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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Issue Brief 23
The Patient’s Role in Diagnostic Safety
and Excellence: From Passive Reception
Toward Co-Design
PATIENT
SAFETY
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Issue Brief 23
The Patient’s Role in Diagn…
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psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-2nd-ed
November 29, 2017 - Book/Report
Classic
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed.
Citation Text:
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. Langley GJ, Moen R, Nolan KM, et al. Ho…
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psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-innovation-and-growth
May 16, 2012 - Book/Report
Classic
The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth.
Citation Text:
The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. Edm…
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www.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - Advancing Patient Safety
A Decade of Evidence, Design, and Implementation
After the Institute of Medicine released its sentinel report, To Err is Human: Building a Safer Health System , the Agency for Healthcare Research and Quality (AHRQ), in conjunction with its Federal partners and non-Federal…
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psnet.ahrq.gov/node/867651/psn-pdf
February 26, 2025 - Safety I, Safety II, and the New Views of Safety
February 26, 2025
Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
Background and Context
Safety I and Safety II (Safety I/II) are not safety method…
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digital.ahrq.gov/sites/default/files/docs/pghd-slides-02222022.pdf
February 22, 2022 - AHRQ National Webinar on Transforming Healthcare Through Patient-Generated Health Data Integration - Slides
AHRQ National Webinar
on Transforming Healthcare Through
Patient-Generated Health Data Integration
Presented by:
Deborah J. Cohen, PhD
Ida Sim, MD, PhD
Leslie Lenert, MD, MS
Moderated by: …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching.pptx
July 01, 2023 - PowerPoint Presentation
Coaching
Module 6 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools.
1
Coaching
Involve…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
August 01, 2024 - Research Methods for Studying the Primary Care Workforce: Slide Presentation
National Center for Excellence in Primary Care Research
Presents
Research Methods for Studying the Primary Care Workforce
May 2, 2024
Presented by:
Hannah Neprash, PhD
Lawrence P. Casalino, MD, PhD
Sylvia Hysong, PhD
Moderated by:
…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
March 15, 2025 - Approaches to Address Health Risks for Older Adults
National Center for Excellence in Primary Care
1
National Center for Excellence in Primary Care Research
Presents
Approaches to Address Health Risks for Older Adults
January 16, 2025
Presented by:
Lisa Kern, MD, MPH
Alberta K. Tran, Ph.D., RN, CCRN
Yu-J…
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - In Conversation with…Peter J. Pronovost, MD, PhD
June 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Peter J. Pronovost, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servi…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-rfi-report-040323_LOCKED.pdf
March 01, 2023 - Patient Safety Action Alliance: Request for Information (RFI) Summary Report
Patient Safety Action Alliance
Request for Information (RFI) Summary Report
March 2023
Background:
At the direction of Secretary Becerra, the Department of Health and Human Services (HHS)
launched a National Healthcare System Action…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching.pptx
July 01, 2023 - PowerPoint Presentation
Coaching
Module 6 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools.
1
Coaching
Involve…
-
digital.ahrq.gov/sites/default/files/docs/hit-cdm-slides-062111.pdf
June 21, 2011 - National Web-Based Teleconference on Using Health IT for Chronic Disease Management
National Web-Based Teleconference on
Using Health IT for Chronic Disease
Management
June 21st, 2011
Moderator:
Angela Lavanderos
Agency for Healthcare Research and
Quality
Presenters:
James Fricton
Helene Kopal
Randall Cebu…
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www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
January 01, 2010 - Advancing Patient Safety: A Decade of Evidence, Design, and Implementation
Evidence
Design and
Implementation
Advancing Excellence in Health Care •www.ahrq.gov
Agency for Healthcare Research and Quality
Advancing Patient Safety:
A Decade of
1999
1
Introduction
Patient safety was a fairly new
field when the …
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digital.ahrq.gov/ahrq-funded-projects/e3ivr-conference-ethics-investigational-and-interventional-uses-immersive-vr
January 01, 2023 - e3iVR: Conference on Ethics in Investigational and Interventional Uses of Immersive VR
Project Final Report ( PDF , 844.27 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessa…
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digital.ahrq.gov/sites/default/files/docs/citation/r13hs024833-gill-final-report-2017.pdf
January 01, 2017 - e3iVR: Conference on Ethics in Investigational and Interventional Uses of Immersive VR - Final Report
e3iVR: Conference on ethics in investigational and interventional uses of
…
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - on your own and work on topics that are important to improve patient care, it's generally not a good idea
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psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
February 09, 2011 - Commentary
Classic
Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries.
Citation Text:
Structural and organizational issues in patient safety: a comparison of health care to other high-hazard indust…
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psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549
February 23, 2009 - Commentary
What went right: lessons for the intensivist from the crew of US Airways Flight 1549.
Citation Text:
Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377.
Copy Citation…
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digital.ahrq.gov/ahrq-funded-projects/workshop-interactive-systems-healthcare-wish-2012/annual-summary/2012
January 01, 2012 - Workshop on Interactive Systems in Healthcare (WISH) 2012 - 2012
Project Name
Workshop on Interactive Systems in Healthcare (WISH) 2012
Principal Investigator
Pratt, Wanda
Organization
University of Washington
Funding Mechanism
PAR: HS09-231: Small Grant Program for…