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psnet.ahrq.gov/issue/impact-drug-shortages-patients-cardiovascular-disease-causes-consequences-and-call-action
October 10, 2012 - August 2, 2015
Health-care professionals' views about safety in maternity services: a … January 2, 2017
Health services under pressure: a scoping review and development of a … September 5, 2018
U.S. compounding pharmacy-related outbreaks, 2001--2013: public health … Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health
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psnet.ahrq.gov/issue/did-i-do-best-system-would-let-me-healthcare-professional-views-hospital-home-care
January 12, 2022 - Health care providers and administrators expressed considerable frustration with existing hospital discharge … June 1, 2012
Electronic health record challenges, workarounds, and solutions observed … in practices integrating behavioral health and primary care. … View More
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Hospitals
Physicians
Nurses
Health
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psnet.ahrq.gov/issue/workarounds-workplace-second-look
December 08, 2021 - Workarounds are prevalent in health care and create opportunities for unintended consequences. … This commentary discusses how poor design of health information technology can lead to more nurse … administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated … health system. … May 20, 2009
Health IT implementation stories: HANDS care plan tool seeks to improve
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psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic
January 12, 2022 - July 24, 2017
The impact of racism on child and adolescent health. … opioid-related adverse drug events with clinical and cost outcomes among surgical patients in a large integrated … health care delivery system. … prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large American health … October 11, 2023
Economic evaluations of interventions to prevent and control health-care-associated
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psnet.ahrq.gov/issue/impact-performance-obstacles-intensive-care-nurses-workload-perceived-quality-and-safety-care
March 11, 2020 - Health Serv Res. 2009;44(2 Pt 1):422-43. doi:10.1111/j.1475-6773.2008.00934.x. … Health Serv Res . 2009; 44 (2 Pt 1) :422-43 . … Health Serv Res. 2009;44(2 Pt 1):422-43. doi:10.1111/j.1475-6773.2008.00934.x. … September 26, 2016
Intensive care unit nurses' information needs and recommendations for integrated … December 31, 2014
ICU nurses' acceptance of electronic health records.
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psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
September 01, 2018 - July 15, 2002
An integrative total worker health framework for keeping workers safe and … July 30, 2012
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Related Resources
Electronic health record–related … June 21, 2016
"Health courts" and accountability for patient safety. … November 6, 2013
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Hospitals
Health
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psnet.ahrq.gov/issue/seasoned-surgeons-assessed-laparoscopic-surgical-crisis
July 02, 2008 - June 7, 2018
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … September 23, 2020
The impact of racism on child and adolescent health. … February 25, 2009
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Operating Room
Health … Care Providers
Health Care Executives and Administrators
General Surgery
Surgical Complications
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psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review
June 01, 2022 - Professional behavior and value erosion: a qualitative study of physicians and the electronic health … June 8, 2022
Patient safety informatics: meeting the challenges of emerging digital health … prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large American health … August 10, 2022
Employee silence in health care: charting new avenues for leadership
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psnet.ahrq.gov/issue/effect-blue-enriched-lighting-medical-error-rate-university-hospital-icu
March 10, 2021 - Fatigue among health care workers can increase risk of errors . … December 2, 2020
Bracing for the storm: one health care system's planning for the COVID … September 26, 2016
Intensive care unit nurses' information needs and recommendations for integrated … December 31, 2014
Systems approach and systems engineering applied to health care: improving … patient safety and health care delivery.
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psnet.ahrq.gov/issue/value-gentle-reminder-safe-medical-behaviour
August 26, 2011 - Qual Saf Health Care. 2010;19(5):e49. doi:10.1136/qshc.2009.032763. … Qual Saf Health Care . 2010; 19 (5) :e49 .
