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psnet.ahrq.gov/issue/guidance-health-care-leaders-during-recovery-stage-covid-19-pandemic-consensus-statement
December 21, 2017 - Commentary 
 
 
 
 
 
 
 
 
 
 Guidance for health care leaders during the recovery stage of the COVID … Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement … The COVID-19 pandemic has  disrupted  many aspects of health care delivery and has placed unprecedented … pressure  on  health care workers . … October 12, 2022 
 
 
 
 
 
 
 
 Health care safety during the pandemic and beyond--building a system
                                     
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psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature-patient-care
November 18, 2020 - Some unintended consequences of information technology in health care: the nature of patient care information … care delivery. … Some unintended consequences of information technology in health care: the nature of patient care information … A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare … February 27, 2009 
 
 
 
 
 
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psnet.ahrq.gov/issue/making-health-care-safer-critical-analysis-patient-safety-practices
July 27, 2018 - Book/Report 
 
 
 
 
 
 
 
 
 
 Making Health Care Safer: A Critical Analysis of Patient Safety Practices … Citation Text: 
 Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … Making Healthcare Safer IV Series. … June 8, 2011 
 
 
 
 
 
 
 
 Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … Care Providers 
  Health Care Executives and Administrators 
  Nosocomial Infections 
 
 
 
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psnet.ahrq.gov/issue/national-patient-safety-goal-improve-health-care-equity
September 11, 2019 - Newspaper/Magazine Article 
 
 
 
 
 
 
 
 
 
 National patient safety goal to improve health care equity … Citation Text: 
 National patient safety goal to improve health care equity. R3 Report. … Health care inequities  persist despite increasing awareness they negatively affect quality,  safety … care equity. … January 16, 2025 
 
 
 
 
 
 
 
 Roadmap to Health Care Safety for Massachusetts.
                                     
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psnet.ahrq.gov/issue/multistate-point-prevalence-survey-health-care-associated-infections
November 14, 2018 - Study 
 
 
 
 
 
 
 
 
 
 Multistate point-prevalence survey of health care-associated infections. … Multistate point-prevalence survey of health care-associated infections. … Health care–associated infections  (HAIs) are a serious and common cause of patient harm. … Multistate point-prevalence survey of health care-associated infections. … Care Providers 
  Health Care Executives and Administrators 
  Hospital Medicine 
  Infectious Diseases
                                     
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psnet.ahrq.gov/issue/artificial-intelligence-health-care-accountability-and-safety
December 20, 2023 - Commentary 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 Artificial intelligence in health care … Artificial intelligence in health care: accountability and safety. … Artificial intelligence in health care: accountability and safety. … care professionals : a scoping review. … July 10, 2019 
 
 
 
 
 
 
 
 Governing the safety of artificial intelligence in healthcare.
                                     
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psnet.ahrq.gov/issue/health-care-professionals-second-victims-after-adverse-events-systematic-review
September 19, 2016 - Review 
 
 
 
 
 
 
 
 
 
 Health care professionals as second victims after adverse events: a systematic … Health Care Professionals as Second Victims after Adverse Events. … Focusing on health care providers as the  second victims  of adverse events, this review explores the … Health Care Professionals as Second Victims after Adverse Events. … September 22, 2021 
 
 
 
 
 
 
 
 Peer support by interprofessional health care providers in aftermath
                                     
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psnet.ahrq.gov/issue/vital-signs-core-metrics-health-and-health-care-progress
November 24, 2021 - Book/Report 
 
 
 
 
 
 
 
 
 
 Vital Signs: Core Metrics for Health and Health Care Progress. … Citation Text: 
 Vital Signs: Core Metrics for Health and Health Care Progress. … February 2, 2011 
 
 
 
 
 
 
 
 Engineering a Learning Healthcare System: A Look at the Future: Workshop … July 5, 2008 
 
 
 
 
 
 
 
 Improving Diagnosis in Health Care. … March 9, 2016 
 
 
 
 
 
 
 
 Improving Diagnosis in Health Care.
                                     
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psnet.ahrq.gov/issue/us-clinicians-experiences-and-perspectives-resource-limitation-and-patient-care-during-covid
November 30, 2022 - The COVID-19 pandemic has led to wide-ranging changes to health care  delivery . … care expenditures. … May 25, 2016 
 
 
 
 
 
 
 
 Enabling a learning healthcare system with automated computer protocols … care system during a pandemic: the University of Wisconsin Experience. … Care Providers 
  Health Care Executives and Administrators 
  Public Health 
  Infectious Diseases
                                     
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psnet.ahrq.gov/issue/high-reliability-organization-framework-health-care-multiyear-implementation-strategy-and
November 17, 2021 - Study 
 
 
 
 
 
 
 
 
 
 A high-reliability organization framework for health care: a multiyear implementation … A high-reliability organization framework for health care: a multiyear implementation strategy and associated … A high-reliability organization framework for health care: a multiyear implementation strategy and associated … care system: conceptual framework and initial set of actionable indicators. … September 30, 2020 
 
 
 
 
 
 
 
 Why accountability sharing in health care organizational cultures
                                     
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psnet.ahrq.gov/issue/twelve-best-practices-team-training-evaluation-health-care
July 02, 2014 - Commentary 
 
 
 
 
 
 
 
 
 
 Twelve best practices for team training evaluation in health care. … Twelve best practices for team training evaluation in health care. … This commentary discusses the importance of  teamwork training  evaluation in health care and recommends … Twelve best practices for team training evaluation in health care. … December 17, 2008 
 
 
 
 
 
 
 
 Training health care professionals for patient safety.
                                     
