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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary4.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program 
 Improving service systems for youth with serious emotional disorders and their families 
 
 
 
 
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 Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Gr… 
                                     
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www.ahrq.gov/news/newsroom/case-studies/202501.html
January 01, 2025 - Henry Ford Hospital Unit Lowers C. diff Infections by 90 Percent Using AHRQ Safety Program 
 
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 January 2025 
 
 Using  AHRQ’s Comprehensive Unit-based Safety Program (CUSP ), Henry Ford Hospital in Detroit reduced the incidence of  Clostridioides difficile (C. diff)  infections in its… 
                                     
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psnet.ahrq.gov/issue/radiologist-age-and-diagnostic-errors
March 02, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Radiologist age and diagnostic errors. 
 
 
 
 
 Citation Text: 
 Lamoureux C, Hanna TN, Callaway E, et al. Radiologist age and diagnostic errors. Emerg Radiol. 2023;30(5):577-587. doi:10.1007/s10140-023-02158-1. 
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psnet.ahrq.gov/issue/relationship-between-safety-climate-and-safety-performance-review
February 03, 2021 - Review 
 
 
 
 
 
 
 
 
 
 The relationship between safety climate and safety performance: a review. 
 
 
 
 
 Citation Text: 
 Syed-Yahya SNN, Idris MA, Noblet AJ. The relationship between safety climate and safety performance: a review. J Safety Res. 2022;83:105-118. doi:10.1016/j.jsr.2022.08.008. 
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psnet.ahrq.gov/issue/outcomes-after-out-hospital-endotracheal-intubation-errors
July 20, 2010 - Study 
 
 
 
 
 
 
 
 
 
 Outcomes after out-of-hospital endotracheal intubation errors.
    
 
 
 
 
 Citation Text: 
 Wang HE, Cook LJ, Chang C-CH, et al. Outcomes after out-of-hospital endotracheal intubation errors. Resuscitation. 2009;80(1):50-5. doi:10.1016/j.resuscitation.2008.08.016. 
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psnet.ahrq.gov/issue/perspective-ten-thousand-hours-patient-safety-sooner-or-later
June 23, 2009 - Commentary 
 
 
 
 
 
 
 
 
 
 Perspective: ten thousand hours to patient safety, sooner or later.   
 
 
 
 
 Citation Text: 
 Pellegrini VD. Perspective:  ten thousand hours to patient safety, sooner or later. Acad Med. 2012;87(2):164-7. doi:10.1097/ACM.0b013e31823f7202. 
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psnet.ahrq.gov/issue/educating-medical-trainees-medication-reconciliation-systematic-review
October 16, 2019 - Review 
 
 
 
 
 
 
 
 
 
 Educating medical trainees on medication reconciliation: a systematic review. 
 
 
 
 
 Citation Text: 
 Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5. 
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psnet.ahrq.gov/issue/broken-hospital-windows-debating-theory-spreading-disorder-and-its-application-healthcare
October 26, 2022 - Commentary 
 
 
 
 
 
 
 
 
 
 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. 
 
 
 
 
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 Churruca K, Ellis LA, Braithwaite J. 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare orga… 
                                     
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psnet.ahrq.gov/issue/exploring-how-nursing-schools-handle-student-errors-and-near-misses
May 28, 2014 - Study 
 
 
 
 
 
 
 
 
 
 Exploring how nursing schools handle student errors and near misses. 
 
 
 
 
 Citation Text: 
 Disch J, Barnsteiner J, Connor S, et al. CE: Original Research: Exploring How Nursing Schools Handle Student Errors and Near Misses. Am J Nurs. 2017;117(10):24-31. doi:10.1097/01.NAJ.0000525849.3553… 
                                     
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psnet.ahrq.gov/issue/racial-and-ethnic-differences-experience-and-treatment-noncancer-pain
June 01, 2022 - Review 
 
 
 
 
 
 
 
 
 
            Emerging Classic
           
 
 Racial and ethnic differences in the experience and treatment of noncancer pain. 
 
 
 
 
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 Meints SM, Cortes A, Morais CA, et al. Racial and ethnic differences in the experience and treatment of noncancer pain. Pain Manag. 2019;9(3):… 
                                     
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-echocardiography-development-taxonomy-and-identification-risk
April 12, 2019 - Study 
 
 
 
 
 
 
 
 
 
 Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors.   
 
 
 
 
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 Benavidez OJ, Gauvreau K, Jenkins KJ, et al. Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors. Ci… 
                                     
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psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
July 10, 2024 - Study 
 
 
 
 
 
 
 
 
 
 Tenfold therapeutic dosing errors in young children reported to US poison control centers.  
 
 
 
 
 Citation Text: 
 Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10… 
                                     
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psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce
June 19, 2013 - Commentary 
 
 
 
 
 
 
 
 
 
 Falling through the cracks: the invisible hospital cleaning workforce. 
 
 
 
 
 Citation Text: 
 Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035. 
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psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy-studies
February 15, 2023 - Review 
 
 
 
 
 
 
 
 
 
 Evidence of bias and variation in diagnostic accuracy studies. 
 
 
 
 
 Citation Text: 
 Rutjes AWS, Reitsma JB, Di Nisio M, et al. Evidence of bias and variation in diagnostic accuracy studies. CMAJ. 2006;174(4):469-476. doi:10.1503/cmaj.050090. 
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psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
October 08, 2016 - Review 
 
 
 
 
 
 
 
 
 
 Intentional rounding—an integrative literature review. 
 
 
 
 
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 Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897. 
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psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
March 01, 2023 - Newspaper/Magazine Article 
 
 
 
 
 
 
 
 
 
 Considering human factors and developing systems-thinking behaviours to ensure patient safety. 
 
 
 
 
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 Considering human factors and developing systems-thinking behaviours to ensure patient safety. Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical H… 
                                     
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psnet.ahrq.gov/issue/general-internists-pursuit-diagnostic-excellence-primary-care-proudtobegim-thread-unites-us
April 03, 2024 - Commentary 
 
 
 
 
 
 
 
 
 
 General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all. 
 
 
 
 
 Citation Text: 
 Kwan JL, Singh H. General Internists in Pursuit of Diagnostic Excellence in Primary Care: a #ProudtobeGIM Thread That Unites Us All. J Gen Intern M… 
                                     
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psnet.ahrq.gov/issue/interventions-against-bullying-prelicensure-students-and-nursing-professionals-integrative
December 18, 2013 - Review 
 
 
 
 
 
 
 
 
 
 Interventions against bullying of prelicensure students and nursing professionals: an integrative review. 
 
 
 
 
 Citation Text: 
 Rutherford DE, Gillespie GL, Smith CR. Interventions against bullying of prelicensure students and nursing professionals: An integrative review. Nurs Forum. 201… 
                                     
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psnet.ahrq.gov/issue/lack-standardisation-between-specialties-human-factors-content-postgraduate-training-analysis
July 19, 2019 - Study 
 
 
 
 
 
 
 
 
 
 Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK. 
 
 
 
 
 Citation Text: 
 Greig PR, Higham H, Vaux E. Lack of standardisation between specialties for human factors content in postgraduate training: a… 
                                     
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psnet.ahrq.gov/issue/cognitive-aids-management-clinical-emergencies-systematic-review
January 12, 2022 - Review 
 
 
 
 
 
 
 
 
 
 Cognitive aids in the management of clinical emergencies: a systematic review. 
 
 
 
 
 Citation Text: 
 Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia. 2023;78(3):343-355. doi:10.1111/anae.15939. 
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