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psnet.ahrq.gov/node/39281/psn-pdf
March 05, 2010 - New York, NY: The Commonwealth Fund, The
John Hartford Foundation, Health Research and Educational Trust
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psnet.ahrq.gov/node/39433/psn-pdf
October 03, 2017 - New York, NY: The Commonwealth Fund; March 17, 2010.
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psnet.ahrq.gov/node/35444/psn-pdf
March 11, 2011 - Improving acceptance of computerized prescribing alerts
in ambulatory care.
March 11, 2011
Shah N, Seger AC, Seger DL, et al. Improving acceptance of computerized prescribing alerts in ambulatory
care. J Am Med Inform Assoc. 2006;13(1):5-11.
https://psnet.ahrq.gov/issue/improving-acceptance-computerized-prescribin…
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psnet.ahrq.gov/node/39406/psn-pdf
March 31, 2010 - Frequency of inappropriate medical exceptions to quality
measures.
March 31, 2010
Persell SD, Dolan NC, Friesema EM, et al. Frequency of inappropriate medical exceptions to quality
measures. Ann Intern Med. 2010;152(4):225-31. doi:10.7326/0003-4819-152-4-201002160-00007.
https://psnet.ahrq.gov/issue/frequency-inap…
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psnet.ahrq.gov/node/39984/psn-pdf
June 08, 2011 - The Role of Human Factors in Home Health Care:
Workshop Summary.
June 8, 2011
Olson S. Committee on the Role of Human Factors in Home Healthcare, National Research Council.
Washington, DC: National Academies Press; 2010.
https://psnet.ahrq.gov/issue/role-human-factors-home-health-care-workshop-summary
This public…
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psnet.ahrq.gov/node/35457/psn-pdf
January 05, 2017 - Examining nurses' decision process for medication
management in home care.
January 5, 2017
Kovner C, Menezes J, Goldberg JD. Examining nurses' decision process for medication management in
home care. Jt Comm J Qual Patient Saf. 2005;31(7):379-85.
https://psnet.ahrq.gov/issue/examining-nurses-decision-process-medic…
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psnet.ahrq.gov/node/40664/psn-pdf
August 03, 2011 - Health Care Comes Home: The Human Factors.
August 3, 2011
Committee on the Role of Human Factors in Home Health Care. Washington, DC: National Research
Council; 2011. ISBN: 9780309212366.
https://psnet.ahrq.gov/issue/health-care-comes-home-human-factors
This report discusses the results of a 2009 AHRQ-funded works…
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psnet.ahrq.gov/node/36312/psn-pdf
October 26, 2010 - The intensive care unit, patient safety, and the Agency for
Healthcare Research and Quality.
October 26, 2010
Clancy CM. The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality.
Am J Med Qual. 2006;21(5):348-51.
https://psnet.ahrq.gov/issue/intensive-care-unit-patient-safety-and…
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - Medical Center, physicians and nurses have purchased more than 1000 iPads and 1600 iPhones with personal funds
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psnet.ahrq.gov/node/41701/psn-pdf
September 26, 2019 - The CUSP Method
September 26, 2019
The CUSP Method.
https://psnet.ahrq.gov/issue/cusp-method
The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital
by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in
several landmark pat…
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psnet.ahrq.gov/node/74065/psn-pdf
November 10, 2021 - AHRQ announces interest in research on digital
healthcare safety.
November 10, 2021
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 28, 2021
Publication No. NOT-HS-22-004.
https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-digital-healthcare-safety
Digital in…
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psnet.ahrq.gov/node/35455/psn-pdf
July 13, 2010 - Urban outpatient views on quality and safety in primary
care.
July 13, 2010
Dowell D, Manwell LB, Maguire A, et al. Urban outpatient views on quality and safety in primary care.
Healthc Q. 2005;8(2):suppl 2-8.
https://psnet.ahrq.gov/issue/urban-outpatient-views-quality-and-safety-primary-care
In this AHRQ-funded …
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psnet.ahrq.gov/node/35373/psn-pdf
July 20, 2009 - Medical groups' adoption of electronic health records and
information systems.
July 20, 2009
Gans DN, Kralewski J, Hammons T, et al. Medical Groups’ Adoption Of Electronic Health Records And
Information Systems. Health Aff. 2005;24(5):1323-1333. doi:10.1377/hlthaff.24.5.1323.
https://psnet.ahrq.gov/issue/medical-g…
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psnet.ahrq.gov/node/33902/psn-pdf
December 22, 2014 - National Quality Measures Clearinghouse (NQMC).
December 22, 2014
Agency for Healthcare Research and Quality. 1998-2018.
https://psnet.ahrq.gov/issue/national-quality-measures-clearinghouse-nqmc
This web-accessible database provided access to evidence-based quality measures and measure sets.
The mission of the Nat…
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psnet.ahrq.gov/node/35352/psn-pdf
July 20, 2009 - Database construction for improving patient safety by
examining pathology errors.
July 20, 2009
Grzybicki DM, Turcsany B, Becich MJ, et al. Database Construction for Improving Patient Safety by
Examining Pathology Errors. Am J Clin Pathol. 2008;124(4). doi:10.1309/xn25jg7k0jfjb10c.
https://psnet.ahrq.gov/issue/d…
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psnet.ahrq.gov/node/35285/psn-pdf
July 14, 2010 - Development of a patient safety web-based education
curriculum for physicians, nurses, and patients.
July 14, 2010
Hendee WR, Keating-Christensen C, Loh YH. J Patient Saf. 2005;1(2):90-99.
https://psnet.ahrq.gov/issue/development-patient-safety-web-based-education-curriculum-physicians-
nurses-and-patients
The au…
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psnet.ahrq.gov/node/38296/psn-pdf
May 21, 2014 - Assessment of the AHRQ Patient Safety Initiative: Final
Report Evaluation Report IV.
May 21, 2014
Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2008. ISBN:
9780833044808
https://psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv
This re…
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psnet.ahrq.gov/node/35951/psn-pdf
June 14, 2011 - Errors in thyroid gland fine-needle aspiration.
June 14, 2011
Raab SS, Vrbin CM, Grzybicki DM, et al. Errors in Thyroid Gland Fine-Needle Aspiration. Am J Clin Pathol.
2007;125(6). doi:10.1309/7rqe37k6439t4pb4.
https://psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration
This AHRQ–funded study used roo…
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psnet.ahrq.gov/node/37238/psn-pdf
September 04, 2018 - Guide for Developing a Community-Based Patient Safety
Advisory Council.
September 4, 2018
Leonhardt, K, Bonin D, Pagel P. Rockville, MD: Agency for Healthcare Research and Quality; April 2008.
AHRQ Publication No. 08-0048
https://psnet.ahrq.gov/issue/guide-developing-community-based-patient-safety-advisory-council…
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psnet.ahrq.gov/node/38285/psn-pdf
December 10, 2008 - AHRQ Risk-informed Intervention Development and
Implementation of Safe Practices in Ambulatory Care.
December 10, 2008
Rockville, MD: Agency for Healthcare Research and Quality; October 2008.
https://psnet.ahrq.gov/issue/ahrq-risk-informed-intervention-development-and-implementation-safe-
practices-ambulatory-care…