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psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced
May 25, 2013 - Study
Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval.
Citation Text:
Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery…
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psnet.ahrq.gov/issue/assessment-global-trigger-tool-measure-monitor-and-evaluate-patient-safety-cancer-patients
April 22, 2015 - Study
Assessment of the global trigger tool to measure, monitor and evaluate patient safety in cancer patients: reliability concerns are raised.
Citation Text:
Mattsson TO, Knudsen JL, Lauritsen J, et al. Assessment of the global trigger tool to measure, monitor and evaluate patient sa…
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psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
April 04, 2011 - Study
Classic
Explaining Michigan: developing an ex post theory of a quality improvement program.
Citation Text:
Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):…
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hcup-us.ahrq.gov/db/state/sedddist/2012SEDDDisch_HospCountsRptCD.pdf
November 19, 2020 - Comparison of Hospitals and Records in the 2012 HCUP State Emergency Department Databases (SEDD) to the 2012 American Hospital Association (AHA) Survey of Hospitals
Total number
of SEDD
discharges
Number of SEDD
discharges in
community,
nonrehabiliation
hospitals1
Number of
SEDD
discharges
from other
t…
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psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
June 16, 2011 - Study
Classic
The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research.
Citation Text:
Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and…
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psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-hospital-survey-20-user-database-report
December 18, 2024 - Book/Report
Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report.
Citation Text:
Tyler ER, Yalden O, Fan L, et al. Surveys On Patient Safety Culture (Sops) Hospital Survey 2.0: User Database Report. Rockville, MD: Agency for Healthcare Research and Quality; …
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www.ahrq.gov/patients-consumers/care-planning/errors/5steps/cincorecsp.html
September 01, 2014 - Cinco recomendaciones para recibir una mejor atención médica
La seguridad de pacientes es uno de los desafíos de sanidad más grande de los Estados Unidos. Un informe del Instituto de Medicina (Institute of Medicine) declara que aproximadamente entre 44,000 a 98,000 personas mueren anualmente en hosp…
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psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
January 16, 2019 - Commentary
Classic
Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety.
Citation Text:
Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. H…
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www.ahrq.gov/news/newsroom/case-studies/202001.html
April 01, 2020 - Maine Hospital Speeds Patients’ Admitting Time from the Emergency Department After Using AHRQ Tools
Search All Impact Case Studies
April 2020
LincolnHealth, a 25-bed critical access hospital in Damariscotta, Maine, improved the timeliness of admitting patients from the emergency department into a hospital u…
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psnet.ahrq.gov/issue/exposure-incivility-hinders-clinical-performance-simulated-operative-crisis
June 14, 2019 - Study
Emerging Classic
Exposure to incivility hinders clinical performance in a simulated operative crisis.
Citation Text:
Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;…
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psnet.ahrq.gov/issue/effectiveness-barcode-medication-administration-system-reducing-preventable-adverse-drug
December 14, 2022 - Study
Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.
Citation Text:
Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration s…
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www.ahrq.gov/news/newsroom/case-studies/201420.html
November 01, 2014 - AHRQ's RED Toolkit Leads to Lower Readmissions, Better Care Transitions in Two Texas Hospitals
Search All Impact Case Studies
November 2014
Two Texas hospitals have used AHRQ's Re-Engineered Discharge (RED) toolkit to help significantly reduce hospital readmissions and as a catalyst for additional progres…
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effectivehealthcare.ahrq.gov/sites/default/files/ahrq_community_forum_webinar_branson.pdf
October 13, 2011 - <#> Significant Work. Extraordinary People. SRA.
Outreach to Patient and
Consumer Representatives
October 13, 2011
Carolyn Branson, Manager
Consumer Reviewer Administration
2
Topics
• Who are they?
• What characteristics do they share?
• How can you identify the “right” perso…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/tennessee
January 01, 2023 - Tennessee
Project Overview | Data and Functionality | Technical Design and Architecture
Project Overview
MidSouth eHealth Alliance (MSeHA) is a non-profit organization that seeks to improve the health care system of Tennessee by focusing on health care quality, safety, and effici…
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psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics
April 08, 2008 - Study
To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective.
Citation Text:
Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(…
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psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
October 23, 2013 - Study
Classic
Our current approach to root cause analysis: is it contributing to our failure to improve patient safety?
Citation Text:
Kellogg KM, Hettinger Z, Shah M, et al. Our current approach to root cause analysis: is it contributing to our failure to impro…
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psnet.ahrq.gov/issue/delayed-time-defibrillation-after-hospital-cardiac-arrest
June 08, 2010 - Study
Classic
Delayed time to defibrillation after in-hospital cardiac arrest.
Citation Text:
Chan PS, Krumholz HM, Nichol G, et al. Delayed time to defibrillation after in-hospital cardiac arrest. N Engl J Med. 2008;358(1):9-17. doi:10.1056/NEJMoa0706467.
C…
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integrationacademy.ahrq.gov/news-and-events/news/suicide-prevention-month-september
September 10, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
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The Academy
Integrating Behavioral Health & Primary Care
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integrationacademy.ahrq.gov/sites/default/files/2021-10/Grant_Summary_PA_0.pdf
January 01, 2021 - Increasing Access to Medication-Assisted Treatment (MAT) in Rural Primary Care Practices—R18 Grants
Increasing Access to
Medication-Assisted Treatment (MAT)
in Rural Primary Care Practices—R18 Grants
Enhancing the Access and Quality of MAT
for Individuals with Opioid Use Disorder
(OUD) in Rural Pennsylvania’s …
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digital.ahrq.gov/technology/clinical-informatics
January 01, 2023 - Clinical Informatics
Annual Conferences on Health IT & Analytics 2021-2023 - Final Report
Citation
Agarwal R. Annual Conferences on Health IT & Analytics 2021-2023 – Final Report. (Prepared by Johns Hopkins University under Grant No. R13 HS028541). Rockville, MD: Agency for He…