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psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
October 19, 2022 - Multi-use Website
LeDeR - Learning from Lives and Deaths.
Citation Text:
LeDeR - Learning from Lives and Deaths. Norah Frye Centre for Disability Studies; Bristol, England.
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psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
January 13, 2021 - Study
Classic
Cost of medication-related problems at a university hospital.
Citation Text:
Cost of medication-related problems at a university hospital. Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE
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psnet.ahrq.gov/issue/perspective-beyond-counting-hours-importance-supervision-professionalism-transitions-care-and
September 20, 2011 - Commentary
Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training.
Citation Text:
Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7). doi:10.1097/acm.0b013e318257…
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psnet.ahrq.gov/issue/treatment-errors-healthcare-safety-climate-approach
July 13, 2010 - Study
Treatment errors in healthcare: a safety climate approach.
Citation Text:
Naveh E, Katz-Navon T, Stern Z. Treatment errors in healthcare: a safety climate approach. . Manage Sci. 2005;51(6):948-960. doi:10.1287/mnsc.1050.0372.
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psnet.ahrq.gov/issue/rural-hospital-patient-safety-systems-implementation-two-states
February 03, 2011 - Study
Rural hospital patient safety systems implementation in two states.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States. The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x.
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psnet.ahrq.gov/issue/healthcare-systems-ergonomics-and-patient-safety-triennial-conference
February 10, 2015 - Meeting/Conference
Healthcare Systems Ergonomics and Patient Safety Triennial Conference.
Citation Text:
Healthcare Systems Ergonomics and Patient Safety Triennial Conference. Delft University of Technology. Faculty Industrial Design Engineering. Delft, The Netherlands, November 2-4, 202…
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psnet.ahrq.gov/issue/eliminating-adverse-drug-events-ascension-health
August 26, 2020 - Commentary
Eliminating adverse drug events at Ascension Health.
Citation Text:
Butler K, Mollo P, Gale JL, et al. Eliminating adverse drug events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(9):527-36.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/tmpufJqkzbptG4uBtSGnam
September 01, 2022 - Screening for Syphilis Infection in Nonpregnant Adolescents and Adults
Clinician Summary of USPSTF Recommendation
Screening for Syphilis Infection in Nonpregnant
Adolescents and Adults September 2022
What does the USPSTF recommend?
A
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digital.ahrq.gov/research-method/benefit-assessment
January 01, 2023 - Benefit Assessment
Clinical Decision Support System Satisfaction Survey
Description
This is a questionnaire designed to be completed by clinical and office staff in a pediatric setting. The tool includes questions to assess staff attitudes and assessment of a clinical decision…
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psnet.ahrq.gov/issue/effect-workload-reduction-quality-residents-discharge-summaries
February 17, 2011 - Study
The effect of workload reduction on the quality of residents' discharge summaries.
Citation Text:
Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge summaries. J Gen Intern Med. 2011;26(1):28-32. doi:10.1007/s11606-010-1465-z.
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psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare
November 11, 2020 - Commentary
Promoting safety through well-being: an experience in healthcare.
Citation Text:
Bruno A, Bracco F. Promoting Safety through Well-Being: An Experience in Healthcare. Front Psychol. 2016;7:1208. doi:10.3389/fpsyg.2016.01208.
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psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
April 24, 2018 - Commentary
What happens when things go wrong?
Citation Text:
Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pdf
June 02, 2025 - Improvement Methods Overview
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool D.1 Slide 1
• Use these PowerPoint slides for any presentations
for which they may be useful.
• These slides may be useful earlier on in the process
than during implementation; feel free t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.docx
December 23, 2009 - Project Charter
What is the purpose of this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to which the team will commit.
Who are the target audiences? Staff members directly involved in the improvement project. Consider adding …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.pdf
December 23, 2009 - Project Charter
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.2
Project Charter
What is the purpose of this tool? The purpose of the project charter is to describe the performance
improvement rationale, goals, barriers, and anticipated resources to which the…
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psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement
April 05, 2023 - Study
Rapid response teams and continuous quality improvement.
Citation Text:
Rapid response teams and continuous quality improvement. Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.
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psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-study
May 29, 2015 - Study
Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study.
Citation Text:
Meyer AND, Payne VL, Meeks DW, et al. Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. JAMA Intern Med. 2013;173(21):1952-1958. doi:10.1001/jama…
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psnet.ahrq.gov/issue/interdisciplinary-team-training-five-lessons-learned
August 21, 2013 - Commentary
Interdisciplinary team training: five lessons learned.
Citation Text:
Contratti F, Ng G, Deeb J. Interdisciplinary team training: five lessons learned. Am J Nurs. 2012;112(6):47-52. doi:10.1097/01.NAJ.0000415127.84605.1f.
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psnet.ahrq.gov/issue/errors-and-burden-errors-attitudes-perceptions-and-culture-safety-pediatric-cardiac-surgical
June 16, 2019 - Study
Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams.
Citation Text:
Bognár A, Barach P, Johnson J, et al. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac sur…
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psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
May 05, 2010 - Study
Delayed or missed diagnosis of cervical spine injuries.
Citation Text:
Platzer P, Hauswirth N, Jaindl M, et al. Delayed or Missed Diagnosis of Cervical Spine Injuries. The Journal of Trauma: Injury, Infection, and Critical Care. 2006;61(1). doi:10.1097/01.ta.0000196673.58429.2a. …