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psnet.ahrq.gov/issue/paper-and-computer-based-workarounds-electronic-health-record-use-three-benchmark
June 06, 2012 - Study
Paper- and computer-based workarounds to electronic health record use at three benchmark institutions.
Citation Text:
Flanagan ME, Saleem JJ, Millitello LG, et al. Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. J Am Med Inform…
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psnet.ahrq.gov/issue/perceptions-institutional-support-second-victims-are-associated-safety-culture-and-workforce
February 01, 2023 - Study
Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being.
Citation Text:
Sexton JB, Adair KC, Profit J, et al. Perceptions of Institutional Support for “Second Victims” Are Associated with Safety Culture and Workforce Wel…
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psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
April 04, 2011 - Study
Classic
Temporal trends in rates of patient harm resulting from medical care.
Citation Text:
Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJ…
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psnet.ahrq.gov/issue/surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second
March 24, 2019 - Study
Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery.
Citation Text:
Hsiao L-H, Kopar PK. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in sur…
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psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
September 29, 2017 - Study
Classic
Communication-and-resolution programs: the challenges and lessons learned from six early adopters.
Citation Text:
Mello MM, Boothman RC, McDonald TB, et al. Communication-and-resolution programs: the challenges and lessons learned from six early ad…
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integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-news-2019-updates
October 04, 2019 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
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Integrating Behavioral Health & Primary Care
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psnet.ahrq.gov/issue/sustaining-reliability-accountability-measures-johns-hopkins-hospital
January 19, 2014 - Study
Sustaining reliability on accountability measures at the Johns Hopkins Hospital.
Citation Text:
Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531-544.
Cop…
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psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis
August 15, 2012 - Book/Report
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis.
Citation Text:
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Levit L, Balogh E, Nass S, Ganz PA, eds. Committee on Improving the Quality of Cancer Care: Add…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
March 11, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup: Improving Diagnostic Safety …
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psnet.ahrq.gov/node/34864/psn-pdf
April 24, 2018 - ISMP Medication Safety Alert® Acute Care Edition.
April 24, 2018
Plymouth Meeting, PA; Institute for Safe Medication Practices. ISSN 1550-6312.
https://psnet.ahrq.gov/issue/ismp-medication-safety-alertr-acute-care-edition
The Institute for Safe Medication Practices' (ISMP) signature bi-weekly newsletter recounts ac…
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psnet.ahrq.gov/node/39260/psn-pdf
January 27, 2010 - Catching deadly drug mistakes.
January 27, 2010
Landro L. Wall Street Journal. January 18, 2010;D5.
https://psnet.ahrq.gov/issue/catching-deadly-drug-mistakes
This column highlights the work of the Institute for Safe Medication Practices and other groups to raise
awareness of medication safety issues, including an…
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psnet.ahrq.gov/node/35363/psn-pdf
April 03, 2012 - The MacArthur Fellows Program: Michael Cohen.
April 3, 2012
The John D. and Catherine T. MacArthur Foundation.
https://psnet.ahrq.gov/issue/macarthur-fellows-program-michael-cohen
Michael Cohen, President of the Institute for Safe Medication Practices, has focused his career on
preventing medical errors with innov…
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - position in which we may soon be able to measure the frequency of diagnostic errors in an individual institution
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide218.html
July 01, 2018 - 218. Helpful Web Sites (All Web sites listed are either government-sponsored organizations or nonprofit foundations) (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Medicare: http://www.cms.hhs.gov/mcd/viewdecisionmemo.asp?id=130 and http://www.cms.hhs.g…
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psnet.ahrq.gov/node/35298/psn-pdf
August 08, 2018 - Safety still compromised by computer weaknesses.
August 8, 2018
ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3.
https://psnet.ahrq.gov/issue/safety-still-compromised-computer-weaknesses
The Institute for Safe Medication Practices (ISMP) reports on a 2005 field test that indicates many
pha…
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www.ahrq.gov/nursing-home/resources/niosh-certified-equipment-list.html
June 01, 2022 - The National Institute for Occupational Safety and Health (NIOSH) Certified Equipment List
Resource: The National Institute for Occupational Safety and Health (NIOSH) Certified Equipment List
The certified equipment list is a tool to help respirator users, safety managers, industrial hygienists, and others …
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www.ahrq.gov/nursing-home/resources/emotional-well-being-coping.html
June 01, 2022 - Emotional Well-Being and Coping During COVID-19
Resource: Emotional Well-Being and Coping During COVID-19
The University of California, San Francisco Weill Institute for Neurosciences website offers resources to help you manage emotions and anxiety during the pandemic. The site also offers a list of mobile …
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-consortium/citation/governance-clinical-decision
January 01, 2023 - Governance for clinical decision support: case studies and recommended practices from leading institutions.
Citation
Wright A, Sittig DF, Ash JS, et al. Governance for clinical decision support: case studies and recommended practices from leading institutions. J Am Med Inform Assoc 2011 Mar 1;18(2):18…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-acknowledgments.pdf
June 02, 2025 - CANDOR Acknowledgments
CANDOR ACKNOWLEDGMENTS
Acknowledgments
The Communication and Optimal Resolution (CANDOR) process was funded by AHRQ and is based on
input from experts, key stakeholders, and lessons learned from the agency’s $25 million Patient Safety
and Medical Liability (PSML) Grant Initiative lau…
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www.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
August 01, 2022 - Acknowledgments
AHRQ Communication and Optimal Resolution Toolkit
The Communication and Optimal Resolution (CANDOR) process was funded by AHRQ and is based on input from experts, key stakeholders, and lessons learned from the agency's $25 million Patient Safety and Medical Liability (PSML) Grant Initiative la…