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psnet.ahrq.gov/issue/ahrq-research-summit-improving-diagnosis-health-care
October 23, 2019 - Government Resource 
 
 
 
 
 
 
 
 
 
 AHRQ Research Summit on Improving Diagnosis in Health Care. … Citation Text: 
 AHRQ Research Summit on Improving Diagnosis in Health Care. … Care. … October 9, 2022 
 
 
 
 
 
 
 
 Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … September 10, 2008 
 
 
 
 
 
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    Health Care Providers
                                     
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psnet.ahrq.gov/issue/australian-commission-safety-and-quality-health-care
January 27, 2015 - Citation Text: 
 Australian Commission on Safety and Quality in Health Care. … Australian Commission for Safety and Quality in Health Care. … Australian Commission for Safety and Quality in Health Care. … July 9, 2019 
 
 
 
 
 
 
 
 Communication in health care: impact of language and accent on health care … Health Care Executives and Administrators 
  Non-Health Care Professionals 
  Patients
                                     
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psnet.ahrq.gov/issue/large-scale-coordination-health-care
August 06, 2016 - Special or Theme Issue 
 
 
 
 
 
 
 
 
 
 Large-scale Coordination: Health Care. … Citation Text: 
 Large-scale Coordination: Health Care.      Nemeth CP ed. … This special issue features articles about human cognitive performance in different health care settings … Care. … November 11, 2009 
 
 
 
 
 
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    Health Care Executives
                                     
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psnet.ahrq.gov/issue/through-eyes-workforce-creating-joy-meaning-and-safer-health-care
November 23, 2016 - Citation Text: 
 Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care. … This report highlights the current state of health care  workplaces , which subject many health care … September 14, 2022 
 
 
 
 
 
 
 
 Roadmap to Health Care Safety for Massachusetts. … facilities: a proactive and innovative approach to healthcare system safety. … Care Providers 
  Health Care Executives and Administrators 
  Organizational Behaviorists 
 
 
 
 View
                                     
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psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-safe-health-care
June 22, 2009 - Commentary 
 
 
 
 
 
 
 
 
 
 Involuntary automaticity: a work-system induced risk to safe health care … Involuntary automaticity: a work-system induced risk to safe health care. … They discuss its possible impact on patient safety and strategies to help health care managers minimize … Involuntary automaticity: a work-system induced risk to safe health care. … June 22, 2009 
 
 
 
 
 
 
 
 Enabling a learning healthcare system with automated computer protocols
                                     
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psnet.ahrq.gov/issue/improving-health-care-quality-guide-patients-and-families
December 24, 2008 - Toolkit 
 
 
 
 
 
 
 
 
 
 Improving Health Care Quality: A Guide for Patients and Families. … Citation Text: 
 Improving Health Care Quality: A Guide for Patients and Families. … care. … Content areas include health care quality, quality measurement and tools, health care decision making … May 1, 2016 
 
 
 
 
 
 
 
 Five Steps to Safer Health Care.
                                     
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psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care
October 21, 2020 - Commentary 
 
 
 
 
 
 
 
 
 
 A framework for the analysis of communication errors in health care. … A framework for the analysis of communication errors in health care. … A framework for the analysis of communication errors in health care. … care. … care system: a pre-post quasi-experimental quality improvement project.
                                     
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psnet.ahrq.gov/issue/second-victim-phenomenon-health-care-literature-review
June 23, 2021 - Review 
 
 
 
 
 
 
 
 
 
 The second victim phenomenon in health care: a literature review. … The second victim phenomenon in health care: a literature review. … The second victim phenomenon in health care: a literature review. … February 1, 2023 
 
 
 
 
 
 
 
 Communication with health care workers regarding health care-associated … September 30, 2020 
 
 
 
 
 
 
 
 Communication with patients and families regarding health care-associated
                                     
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psnet.ahrq.gov/issue/international-prize-resilient-health-care
August 14, 2018 - Award Announcement 
 
 
 
 
 
 
 
 
 
 International Prize in Resilient Health Care. … Citation Text: 
 International Prize in Resilient Health Care. … October 24, 2018 
 
 
 
 
 
 
 
 Australian Commission on Safety and Quality in Health Care. … January 22, 2018 
 
 
 
 
 
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    Health Care Providers … Health Care Executives and Administrators 
  Medicine 
  Epidemiology of Errors and Adverse Events
                                     
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psnet.ahrq.gov/issue/affordable-health-care-floridians-act
January 15, 2025 - Legislation/Regulation 
 
 
 
 
 
 
 
 
 
 Affordable Health Care for Floridians Act. … July 20, 2022 
 
 
 
 
 
 
 
 COVID-19 Focused Inspection Initiative in Healthcare. … March 23, 2022 
 
 
 
 
 
 
 
 Communication and Resolution After an Adverse Health Care Incident.
                                     
