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psnet.ahrq.gov/node/73572/psn-pdf
August 04, 2021 - Center for Innovations in Quality, Effectiveness and
Safety. IQuESt!
August 4, 2021
Houston, TX: Baylor College of Medicine.
https://psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest
This Center represents a partnership with the Veterans Affairs Health Services Research & Develo…
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psnet.ahrq.gov/node/45677/psn-pdf
March 08, 2017 - The War on Error: Common Diagnostic Errors.
March 8, 2017
Medscape. 2016–2017.
https://psnet.ahrq.gov/issue/war-error-common-diagnostic-errors
Improving diagnosis has recently been recognized as a primary focus for patient safety. This collection
highlights particular clinical areas of concern such as neurology an…
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psnet.ahrq.gov/node/44029/psn-pdf
April 25, 2016 - Accelerating the adoption of a safety culture.
April 25, 2016
Birk S. Accelerating the Adoption of a Safety Culture. Healthcare Executive. 2015;30(2):18-20, 22-24, 26.
https://psnet.ahrq.gov/issue/accelerating-adoption-safety-culture
Hospital senior managers have been challenged to establish a safety culture in the…
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psnet.ahrq.gov/node/38122/psn-pdf
September 05, 2009 - Implementation of a preoperative briefing protocol
improves accuracy of teamwork assessment in the
operating room.
September 5, 2009
Paige JT, Aaron DL, Yang T, et al. Implementation of a preoperative briefing protocol improves accuracy of
teamwork assessment in the operating room. Am Surg. 2008;74(9):817-823.
ht…
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psnet.ahrq.gov/node/42304/psn-pdf
November 21, 2016 - Strategies for improving family engagement during
family-centered rounds.
November 21, 2016
Kelly MM, Xie A, Carayon P, et al. Strategies for improving family engagement during family-centered
rounds. J Hosp Med. 2013;8(4):201-7. doi:10.1002/jhm.2022.
https://psnet.ahrq.gov/issue/strategies-improving-family-engage…
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psnet.ahrq.gov/node/44760/psn-pdf
July 10, 2024 - Collaborative for Accountability and Improvement.
July 10, 2024
University of Washington.
https://psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
Communication-and-resolution programs (CRPs) are a promising strategy to improve respectful and
effective discussions with patients and families after …
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psnet.ahrq.gov/node/39445/psn-pdf
April 14, 2010 - Oncology nurses' perceptions about involving patients in
the prevention of chemotherapy administration errors.
April 14, 2010
Schwappach DLB, Hochreutener M-A, Wernli M. Oncology nurses' perceptions about involving patients in
the prevention of chemotherapy administration errors. Oncol Nurs Forum. 2010;37(2):E84-91…
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psnet.ahrq.gov/node/47309/psn-pdf
August 22, 2018 - Defining patient safety events in inpatient psychiatry.
August 22, 2018
Marcus SC, Hermann R, Cullen SW. Defining Patient Safety Events in Inpatient Psychiatry. J Patient Saf.
2018;17(8):e1452-e1457. doi:10.1097/PTS.0000000000000520.
https://psnet.ahrq.gov/issue/defining-patient-safety-events-inpatient-psychiatry
…
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psnet.ahrq.gov/node/44264/psn-pdf
May 03, 2016 - Introducing the AHRQ Ambulatory Surgery Center Survey
on Patient Safety Culture.
May 3, 2016
Agency for Healthcare Research and Quality. July 15, 2015.
https://psnet.ahrq.gov/issue/introducing-ahrq-ambulatory-surgery-center-survey-patient-safety-culture
Ambulatory surgery centers have been the focus of patient saf…
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psnet.ahrq.gov/node/61104/psn-pdf
March 03, 2025 - NAM Scholars in Diagnostic Excellence program.
