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cdsic.ahrq.gov/sites/default/files/2024-02/OY1%20Operations%20Center%20Operational%20Framework.pdf
January 01, 2024 - Final Revised Operations Center Operational Framework
Operations Center:
Operational Framework –
Option Year 1
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicag…
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psnet.ahrq.gov/node/863760/psn-pdf
March 06, 2024 - Imagining improved interactions: patients' designs to
address implicit bias.
March 6, 2024
Yang C, Coney L, Mohanraj D, et al. AMIA Annu Symp Proc. 2023;2023:774-783.
https://psnet.ahrq.gov/issue/imagining-improved-interactions-patients-designs-address-implicit-bias
Implicit biases can compromise decision making a…
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psnet.ahrq.gov/node/34748/psn-pdf
March 07, 2005 - Reducing Adverse Drug Events.
March 7, 2005
Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-events
This application-oriented book provides the results of the Institute for Healthcare Improvement (IHI)
Breakthrough S…
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psnet.ahrq.gov/node/45477/psn-pdf
October 05, 2016 - Promoting safety through well-being: an experience in
healthcare.
October 5, 2016
Bruno A, Bracco F. Promoting Safety through Well-Being: An Experience in Healthcare. Front Psychol.
2016;7:1208. doi:10.3389/fpsyg.2016.01208.
https://psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare
Th…
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psnet.ahrq.gov/node/35861/psn-pdf
March 28, 2011 - How can the principles of complexity science be applied
to improve the coordination of care for complex pediatric
patients?
March 28, 2011
Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to
improve the coordination of care for complex pediatric patients? Qual Saf H…
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psnet.ahrq.gov/node/34747/psn-pdf
August 04, 2009 - The Improvement Guide: A Practical Approach to
Enhancing Organizational Performance. 2nd ed.
August 4, 2009
Langley GJ, Moen R, Nolan KM, et al. Hoboken, NJ: Jossey-Bass; 2009. ISBN: 9780470430880.
https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-
2nd-ed
Effec…
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psnet.ahrq.gov/node/40342/psn-pdf
April 21, 2015 - Counterheroism, common knowledge, and ergonomics:
concepts from aviation that could improve patient safety.
April 21, 2015
Lewis GH, Vaithianathan R, Hockey PM, et al. Counterheroism, common knowledge, and ergonomics:
concepts from aviation that could improve patient safety. Milbank Q. 2011;89(1):4-38. doi:10.1111/…
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psnet.ahrq.gov/node/34770/psn-pdf
April 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd
ed.
April 17, 2017
Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920.
https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
Vincent has updated his text on risk management, infusing it with concepts directly rela…
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psnet.ahrq.gov/node/73622/psn-pdf
August 25, 2021 - The presence and potential impact of psychological
safety in the healthcare setting: an evidence synthesis.
August 25, 2021
Grailey KE, Murray E, Reader T, et al. The presence and potential impact of psychological safety in the
healthcare setting: an evidence synthesis. BMC Health Serv Res. 2021;21(1):773. doi:10.1…
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www.uspreventiveservicestaskforce.org/uspstf/social-media-policy
June 21, 2025 - Social Media Policy
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This policy applies to comments and content submitted to U.S. Preventive Services Task Force (USPSTF) social media sites.
The USPSTF encourages the pub…
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psnet.ahrq.gov/node/46498/psn-pdf
April 04, 2018 - Interprofessional collaboration among care professionals
in obstetrical care: are perceptions aligned?
April 4, 2018
Romijn A, Teunissen PW, de Bruijne M, et al. Interprofessional collaboration among care professionals in
obstetrical care: are perceptions aligned? BMJ Qual Saf. 2018;27(4):279-286. doi:10.1136/bmjqs…
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psnet.ahrq.gov/node/44853/psn-pdf
February 03, 2016 - Aviation and healthcare: a comparative review with
implications for patient safety.
February 3, 2016
Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for
patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/2054270415616548.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/34774/psn-pdf
June 02, 2010 - Medical Harm: Historical, Conceptual, and Ethical
Dimensions of Iatrogenic Illness.
June 2, 2010
Sharpe VA, Faden AI. Cambridge NY; Cambridge University Press; 1998. ISBN: 9780521634908
https://psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness
An academic exploration…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016154-nashan-final-report-2009.pdf
January 01, 2009 - The Chronic Care Project
Grant Final Report
Grant ID: UC1HS016154
The Chronic Care Project
Inclusive Dates: 09/01/05 - 06/30/09
Principal Investigator:
Georges Nashan, RN, MS, CPHQ
Team Member Organizations:
The Aroostook Medical Center*
Charles A Dean Memorial Hospital
Sebastic…
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psnet.ahrq.gov/node/47429/psn-pdf
December 05, 2018 - The Fearless Organization: Creating Psychological Safety
in the Workplace for Learning, Innovation, and Growth.
December 5, 2018
Edmondson AC. Hoboken, NJ: John Wiley & Sons, Inc.; 2019. ISBN: 9781119477266.
https://psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-
innova…
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psnet.ahrq.gov/node/44455/psn-pdf
September 02, 2015 - Finding antecedents of psychological safety: a step
toward quality improvement.
September 2, 2015
Aranzamendez G, James D, Toms R. Finding Antecedents of Psychological Safety: A Step Toward Quality
Improvement. Nurs Forum. 2015;50(3):171-178. doi:10.1111/nuf.12084.
https://psnet.ahrq.gov/issue/finding-antecedents-…
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psnet.ahrq.gov/node/47161/psn-pdf
July 25, 2018 - Quality and the health system: becoming a high reliability
organization.
July 25, 2018
Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization.
Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010.
https://psnet.ahrq.gov/issue/quality-and-health-system-…
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psnet.ahrq.gov/node/46072/psn-pdf
November 08, 2017 - Repeat prescribing of medications: a system-centred risk
management model for primary care organisations.
November 8, 2017
Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management
model for primary care organisations. J Eval Clin Pract. 2017;23(4):779-796. doi:10.1111/…
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs014949-branscombe-final-report-2005.pdf
January 01, 2005 - Chronic Care Technology Planning Project
Grant Final Report
Grant ID: 1P20HS014949-01
Chronic Care Technology Planning Project
Inclusive Project Dates: 10/01/04 – 09/30/05
Principal Investigator:
John M. Branscombe Jr., MSB
Team Members:
David Peterson, President/CEO
Joy Barresi-Sauci…
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psnet.ahrq.gov/node/43027/psn-pdf
July 23, 2014 - Improving team information sharing with a structured
call-out in anaesthetic emergencies: a randomized
controlled trial.
July 23, 2014
Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in
anaesthetic emergencies: a randomized controlled trial. Br J Anaesth. 2014;112(…