-term solution to malpractice crises: reduce harm to patients.
Citation Text:
Schoenbaum S, Segel K. Long-term solution to malpractice crises: reduce harm to patients. Physician Exec. 2006;32(2):26-9, 31.
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psnet.ahrq.gov/issue/recurrent-wrong-route-drug-error-professional-shame
July 22, 2020 - Commentary
Recurrent wrong-route drug error – a professional shame.
Citation Text:
Bell D. Recurrent wrong-route drug error - a professional shame. Anaesthesia. 2007;62(6):541-5.
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psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
June 21, 2015 - Commentary
Applying the Toyota Production System: using a patient safety alert system to reduce error.
Citation Text:
Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386.
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psnet.ahrq.gov/issue/blind-spots-when-medicine-gets-it-wrong-and-what-it-means-our-health
April 22, 2016 - Book/Report
Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health.
Citation Text:
Makary M. Blind Spots: When Medicine Gets It Wrong, And What It Means For Our Health. New York, NY: Bloomsbury Publishing; 2024. ISBN 9781639735310.
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psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
October 28, 2020 - Review
The spectrum of medical errors: when patients sue.
Citation Text:
Grant-Kels J, Kels B. The spectrum of medical errors: when patients sue. Int J Gen Med. 2012. doi:10.2147/ijgm.s24257.
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psnet.ahrq.gov/issue/understanding-why-quality-initiatives-succeed-or-fail-sociotechnical-systems-perspective
March 10, 2021 - Commentary
Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective.
Citation Text:
Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333.
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psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
January 27, 2016 - Book/Report
Classic
Respectful Management of Serious Clinical Adverse Events. Second Edition.
Citation Text:
Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…
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www.ahrq.gov/news/newsroom/case-studies/cp31103.html
October 01, 2014 - University of Missouri Uses AHRQ's Health Literacy Toolkit to Train and Coach Physicians
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September 2011
The University of Missouri Center for Health Policy, through funding from Health Literacy Missouri, a nonprofit organization based in St. Louis, incorporated AHRQ's "Health …
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www.ahrq.gov/cahps/surveys-guidance/dental/about/survey-measures.html
April 01, 2018 - CAHPS Dental Plan Survey Measures
For more information: Patient Experience Measures for the CAHPS Dental Plan Survey (PDF, 614 KB)
Care From Dentists and Staff
Q6 How often did your regular dentist explain things in a way that was easy to understand?
Q7 How often did your regular dentis…
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www.ahrq.gov/news/newsroom/case-studies/201718.html
April 01, 2018 - Los Angeles County Health Center Uses CAHPS To Shorten Wait Times
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April 2018
Feedback from patients on AHRQ's Consumer Assessment of Healthcare Providers and Systems Clinician & Group Survey (CG-CAHPS) told officials at San Fernando, CA-based Northeast Valley Health Corporat…
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psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-through-eyes-patients-and-their-care
August 16, 2016 - Book/Report
How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners.
Citation Text:
How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Jefs L, Kuluski K, MacLaurin A, e…
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integrationacademy.ahrq.gov/news-and-events/news/september-national-recovery-month
September 06, 2024 - An official website of the Department of Health & Human Services
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Integrating Behavioral Health & Primary Care
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integrationacademy.ahrq.gov/news-and-events/news/mental-health-and-sud-during-pregnancy-and-postpartum-new-chcs-report
December 06, 2024 - An official website of the Department of Health & Human Services
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Integrating Behavioral Health & Primary Care
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integrationacademy.ahrq.gov/news-and-events/news/new-national-strategy-maternal-mental-health
May 29, 2024 - An official website of the Department of Health & Human Services
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www.ahrq.gov/cahps/surveys-guidance/helpful-resources/analysis/index.html
July 01, 2025 - Analyzing CAHPS Survey Data
Users of CAHPS surveys may take a few different approaches to analyzing their data to generate results that can be reported to healthcare providers, administrators, and consumers. The CAHPS team supports users in conducting their analyses of the closed-ended surveys by developing and…
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psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition
November 04, 2015 - Book/Report
Classic
Managing the Unexpected: Sustained Performance in a Complex World, Third Edition.
Citation Text:
Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. I…
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psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
July 15, 2015 - Review
The incidence of diagnostic error in medicine.
Citation Text:
Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. doi:10.1136/bmjqs-2012-001615.
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psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare
November 30, 2016 - Special or Theme Issue
Improving Quality and Safety in Healthcare.
Citation Text:
Improving Quality and Safety in Healthcare. Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025.
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psnet.ahrq.gov/issue/making-healthcare-safer-iv-continuous-updating-patient-safety-harms-and-practices
December 10, 2024 - Book/Report
Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices.
Citation Text:
Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Rockville, MD: Agency for Healthcare Research and Quality: July 2023 - Jan 2025.
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psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary
June 15, 2011 - Book/Report
Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary.
Citation Text:
Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of …