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psnet.ahrq.gov/node/43048/psn-pdf
April 02, 2014 - Building a Culture of Candour: a Review of the Threshold
for the Duty of Candour and of the Incentives for Care
Organisations to Be Candid.
April 2, 2014
Dalton D, Williams N. London, UK: The Royal College of Surgeons of England; March 2014.
https://psnet.ahrq.gov/issue/building-culture-candour-review-thresh…
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psnet.ahrq.gov/node/41546/psn-pdf
December 29, 2014 - Using a logic model to design and evaluate quality and
patient safety improvement programs.
December 29, 2014
Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient
safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. doi:10.1093/intqhc/mzs029.
https://…
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psnet.ahrq.gov/node/40101/psn-pdf
January 17, 2012 - Lessons learned from implementation of a computerized
application for pending tests at hospital discharge.
January 17, 2012
Dalal A, Poon EG, Karson A, et al. Lessons learned from implementation of a computerized application for
pending tests at hospital discharge. J Hosp Med. 2011;6(1):16-21. doi:10.1002/jhm.794.
…
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psnet.ahrq.gov/node/46369/psn-pdf
September 06, 2017 - Critical Issues in Food Allergy: A National Academies
Consensus Report.
September 6, 2017
Sicherer SH, Allen K, Lack G, et al. Critical Issues in Food Allergy: A National Academies Consensus
Report. Pediatrics. 2017;140(2). doi:10.1542/peds.2017-0194.
https://psnet.ahrq.gov/issue/critical-issues-food-allergy-natio…
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psnet.ahrq.gov/node/33932/psn-pdf
May 27, 2011 - Preventable anesthesia mishaps: a study of human
factors.
May 27, 2011
Cooper JB, Newbower RS, Long CD, et al. Preventable anesthesia mishaps: a study of human factors.
Anesthesiology. 1978;49(6):399-406.
https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors
This study reports on the ret…
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www.ahrq.gov/news/index.html
News
AHRQ Press Releases
The latest news from AHRQ
AHRQ News Now
Weekly newsletter on Agency research and program activities
…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/lets-talk-about-it-discussion-guides/lets-talk-about-it-preventing-hiv-prep
June 01, 2025 - Let’s Talk About It: Preventing HIV with PrEP
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Let's Talk About IT: Preventing HIV with PrEP (PDF File, 351 KB; PDF Help )…
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psnet.ahrq.gov/node/48159/psn-pdf
July 31, 2019 - Fatigue in radiology: a fertile area for future research.
July 31, 2019
Taylor-Phillips S, Stinton C. Fatigue in radiology: a fertile area for future research. Br J Radiol.
2019;92(1099):20190043. doi:10.1259/bjr.20190043.
https://psnet.ahrq.gov/issue/fatigue-radiology-fertile-area-future-research
Physician fatigu…
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psnet.ahrq.gov/node/48075/psn-pdf
June 19, 2019 - A mismatch made in America.
June 19, 2019
Butcher L. Managed Care. June 2019;28:37-39.
https://psnet.ahrq.gov/issue/mismatch-made-america
Inconsistent patient name entry practices in electronic health records can contribute to wrong-patient
errors. This magazine article reports on the complex nature of addressing …
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www.ahrq.gov/evidencenow/tools/reduce-disparities.html
February 01, 2025 - Using Data to Reduce Disparities and Improve Quality
Resource: Using Data to Reduce Disparities and Improve Quality: A Guide for Health Care Organizations (PDF, 1 MB; 14 pages) This brief recommends strategies that primary care practices and health care organizations can use to effectively organize and inter…
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psnet.ahrq.gov/node/850349/psn-pdf
June 14, 2023 - Cognitive biases in internal medicine: a scoping review.
June 14, 2023
Loncharich MF, Robbins RC, Durning SJ, et al. Cognitive biases in internal medicine: a scoping review.
Diagnosis (Berl). 2023;10(3):205-214. doi:10.1515/dx-2022-0120.
https://psnet.ahrq.gov/issue/cognitive-biases-internal-medicine-scoping-review…
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psnet.ahrq.gov/node/47165/psn-pdf
June 13, 2018 - Changing how we think about healthcare improvement.
June 13, 2018
Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014.
doi:10.1136/bmj.k2014.
https://psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
In learning organizations, leadership behavior creates a s…
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psnet.ahrq.gov/node/60589/psn-pdf
June 23, 2020 - Medication Safety During the COVID-19 Pandemic: What
Have We Learned in the United States.
June 23, 2020
Institute for Safe Medication Practices and US Food and Drug Administration Division of Drug Information.
June 23, 2020.
https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-lear…
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psnet.ahrq.gov/node/45673/psn-pdf
December 07, 2016 - Report on the Safe Use of Pick Lists in Ambulatory Care
Settings.
December 7, 2016
Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016.
https://psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
Standard term selection tools—like pick lists or drop-d…
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psnet.ahrq.gov/node/39972/psn-pdf
January 22, 2017 - Executive/senior leader checklist to improve culture and
reduce central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture
and reduce central line-associated bloodstream infections. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/node/45506/psn-pdf
November 30, 2016 - Is an indication-based prescribing system in our future?
November 30, 2016
ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5.
https://psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
Health information technology has enhanced prescribers' ability to document the purpose o…
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psnet.ahrq.gov/node/44255/psn-pdf
November 09, 2015 - Biopsy site selfies—a quality improvement pilot study to
assist with correct surgical site identification.
November 9, 2015
Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct
surgical site identification. Dermatol Surg. 2015;41(4):499-504. doi:10.1097/DSS.00…
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www.ahrq.gov/cahps/surveys-guidance/hp/about/survey-measures.html
September 01, 2020 - CAHPS Health Plan Survey 5.0 Measures
For more information: Patient Experience Measures from the CAHPS Health Plan Survey (PDF, 308 KB)
Getting Needed Care
Q9 Easy for respondent to get necessary care, tests, or treatment
Q18 Respondent got appointment with specialists as soon as needed
…
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www.ahrq.gov/cahps/about-cahps/user-network/index.html
May 01, 2016 - The CAHPS User Network
The CAHPS User Network is the principal source of CAHPS survey products, information about CAHPS-related products and services, technical assistance for survey users, and networking opportunities for users and researchers. The User Network is funded by the U.S. Agency for Healthcare Resea…
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www.ahrq.gov/hai/tools/enhanced-recovery/overview.html
June 01, 2023 - Overview
Tools and Resources To Help Hospitals Choose an ISCR Program
This section gives a high-level overview of the Improving Surgical Care and Recovery (ISCR) program to support hospitals in implementing evidence-based enhanced recovery pathways. The Overview lists the tools and materials, organized in the…