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psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice
May 01, 2024 - Study
Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study.
Citation Text:
Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitat…
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2012
January 01, 2012 - The Medication Metronome Project - 2012
Project Name
The Medication Metronome Project
Principal Investigator
Atlas, Steven J.
Organization
Massachusetts General Hospital
Funding Mechanism
PAR: HS08-270: Utilizing Health Information Technology to Improve Health Care …
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psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states
August 03, 2022 - Study
Patient safety indicators during the initial COVID-19 pandemic surge in the United States.
Citation Text:
Rodriguez JA, Samal L, Ganesan S, et al. Patient safety indicators during the initial COVID-19 pandemic surge in the United States. J Patient Saf. 2024;20(4):247-251. doi:10.10…
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psnet.ahrq.gov/issue/hospital-rating-organizations-quality-and-patient-safety-scores-analysis-result-discrepancies
February 22, 2017 - Study
Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies.
Citation Text:
Badr S, Nahle T, Rahman S, et al. Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. J Gen Intern Med. 2025;40(3):525-…
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psnet.ahrq.gov/issue/factors-affect-opioid-quality-improvement-initiatives-primary-care-insights-ten-health
November 03, 2021 - Study
Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems.
Citation Text:
Childs E, Tano CA, Mikosz CA, et al. Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. Jt Comm J …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-factsheet.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Did You Know?
Low tidal volume ventilation (LTVV) is one of the interventions specifically designed to prevent ventilator-associated conditions (VAC).
For patients without acute respiratory distress syndrome (ARDS), target the recommended tidal volume of 6–8 mL/kg …
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psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english-national-health-service
September 20, 2012 - Study
A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts.
Citation Text:
Toffolutti V, Stuckler D. A Culture Of Openness Is Associated With Lower Mortality Rates Among 137 English National Health Service Acute Trusts. Hea…
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psnet.ahrq.gov/issue/changes-weekend-and-weekday-care-quality-emergency-medical-admissions-20-hospitals-england
August 20, 2018 - Study
Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy.
Citation Text:
Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency…
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psnet.ahrq.gov/issue/examining-patient-safety-events-using-behaviour-change-wheel-cross-sectional-analysis
September 20, 2012 - Study
Examining patient safety events using the behaviour change wheel: a cross-sectional analysis.
Citation Text:
Somerville M, Cassidy C, MacPhee S, et al. Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. Jt Comm J Qual Patient Saf. 2025;51(…
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psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project
October 19, 2022 - Study
The Research on Adverse Drug Events and Reports (RADAR) project.
Citation Text:
Bennett CL, Nebeker JR, Lyons A, et al. The Research on Adverse Drug Events and Reports (RADAR) project. JAMA. 2005;293(17):2131-40.
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psnet.ahrq.gov/issue/impact-initial-response-covid-19-long-term-care-people-intellectual-disability-interrupted
May 11, 2022 - Study
Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports.
Citation Text:
Schuengel C, Tummers J, Embregts PJCM, et al. Impact of the initial response to COVID‐19 on long‐term care f…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
June 02, 2025 - Prologue: Laying the Foundation
Prologue
Laying the Foundation
Kerm Henriksen, PhD
The volume starts with papers that look to the future and examine the past with respect to patient
safety; however, its overarching theme is assessment. An underlying premise to any volume that
focuses on assessment is tha…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
August 01, 2022 - Disclosure Checklist
AHRQ Communication and Optimal Resolution Toolkit
Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations, including key disclosure communication skills.
Who should use this tool? Disclosure Lead and any staff who will be engaged in …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
April 01, 2016 - Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations,
including key disclosure communication skills.
Who should use this tool? Disclosure Lead and any staff who will be engaged in disclosure conversations.
How to use this tool: Use Part I of the checklist to pre…
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.html
March 01, 2019 - State at a Glance: South Carolina
Learn more about the CHIPRA quality demonstration projects being implemented in South Carolina.
South Carolina is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 2: How are States and evaluators measuring medical homeness in the C…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyapb.html
July 01, 2018 - Guide to Patient and Family Engagement
Appendix B: Summary of Search Terms
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
Append…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4O-Comprehensive_Antibiogram_Toolkit_Phase4_Monitoring.doc
January 01, 2005 - Comprehensive Antibiogram Toolkit
Phase 4 Monitoring
It will be important to monitor the antibiogram program by (1) soliciting feedback from prescribing clinicians (physicians, nurse practitioners, physician assistants) and nursing home staff on ways to improve the usability of the antibiogram and (2) tracking the pres…
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-using-community-utility-eprescribing-gateway
January 01, 2023 - Electronic Prescribing Using A Community Utility: The ePrescribing Gateway
Project Description
Project Details -
Completed
Grant Number
U18 HS016377
Funding Mechanism(s)
E-Prescribing Pilot Projects
AHRQ Funded Amount
$1,0…
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digital.ahrq.gov/ahrq-funded-projects/hit-service-integration
January 01, 2023 - HIT Service Integration
Project Description
Project Details -
Completed
Grant Number
P20 HS015195
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Grants
AHRQ Funded Amou…
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www.ahrq.gov/action-alliance/commitment/index.html
October 01, 2024 - Commitment To Advance Patient and Workforce Safety
The National Action Alliance is a community of healthcare provider organizations and federal, private, and community partners, including patients and their families, who share a commitment to forging innovative pathways toward safer healthcare for patients and …