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psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here
January 23, 2012 - Study
Classic
High-reliability health care: getting there from here.
Citation Text:
Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490. doi:10.1111/1468-0009.12023.
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digital.ahrq.gov/location/usa-ny-new-york-city
January 01, 2023 - USA, NY, New York City
Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Description
This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary…
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psnet.ahrq.gov/issue/what-i-wish-id-known-how-experienced-physician-managers-diagnose-treat-and-prevent-disruptive
September 23, 2020 - Commentary
What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour.
Citation Text:
Goodwin C, Haas S, Berry WR. What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. BMJ Lead. 2023;7(…
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psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams
December 17, 2008 - Commentary
Experience with family activation of rapid response teams.
Citation Text:
Bogert S, Ferrell C, Rutledge DN. Experience with family activation of rapid response teams. Medsurg Nurs. 2010;19(4):215-22; quiz 223.
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psnet.ahrq.gov/issue/we-are-not-there-yet-qualitative-system-probing-study-hospital-rapid-response-system
March 15, 2023 - Study
We are not there yet: a qualitative system probing study of a hospital rapid response system.
Citation Text:
Olsen SL, Søreide E, Hansen BS. We are not there yet: a qualitative system probing study of a hospital rapid response system. J Patient Saf. 2022;18(7):717-721. doi:10.1097/…
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psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
January 26, 2022 - Commentary
Rapid response teams as a patient safety practice for failure to rescue.
Citation Text:
Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510.
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psnet.ahrq.gov/issue/changing-working-while-sick-culture
March 14, 2018 - Commentary
Changing the "working while sick" culture.
Citation Text:
Tanksley AL, Wolfson RK, Arora V. Changing the "Working While Sick" Culture: Promoting Fitness for Duty in Health Care. JAMA. 2016;315(6):603-4. doi:10.1001/jama.2016.0094.
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psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-safety-concern
October 25, 2023 - Commentary
Ten years later, alarm fatigue is still a safety concern.
Citation Text:
Albanowski K, Burdick KJ, Bonafide CP, et al. Ten years later, alarm fatigue is still a safety concern. AACN Adv Crit Care. 2023;34(3):189-197. doi:10.4037/aacnacc2023662.
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psnet.ahrq.gov/issue/adverse-events-involving-telehealth-veterans-health-administration
October 26, 2022 - Review
Adverse events involving telehealth in the Veterans Health Administration.
Citation Text:
Mills PD, Tomolo A, Yackel EE. Adverse events involving telehealth in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2024;Epub Dec 20. doi:10.1016/j.jcjq.2024.12.002.
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digital.ahrq.gov/national-webinars/prepping-future-digital-solutions-aging-populations
January 01, 2023 - Prepping for the Future: Digital Solutions for Aging Populations
Event Date:
October 08, 2025 | 2:30pm – 4:00pm ET
To Register:
Go to this link: https://ahrqwebinar.webex.com/weblink/register/re71a194111d9a5a652a12a75139b4af2 Click “Register” Enter your informatio…
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psnet.ahrq.gov/issue/development-and-validation-brief-culture-safety-survey
May 26, 2021 - Study
Development and validation of a brief culture-of-safety survey.
Citation Text:
Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006.
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives
January 01, 2023 - Past Initiatives
Evaluation of Meaningful Use (2013-2015)
AHRQ worked in partnership with the Office of the National Coordinator for Health IT and CMS to support rapid cycle research on Stage 3 of the Meaningful Use (MU) incentive program. In 2103 AHRQ awarded 12 grants and contracts under…
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psnet.ahrq.gov/issue/covid-19-dark-side-and-sunny-side-patient-safety
August 05, 2020 - Commentary
COVID-19: the dark side and the sunny side for patient safety.
Citation Text:
Wu AW, Sax H, Letaief M, et al. COVID-19: the dark side and the sunny side for patient safety. J Patient Saf Risk Manag. 2020;25(4):137-141. doi:10.1177/2516043520957116.
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psnet.ahrq.gov/issue/role-theory-research-develop-and-evaluate-implementation-patient-safety-practices
September 20, 2011 - Commentary
The role of theory in research to develop and evaluate the implementation of patient safety practices.
Citation Text:
Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. …
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psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan
February 17, 2011 - Study
Classic
Improving patient safety in intensive care units in Michigan.
Citation Text:
Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09…
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psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall
December 08, 2021 - Commentary
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home.
Citation Text:
Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to …
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psnet.ahrq.gov/issue/it-rational-pursue-zero-suicides-among-patients-health-care
October 18, 2023 - Commentary
Is it rational to pursue zero suicides among patients in health care?
Citation Text:
Mokkenstorm JK, Kerkhof AJFM, Smit JH, et al. Is It Rational to Pursue Zero Suicides Among Patients in Health Care? Suicide Life Threat Behav. 2018;48(6):745-754. doi:10.1111/sltb.12396.
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www.ahrq.gov/news/blog/ahrqviews/home-health-quality-improvement.html
December 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
Challenges and Opportunities in Home Health Quality Improvement
DEC
19
2022
By
a member of AHRQ’s National Advisory Council:
Susan Edgman-Levitan, P.A.
Susan Edgman-Levitan, P.A.
Editor’s Note: This is the third of four AHRQ …
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psnet.ahrq.gov/issue/information-transfer-hospital-discharge-systematic-review
February 21, 2015 - Review
Classic
Information transfer at hospital discharge: a systematic review.
Citation Text:
Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.000000000000…
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psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-implementation-i-pass
September 23, 2020 - Study
Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings.
Citation Text:
Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS acros…