January 10, 2025
National Academy of Medicine and the Council of Medical Specialty Societies.
https://psnet.ahrq.gov/issue/nam-scholars-diagnostic-excellence-program
Diagnostic error reduction is gaining momentum as a primary focus of patient safety achievement. This
…
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psnet.ahrq.gov/node/41623/psn-pdf
April 05, 2013 - Preventing patient harms through systems of care.
April 5, 2013
Pronovost P, Bo-Linn GW. Preventing patient harms through systems of care. JAMA. 2012;308(8):769-70.
doi:10.1001/jama.2012.9537.
https://psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
Recent initiatives, such as the Partnership for…
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psnet.ahrq.gov/node/74119/psn-pdf
November 24, 2021 - When we're all responsible for a patient's death, no one
is.
November 24, 2021
Prasad V, Medpage Today. November 16, 2021.
https://psnet.ahrq.gov/issue/when-were-all-responsible-patients-death-no-one
The issue of system versus individual accountability can challenge the orientation of safety improvement
effo…
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psnet.ahrq.gov/node/43060/psn-pdf
June 27, 2016 - Medication administration errors in hospitals—challenges
and recommendations for their measurement.
June 27, 2016
McLeod M, Barber N, Franklin BD. National Quality Measures Clearinghouse: Expert Commentaries;
March 10, 2014.
https://psnet.ahrq.gov/issue/medication-administration-errors-hospitals-challenges-and-rec…
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digital.ahrq.gov/ahrq-funded-projects/effect-health-information-technology-health-care-provider-communication/citation/sending
January 01, 2023 - It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication technologies in hospitals.
Citation
Lafferty M, Harrod M, Krein S, Manojlovich M. It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication technolo…
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digital.ahrq.gov/ahrq-funded-projects/engaging-patients-enable-interoperable-lung-cancer-decision-support-scale/citation/patient
January 01, 2024 - Patient perspectives on a patient-facing tool for lung cancer screening.
Citation
Tiase VL, Richards G, Taft T, Stevens L, Balbin C, Kaphingst KA, Fagerlin A, Caverly T, Kukhareva P, Flynn M, Butler JM, Kawamoto K. Patient perspectives on a patient-facing tool for lung cancer screening. Health Expect.…
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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-linked-decision-support-communicating-genomic-data/citation/workflow
January 01, 2023 - Using workflow modeling to identify areas to improve genetic test processes in the University of Maryland Translational Pharmacogenomics Project.
Citation
Cutting EM, Overby CL, Banchero M, et al. Using workflow modeling to identify areas to improve genetic test processes in the University of Marylan…
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digital.ahrq.gov/ahrq-funded-projects/effect-health-information-technology-health-care-provider-communication/citation/factors
January 01, 2023 - Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study.
Citation
Manojlovich M, Harrod M, Hofer T, Lafferty M, McBratnie M, Krein SL. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. BMJ Qual Saf. 2021 Sep;…
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www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tcdhs12001.html
June 01, 2018 - Training in Patient-Centered Outcome Research (PCOR)
AHRQ Training Projects Funded by PCOR Trust Fund
RFA-HS-12-001
The Affordable Care Act provides an opportunity to build capacity in PCOR, specifically with regard to training in the methods used to conduct such research. A focus for these fellowships is …
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www.ahrq.gov/policymakers/measurement/consumer-assessment/index.html
September 01, 2012 - Consumer Assessment Surveys
The Consumer Assessment of Healthcare Providers and Systems (CAHPS) program is a multi-year initiative of the Agency for Healthcare Research and Quality (AHRQ) to support and promote the assessment of consumers' experiences with health care.
First launched in October 1995, the prog…
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www.ahrq.gov/policymakers/chipra/cpcf-form10.html
December 01, 2013 - Candidate Measure Submission Form (CPCF)
CHIPRA Pediatric Quality Measures Program (PQMP)
The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved by the Office of Management and Budget (OMB) in accordance with the Paperwork Reduction Act. The OMB Control Num…