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psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care
September 09, 2020 - Inappropriate medication in a national sample of US elderly patients receiving home health care. … A large proportion of patients receiving home health care services were prescribed at least one  potentially … Inappropriate medication in a national sample of US elderly patients receiving home health care. … July 3, 2014 
 
 
 
 
 
 
 
 Enabling a learning healthcare system with automated computer protocols … Care Providers 
  Health Care Executives and Administrators 
  Geriatrics 
  Ordering/Prescribing Errors
                                     
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psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high
October 03, 2011 - Review 
 
 
 
 
 
 
 
 
 
 The use of simulation in healthcare: from systems issues, to team building … The use of simulation in healthcare:  from systems issues, to team building, to task training, to education … The use of simulation in healthcare:  from systems issues, to team building, to task training, to education … March 1, 2011 
 
 
 
 
 
 
 
 A checklist to address implicit bias in healthcare settings during the … 2011 
 
 
 
 
 
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 Related Resources 
 
 
 
 
 
 
 Room of horrors simulation in healthcare
                                     
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psnet.ahrq.gov/issue/parent-willingness-remind-health-care-workers-perform-hand-hygiene
October 19, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Parent willingness to remind health care workers to perform hand hygiene. … Parent willingness to remind health care workers to perform hand hygiene. … care workers to wash their hands. … Parent willingness to remind health care workers to perform hand hygiene. … January 30, 2013 
 
 
 
 
 
 
 
 Patient involvement in patient safety: the health-care professional's
                                     
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psnet.ahrq.gov/issue/trail-quality-and-safety-health-care
December 17, 2009 - Commentary 
 
 
 
 
 
 
 
 
 
 On the trail of quality and safety in health care. … On the trail of quality and safety in health care. … This article addresses the gap in health care quality and safety research and offers a list of topics … On the trail of quality and safety in health care. … November 23, 2012 
 
 
 
 
 
 
 
 Enabling a learning healthcare system with automated computer protocols
                                     
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psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-reports
December 24, 2008 - Healthcare Disparities Report. … The 2023 report discusses the continued  impact  of COVID-19 on United States health care delivery. … December 22, 2014 
 
 
 
 
 
 
 
 Developing and Testing the Health Care Safety Hotline: A Prototype … See More About The Topic 
 
    Researchers 
  Hospitals 
  Long-Term Care 
  Ambulatory Care 
  Health … Care Providers 
 
 
 
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psnet.ahrq.gov/issue/kenneth-w-kizer-md-mph-health-care-quality-evangelist
July 28, 2014 - Kizer, MD, MPH: health care quality evangelist. 
 
 
 
 
 Citation Text: 
 Kizer KW. Kenneth W. … Kizer, MD, MPH: health care quality evangelist. Interview by Brian Vastag. … Kizer, MD, MPH: health care quality evangelist. Interview by Brian Vastag. … July 28, 2014 
 
 
 
 
 
 
 
 Effect of the transformation of the Veterans Affairs Health Care System … January 3, 2017 
 
 
 
 
 
 
 
 Enabling a learning healthcare system with automated computer protocols
                                     
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psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective
August 19, 2020 - Commentary 
 
 
 
 
 
 
 
 
 
 Learning from incidents in health care: critique from a Safety-II perspective … Citation Text: 
 Learning from incidents in health care: critique from a Safety-II perspective. … This commentary discusses  Safety-II  thinking in health care and suggests that examining how an organization … Cite
           
 
  Citation 
 
 Citation Text: 
 Learning from incidents in health … care: critique from a Safety-II perspective.
                                     
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psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
December 22, 2021 - Newspaper/Magazine Article 
 
 
 
 
 
 
 
 
 
 The role of failure mode and effects analysis in health … care. … The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32. … care settings . … The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32.
                                     
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psnet.ahrq.gov/issue/health-care-errors-and-patient-safety
August 29, 2017 - Book/Report 
 
 
 
 
 
 
 
 
 
 Health Care Errors and Patient Safety. … Citation Text: 
 Health Care Errors and Patient Safety.   Hurwitz B, Sheikh A, eds.  … Care Errors and Patient Safety. … May 13, 2015 
 
 
 
 
 
 
 
 Safety and Ethics in Healthcare: A Guide to Getting it Right. … July 1, 2009 
 
 
 
 
 
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    Health Care Providers
                                     
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psnet.ahrq.gov/issue/thirty-safe-practices-better-health-care
December 24, 2008 - Government Resource 
 
 
 
 
 
 
 
 
 
 Thirty Safe Practices for Better Health Care. … Citation Text: 
 Thirty Safe Practices for Better Health Care. … These practices can be universally adopted by all applicable health care settings to reduce the risk … Care. … April 16, 2018 
 
 
 
 
 
 
 
 Healthcare Simulation Dictionary, Third Edition.