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  1. psnet.ahrq.gov/issue/henry-ford-health-system-no-harm-campaign-comprehensive-model-reduce-harm-and-save-lives
    May 11, 2019 - Commentary The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. Citation Text: Conway WA, Hawkins S, Jordan J, et al. 2011 John M. Eisenberg Patient Safety and Quality Awards. The Henry Ford Health System No Harm Campaign: a comprehensive mo…
  2. psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
    November 18, 2015 - Study Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Citation Text: Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. Copy Citation …
  3. psnet.ahrq.gov/issue/health-system-resilience-accreditation-high-quality-care-and-continuous-quality-improvement
    November 25, 2020 - Commentary Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there? Citation Text: Nicklin W, Greenfield D. Health system resilience, accreditation, high-quality care, and continuous quality improveme…
  4. psnet.ahrq.gov/issue/identification-poor-performance-national-medical-workforce-over-11-years-observational-study
    August 12, 2014 - Study Identification of poor performance in a national medical workforce over 11 years: an observational study. Citation Text: Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical workforce over 11 years: an observational study. BMJ Qual Sa…
  5. psnet.ahrq.gov/issue/state-mandated-hospital-infection-reporting-not-associated-decreased-pediatric-health-care
    February 17, 2010 - Study State-mandated hospital infection reporting is not associated with decreased pediatric health care–associated infections. Citation Text: Rinke ML, Bundy DG, Abdullah F, et al. State-Mandated Hospital Infection Reporting Is Not Associated With Decreased Pediatric Health Care-Associa…
  6. psnet.ahrq.gov/issue/anatomy-patient-safety-event-pediatric-patient-safety-taxonomy
    May 18, 2022 - Study Anatomy of a patient safety event: a pediatric patient safety taxonomy. Citation Text: Woods DM, Johnson JK, Holl JL, et al. Anatomy of a patient safety event: a pediatric patient safety taxonomy. Qual Saf Health Care. 2005;14(6):422-7. Copy Citation Format: Google …
  7. psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthesis
    January 23, 2017 - Review Why do nurses miss nursing care? A qualitative meta-synthesis. Citation Text: Peng M, Saito S, Mo W, et al. Why do nurses miss nursing care? A qualitative meta‐synthesis. Jpn J Nurs Sci. 2024;21(2):e12578. doi:10.1111/jjns.12578. Copy Citation Format: DOI Google Scho…
  8. psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendation-tracking
    June 19, 2012 - Study Reducing delay in diagnosis: multistage recommendation tracking. Citation Text: Wandtke B, Gallagher S. Reducing Delay in Diagnosis: Multistage Recommendation Tracking. AJR Am J Roentgenol. 2017;209(5):970-975. doi:10.2214/AJR.17.18332. Copy Citation Format: DOI Googl…
  9. psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-member-and-patient-safety
    April 16, 2014 - Commentary Introducing the safety score audit for staff member and patient safety. Citation Text: Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
    October 19, 2022 - Study Elopement: evidence-based mitigation and management. Citation Text: Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence‐based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683. Copy Citation Format: DOI Google Sc…
  11. psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals
    June 06, 2018 - Review Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. Citation Text: Hovde B, Jensen KH, Alexander GL, et al. Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals. West J Nurs Res. 2015;37(7):877-98. doi:10.1177/0…
  12. hcup-us.ahrq.gov/reports/methods/TrendReport2005_1.pdf
    March 19, 2004 - HCUP_methods_series_cover.ai HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email: hcu…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Miranda.pdf
    July 01, 2004 - Speaking Plainly: Communicating the Patient’s Role in Health Care Safety 139 Speaking Plainly: Communicating the Patient’s Role in Health Care Safety David J. Miranda, Paula K. Zeller, Rosemary Lee, Christopher P. Koepke, Howard E. Holland, Farah Englert, Elaine K. Swift Abstract The development and tes…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
    January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) 325 Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) Rona Patey, Rhona Flin, Georgina Fletcher, Nicola Maran, Ronnie Glavin Abstract Safety research in high-reliability industries, such as aviation, has clearly shown that t…
  15. www.ahrq.gov/sites/default/files/2024-12/eder-report.pdf
    January 01, 2024 - Final Progress Report: Risk Assessment of the Testing Processes of Access Community Health Network Risk Assessment of the Testing Processes of Access Community Health Network Milton “Mickey” Eder, Ph.D., PI John Hickner, M.D., M.Sc., Co-Investigator Nancy Elder, M.D., Co-Investigator Sandy Smith, Ph.D., Co-Inve…
  16. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3.html
    July 01, 2018 - Guide to Patient and Family Engagement Findings Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key Informant I…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
    June 19, 2008 - The Rural Physician Peer Review Model©: A Virtual Solution The Rural Physician Peer Review Model©: A Virtual Solution Josie R. Williams, MD; Kathy K Mechler, MS, RN, CPHQ; R.B. Akins; John R. Holcomb, MD; Laura K. Gelderd, RN, BSN; R. Kim Clay; Tracy L. Adams; Janine C. Edwards, PhD Abstract Evaluating …
  18. integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/pharmacotherapy
    January 01, 2019 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
  19. hcup-us.ahrq.gov/reports/statbriefs/sb304-readmissions-2016-2020.pdf
    January 01, 2020 - Characteristics of 30-Day All-Cause Hospital Readmissions, 2016–2020 1 STATISTICAL BRIEF #304 September 2023 H. Joanna Jiang, Ph.D., and Molly Hensche, M.S. Introduction Hospital readmissions are one of the key measures used for evaluating the quality of inpatient care and post-discharge outpatient care. A…
  20. digital.ahrq.gov/sites/default/files/docs/lesson/09-0031-ef-inpatient-cpoe.pdf
    January 01, 2009 - Inpatient Computerized Provider Order Entry (CPOE) Inpatient Computerized Provider Order Entry (CPOE) Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Health IT http://www.ahrq.gov/ Inpatient Computerized Provider Order Entry (CPOE) Prepared for:…