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psnet.ahrq.gov/issue/using-multi-method-user-centred-prospective-hazard-analysis-assess-care-quality-and-patient
May 27, 2011 - Study
Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway.
Citation Text:
Dean JE, Hutchinson A, Escoto KH, et al. Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient …
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psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events
September 07, 2016 - Book/Report
Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events.
Citation Text:
Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Washington, DC: United States Government Accounting Office; July 10, 2023. Publication GAO-23-1…
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psnet.ahrq.gov/issue/translating-electronic-health-record-based-patient-safety-algorithms-research-clinical
October 27, 2021 - Study
Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites.
Citation Text:
Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. Zimolzak AJ, Singh H,…
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psnet.ahrq.gov/issue/finding-and-fixing-diagnosis-errors-can-triggers-help
January 31, 2024 - Commentary
Finding and fixing diagnosis errors: can triggers help?
Citation Text:
Schiff GD. Finding and fixing diagnosis errors: can triggers help? BMJ Qual Saf. 2011;21(2):89-92. doi:10.1136/bmjqs-2011-000590.
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psnet.ahrq.gov/issue/economics-medication-safety-improving-medication-safety-through-collective-real-time-learning
October 07, 2020 - Book/Report
Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning.
Citation Text:
Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. de Bienassis K, Esmail L, Lopert R, Klazinga N for the O…
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psnet.ahrq.gov/issue/contribution-diagnostic-errors-maternal-morbidity-and-mortality-during-and-immediately-after
February 17, 2021 - Book/Report
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science.
Citation Text:
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of …
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psnet.ahrq.gov/issue/measure-dx-implementing-pathways-discover-and-learn-diagnostic-errors
August 25, 2021 - Commentary
Measure Dx: implementing pathways to discover and learn from diagnostic errors.
Citation Text:
Bradford A, Shofer M, Singh H. Measure Dx: Implementing pathways to discover and learn from diagnostic errors. Int J Qual Health Care. 2022;34(3):mzac068. doi:10.1093/intqhc/mzac068.…
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psnet.ahrq.gov/issue/issues-and-complexities-safety-culture-assessment-healthcare
October 09, 2024 - Commentary
Issues and complexities in safety culture assessment in healthcare.
Citation Text:
Ellis LA, Falkland E, Hibbert P, et al. Issues and complexities in safety culture assessment in healthcare. Front Public Health. 2023;11:1217542. doi:10.3389/fpubh.2023.1217542.
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psnet.ahrq.gov/issue/what-diagnostic-safety-review-safety-science-paradigms-and-rethinking-paths-improving
April 12, 2023 - Review
What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis.
Citation Text:
Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Diagnosis (Berl). 2024;11(4):369-373. d…
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psnet.ahrq.gov/issue/health-information-technology-leadership-panel-final-report
March 30, 2022 - Government Resource
Health Information Technology Leadership Panel: Final Report.
Citation Text:
Health Information Technology Leadership Panel: Final Report. Lewin Group: Falls Church, VA; March 2005.
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psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
April 03, 2019 - Commentary
Reclaiming the systems approach to paediatric safety.
Citation Text:
Cheung R, Roland D, Lachman P. Reclaiming the systems approach to paediatric safety. Arch Dis Child. 2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401.
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psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse
February 28, 2024 - Commentary
Imitating incidents: how simulation can improve safety investigation and learning from adverse events.
Citation Text:
Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097…
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psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
June 09, 2021 - Commentary
A roadmap to advance patient safety in ambulatory care.
Citation Text:
Singh H, Carayon P. A roadmap to advance patient safety in ambulatory care. JAMA. 2020;324(24):2481-2482. doi:10.1001/jama.2020.18551.
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digital.ahrq.gov/ahrq-funded-projects/human-factors-home-health-care/annual-summary/2011
January 01, 2011 - Human Factors in Home Health Care - 2011
Project Name
Human Factors in Home Health Care
Principal Investigator
O'Connell, Mary Ellen
Organization
National Research Council
Contract Number
AHR7128
Project Period
September 2009 - October 2011
AHRQ Fundin…
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digital.ahrq.gov/ahrq-funded-projects/randomized-controlled-trial-embedded-electronic-health-record/annual-summary/2010
January 01, 2010 - Randomized Control Trial Embedded in an Electronic Health Record - 2010
Project Name
Randomized Controlled Trial Embedded in an Electronic Health Record
Principal Investigator
Kahn, James
Organization
University of California, San Francisco
Funding Mechanism
RFA: HS…
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psnet.ahrq.gov/issue/how-real-time-data-can-change-patient-safety-game
July 07, 2021 - Commentary
How real-time data can change the patient safety game.
Citation Text:
Diesing G. How real-time data can change the patient safety game. J AHIMA. 2020;July 1.
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psnet.ahrq.gov/node/60868/psn-pdf
September 02, 2020 - Association between implementing comprehensive
learning collaborative strategies in a statewide
collaborative and changes in hospital safety culture.
September 2, 2020
Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning
collaborative strategies in a statewide collaborative …
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psnet.ahrq.gov/node/46898/psn-pdf
April 16, 2019 - TeamSTEPPS: an evidence-based approach to reduce
clinical errors threatening safety in outpatient settings: an
integrative review.
April 16, 2019
Parker AL, Forsythe LL, Kohlmorgen IK. TeamSTEPPS : An evidence-based approach to reduce clinical
errors threatening safety in outpatient settings: An integrative review…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-14.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.14. Major Factors that Facilitated Lean Success
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
C…
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pso.ahrq.gov/resources/rulemaking
October 01, 2020 - SHARE:
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Resources
Resources
Resources About the Patient Safety and Quality Improvement Act of 2005
Resources for Improving Patient Safety and Healthcare Quality
Resources for Artificial Intelligence (AI) in …