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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/reports-congress/third-annual-report-congress-high-priority-evidence-gaps-clinical-preventive-services
December 01, 2013 - Third Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services
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The U.S. Preventive Services Task Force (USPSTF or Task Force) has released it…
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digital.ahrq.gov/ahrq-funded-projects/intervention-inc-interactive-family-centered-mhealth-tool-reduce-obesity-risk
January 01, 2023 - Intervention INC: An Interactive Family-Centered mHealth Tool to Reduce Obesity Risk in Urban Minority Preadolescents
Project Description
Events
A family-centered multi-component digital tool with an innovative communication approach may reduce childhood obesity risk, as …
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psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
November 28, 2018 - Commentary
An organizational learning framework for patient safety.
Citation Text:
Edwards MT. An Organizational Learning Framework for Patient Safety. Am J Med Qual. 2016;32(2):148-155. doi:10.1177/1062860616632295.
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psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
February 12, 2020 - Newspaper/Magazine Article
Becoming a high-reliability organization through shared learning of safety events
Citation Text:
Becoming a high-reliability organization through shared learning of safety events Klenklen J. Patient Saf Qual HCare. December 19, 2019.
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psnet.ahrq.gov/issue/building-culture-patient-safety-report-commission-patient-safety-and-quality-assurance
November 10, 2011 - Book/Report
Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance.
Citation Text:
Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance. Dublin, Ireland: Department of Health & Childre…
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psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-codes
November 02, 2022 - Newspaper/Magazine Article
Survey results from pharmacists provide support to enhance the organizational response to codes.
Citation Text:
Survey results from pharmacists provide support to enhance the organizational response to codes. ISMP Medication Safety Alert! Acute care edition. Oc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pptx
June 02, 2025 - PowerPoint Presentation
Use these PowerPoint slides for any presentations for which they may be useful.
These slides may be useful earlier on in the process than during implementation; feel free to use them at any point in your QI process.
Modify as needed to suit your hospital – you may wish to delete sections of sl…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role3.html
September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Impact of Disparities and Lack of Equity on Patient Engagement
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Table of Contents
The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
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psnet.ahrq.gov/issue/educational-opportunities-postevent-debriefing
May 28, 2015 - Commentary
Educational opportunities with postevent debriefing.
Citation Text:
Mullan PC, Kessler DO, Cheng A. Educational opportunities with postevent debriefing. JAMA. 2014;312(22):2333-4. doi:10.1001/jama.2014.15741.
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psnet.ahrq.gov/issue/commission-inquiry-hormone-receptor-testing
May 26, 2021 - Book/Report
Commission of Inquiry on Hormone Receptor Testing.
Citation Text:
Commission of Inquiry on Hormone Receptor Testing. Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.
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psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
September 18, 2024 - Study
Classic
The importance of cognitive errors in diagnosis and strategies to minimize them.
Citation Text:
Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med. 2003;78(8):775-780.
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psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-practice
August 16, 2023 - Book/Report
Burnout in Primary Care: Assessing and Addressing It in Your Practice.
Citation Text:
Burnout in Primary Care: Assessing and Addressing It in Your Practice. Gerteis J, Booker C, Brach C, et al. Rockville, MD: Agency for Healthcare Research and Quality; February 2023. AH…
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digital.ahrq.gov/type-care/internal-medicine
January 01, 2023 - Internal Medicine
Real-Time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions
Description
This research will use digital health tools leveraging patient-reported outcomes and data from electronic health records to engage individuals with multiple…
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psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
May 02, 2018 - Book/Report
AHRQ Health Information Technology Division's 2017 Annual Report.
Citation Text:
AHRQ Health Information Technology Division's 2017 Annual Report. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-EF.
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psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation
October 27, 2021 - Commentary
Innovation in safety, and safety in innovation.
Citation Text:
Eisenberg D, Wren SM. Innovation in safety, and safety in innovation. JAMA Surg. 2014;149(1):7-9. doi:10.1001/jamasurg.2013.5112.
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psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part-1-and
March 09, 2016 - Newspaper/Magazine Article
Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2.
Citation Text:
Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. ISMP Medicat…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-stage-3-meaningful-use-objectives-analysis-nc-and-tn
January 01, 2023 - Evaluation of Stage 3 Meaningful Use Objectives: Analysis in North Carolina and Tennessee
Project Final Report ( PDF , 1.37 MB) Disclaimer
Disclaimer
(Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ah…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign/annual-summary/2012
January 01, 2012 - Using Health Information Technology in Practice Redesign - 2012
Project Name
Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow
Principal Investigator
Wald, Jonathan S.
Organization
RTI International
Funding M…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-lasater.html
December 01, 2024 - Grantee Profile
Ensuring Adequate Nurse Staffing in a Public Health Emergency
Karen Blanchette Lasater, Ph.D., R.N., FAAN Associate Professor of Nursing University of Pennsylvania Karen Blanchette Lasater, Ph.D., R.N., FAAN “It became remarkably apparent to me how critical nurses were in the delivery of pat…
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psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
February 24, 2016 - Newspaper/Magazine Article
Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors.
Citation Text:
Government and industry fail to protect the public when they suggest "carefully following instructions" i…