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psnet.ahrq.gov/issue/tasks-processes-case-changing-health-information-technology-improve-health-care
February 10, 2015 - Commentary
From tasks to processes: the case for changing health information technology to improve health care.
Citation Text:
Walker JM, Carayon P. From tasks to processes: the case for changing health information technology to improve health care. Health Aff (Millwood). 2009;28(2):467-…
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psnet.ahrq.gov/issue/effect-cognitive-debiasing-training-among-family-medicine-residents
August 04, 2021 - Study
The effect of cognitive debiasing training among family medicine residents.
Citation Text:
Smith BW, Slack MB. The effect of cognitive debiasing training among family medicine residents. Diagnosis (Berl). 2015;2(2):117-121. doi:10.1515/dx-2015-0007.
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psnet.ahrq.gov/issue/how-us-teams-advanced-communication-and-resolution-program-adoption-local-state-and-national
April 24, 2018 - Study
How U.S. teams advanced communication and resolution program adoption at local, state and national levels.
Citation Text:
LeCraw FR, Stearns SC, McCoy MJ. How U.S. Teams advanced communication and resolution program adoption at local, state and national levels. J Patient Saf Risk M…
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psnet.ahrq.gov/issue/assessing-impact-hospital-mergers-and-acquisitions-safety-culture-proactive-risk-assessments
June 12, 2024 - Study
Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments
Citation Text:
Folcarelli P, Hoffman J, Janes M, et al. Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments. J Healthc…
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psnet.ahrq.gov/issue/no-go-considerations-situ-simulation-safety
April 14, 2021 - Commentary
Emerging Classic
"No-go considerations" for in situ simulation safety.
Citation Text:
Bajaj K, Minors A, Walker K, et al. "No-Go Considerations" for In Situ Simulation Safety. Simul Healthc. 2018;13(3):221-224. doi:10.1097/SIH.0000000000000301.
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psnet.ahrq.gov/issue/investigating-patient-safety-culture-across-health-system-multilevel-modelling-differences
November 12, 2014 - Study
Investigating patient safety culture across a health system: multilevel modelling of differences associated with service types and staff demographics.
Citation Text:
Gallego B, Westbrook MT, Dunn AG, et al. Investigating patient safety culture across a health system: multilevel mod…
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psnet.ahrq.gov/issue/friends-and-family-test-qualitative-study-concerns-influence-willingness-english-national
May 01, 2015 - Study
The friends and family test: a qualitative study of concerns that influence the willingness of English National Health Service staff to recommend their organisation.
Citation Text:
Dixon-Woods M, Minion JT, McKee L, et al. The friends and family test: a qualitative study of concern…
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psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multimodal-approach
March 27, 2019 - Review
Reducing medication errors in critical care: a multimodal approach.
Citation Text:
Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530.
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psnet.ahrq.gov/issue/putting-patient-patient-safety-investigations-barriers-and-strategies-involvement
June 23, 2021 - Review
Putting the patient in patient safety investigations: barriers and strategies for involvement.
Citation Text:
Busch IM, Saxena A, Wu AW. Putting the patient in patient safety investigations: barriers and strategies for involvement. J Patient Saf. 2021;17(5):358-362. doi:10.1097/pt…
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psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident
December 06, 2023 - Study
Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports.
Citation Text:
Leon C, Hogan H, Jani YH. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Int J Qual Health C…
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psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-prescription-errors
October 26, 2022 - Study
Reducing pediatric emergency department prescription errors.
Citation Text:
Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors. Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696.
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now
July 28, 2014 - Commentary
Classic
Reducing diagnostic errors—why now?
Citation Text:
Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044.
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psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality
July 19, 2023 - Commentary
Classic
A hospitalization from hell: a patient's perspective on quality.
Citation Text:
Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33-39.
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psnet.ahrq.gov/issue/selecting-indicators-patient-safety-health-system-level-oecd-countries
June 28, 2011 - Study
Selecting indicators for patient safety at the health system level in OECD countries.
Citation Text:
McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20.
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psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
March 04, 2011 - Study
Characterization of prescribing errors in an internal medicine clinic.
Citation Text:
Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70.
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psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists-allowing
December 14, 2022 - Study
Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure.
Citation Text:
Klasen JM, Beck J, Randall CL, et al. Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Acad Pe…
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psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system
April 24, 2018 - Commentary
IDEA4PS: the development of a research-oriented learning healthcare system.
Citation Text:
Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.…
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psnet.ahrq.gov/issue/educational-quality-improvement-report-outcomes-revised-morbidity-and-mortality-format
March 10, 2010 - Study
Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety.
Citation Text:
Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised morbidity and mortality format tha…
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psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
September 23, 2020 - Commentary
Using Kotter's change model for implementing bedside handoff: a quality improvement project.
Citation Text:
Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…
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effectivehealthcare.ahrq.gov/sites/default/files/ebctandcfinal.pdf
May 29, 2025 - AHRQ Evidence-Based Care (EBC) Challenge Terms and Conditions
Terms and Conditions:
By submitting a product in response to the AHRQ Evidence-Based Care (EBC) Challenge, each team and
each team member represents and warrants that:
The team and its members are the sole authors, creators, and owners of the pr…