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psnet.ahrq.gov/issue/role-human-factors-home-health-care-workshop-summary
August 03, 2011 - Book/Report 
 
 
 
 
 
 
 
 
 
 The Role of Human Factors in Home Health Care: Workshop Summary. … Citation Text: 
 The Role of Human Factors in Home Health Care: Workshop Summary.   Olson S. … July 8, 2016 
 
 
 
 
 
 
 
 Improving Diagnosis in Health Care. … August 1, 2017 
 
 
 
 
 
 
 
 Health Care Comes Home: The Human Factors. … Care Providers 
  Health Care Executives and Administrators 
  Home Nursing 
  Human Factors Engineering
                                     
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psnet.ahrq.gov/issue/communication-health-care-impact-language-and-accent-health-care-safety-quality-and-patient
April 21, 2021 - Commentary 
 
 
 
 
 
 
 
 
 
 Communication in health care: impact of language and accent on health … Communication in health care: impact of language and accent on health care safety, quality, and patient … Communication in health care: impact of language and accent on health care safety, quality, and patient … Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare … care.
                                     
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psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
February 26, 2025 - James, MD, MStat, is Chief Quality Officer and Executive Director of the Institute for Health Care Delivery … Research at Intermountain Healthcare. … In November 2009, he was the subject of a widely read profile, entitled " Making Health Care Better , … We've trained about 3500 senior health care executives through the advanced training program: 42% physician … December 9, 2009 
 
 
 
 
 
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psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-disparities-health-care
June 15, 2011 - Citation Text: 
 Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. … June 16, 2012 
 
 
 
 
 
 
 
 Engineering a Learning Healthcare System: A Look at the Future: Workshop … July 27, 2011 
 
 
 
 
 
 
 
 How Can Health Care Organizations Become More Health Literate? … July 8, 2016 
 
 
 
 
 
 
 
 Crossing the Global Quality Chasm: Improving Health Care Worldwide. … December 21, 2022 
 
 
 
 
 
 
 
 How Discrimination in Health Care Affects Older Americans, and What
                                     
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psnet.ahrq.gov/issue/safety-climate-health-care-organizations-multidimensional-approach
October 14, 2009 - Study 
 
 
 
 
 
 
 
 
 
 Safety climate in health care organizations: a multidimensional approach. … Citation Text: 
 Safety climate in health care organizations: a multidimensional approach. … care organizations: a multidimensional approach. … July 13, 2010 
 
 
 
 
 
 
 
 Treatment errors in healthcare: a safety climate approach. … May 5, 2021 
 
 
 
 
 
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    Health Care Executives
                                     
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psnet.ahrq.gov/issue/health-care-associated-invasive-mrsa-infections-2005-2008
February 17, 2011 - Study 
 
 
 
 
 
 
 
 
 
 Health care-associated invasive MRSA infections, 2005-2008. … Health care-associated invasive MRSA infections, 2005-2008. … The overall rate of  health care–associated infections  caused by  methicillin-resistant  Staphylococcus … Health care-associated invasive MRSA infections, 2005-2008. … May 20, 2015 
 
 
 
 
 
 
 
 Nonhospital health care–associated hepatitis B and C virus transmission:
                                     
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psnet.ahrq.gov/issue/systemic-failures-health-care-oversight
July 05, 2006 - Commentary 
 
 
 
 
 
 
 
 
 
 Systemic failures in health care oversight. … Citation Text: 
 Systemic failures in health care oversight. Campbell JL. … care oversight. … Constitutional arguments in favor of modifying the HCQIA to allow the dissemination of physician information to healthcare … February 28, 2024 
 
 
 
 
 
 
 
 Occupational Health and Organizational Culture within a Healthcare
                                     
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psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic
April 15, 2021 - This report reviews tools to help health care systems target eight areas of focus that have potential … July 21, 2021 
 
 
 
 
 
 
 
 Building a Culture of Safety in Health Care. … the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare … May 29, 2024 
 
 
 
 
 
 
 
 Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers … November 28, 2012 
 
 
 
 
 
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psnet.ahrq.gov/issue/fixing-healthcare-inside-today
February 28, 2011 - Commentary 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 Fixing healthcare from the inside, today … Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158. … This commentary provides a broad overview of the issues facing health care systems in their efforts to … Approaches for improvement that draw from the experiences of non-health care organizations, such as … Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158.