View more articles from the same authors. … Qual Saf Health Care. 2010;19(5):e49. doi:10.1136/qshc.2009.032763. … April 18, 2011
The development and evaluation of an integrated electronic prescribing … November 28, 2016
Should health care providers be forced to apologise after things go
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psnet.ahrq.gov/issue/infrastructure-provide-safer-higher-quality-and-more-equitable-telehealth
February 12, 2020 - A program to provide clinicians with feedback on their diagnostic performance in a learning health … February 2, 2022
The cost of quality: an academic health center's annual costs for its … September 24, 2018
Communication with patients and families regarding health care-associated … September 20, 2023
Structural racism in behavioral health presentation and management
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psnet.ahrq.gov/issue/executive-leadership-and-physician-well-being-nine-organizational-strategies-promote
September 26, 2018 - This review suggests that focusing solely on individual behaviors is insufficient to reduce burnout in health … well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health … 2022
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Related Resources
Workarounds to intended use of health … September 2, 2015
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Hospitals
Health
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence-references.html
April 01, 2025 - BMC Health Serv Res 2018 Mar 7;18(1):168. PMID: 29514631. … Transformational change in health care systems. Health Care Manage Rev 2007 Oct;32(4):309–320. … Front Health Serv 2022 Jul 13:2:896885. Basten D, Haamann T. … Committee on Diagnostic Error in Health Care, Board on Health Care Services, Institute of Medicine. … Albany, NY: New York State Department of Health; 2015.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
June 02, 2025 - care needs or who hold other risks for compromised health and wellness. … parents of CSHCN are supported to participate in these QI activities; resulting quality standards are integrated … Children with Special Health Care Needs (CSHCN):
Children with special health care needs are defined … , developmental, behavioral, or emotional conditions and who require health and related services of a … Maternal and Child Health Bureau (MCHB):
A division of Health Resources Services Administration.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/intro.html
June 01, 2018 - to address behavioral, social, and environmental determinants of health in addition to delivering higher … It is anticipated that the integrated 2015 National Healthcare Quality and Disparities Report and … The integrated report presents information on trends, disparities, changes in disparities over time, … Centers for Disease Control and Prevention (CDC):
Behavioral Risk Factor Surveillance System (BRFSS … or speech therapy; and the need or use of treatment or counseling for emotional, developmental, or behavioral
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digital.ahrq.gov/computerized-provider-order-entry-inpatient
January 01, 2023 - the skills necessary to lead and manage a health IT project. … One AHRQ grantee, a large facility that is part of an integrated delivery system, reported that approximately … In one AHRQ-funded project, the behavioral health department turned off alerts for anti-anxiety drug … Crossing the Quality Chasm: A New Health System for the 21st Century . … Health Aff (Millwood) 2005 Nov-Dec;24(6):1654-63.
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www.ahrq.gov/funding/grantee-profiles/index.html
June 01, 2025 - supports a range of research, conference, and career development grant programs that help emerging health … Professor and Vice Chair of Research Department of Urology University of California San Diego Health … , School of Medicine Chief Innovation Officer, UCSF Health “Funding from [AHRQ] provided the basis for … More >> Using Digital Health Tools to Improve Patient Safety during Acute Care Anuj Dalal, M.D. … Executive Vice President of Physician Enterprise Common Spirit Health “Very early on, AHRQ understood
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digital.ahrq.gov/ahrq-funded-projects/impact-wellness-portal-delivery-patient-centered-prospective-care
January 01, 2023 - Department of Health and Human Services. … importance of patient-centered delivery approaches, little information is available on the impact of integrated … The team found that a comprehensive patient portal integrated into the regular process of care delivery … Department of Health and Human Services. … J Prim Care Community Health 2010 July 26;1(2):88-92.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/traumatic-brain-injury-rehabilitation-future_research.pdf
January 01, 2013 - by 6 months posttreatment (rates
in the standard rehabilitation group caught up with those of the integrated … Cognitive and behavioral
impairment are a common
TBI impairment. … Cognitive and behavioral
impairment are a common
impairment resulting from
TBI. … Improving the reporting quality of
nonrandomized evaluations of behavioral
and public health interventions … NCT01158781 Restoration of Life Role Participation Through Integrated
Cognitive and Motor Training for
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015076-rosa-final-report-2007.pdf
January 01, 2007 - Michael Ganz
James Middleton RN, MSN, MBA Kim Ockunzzi
Performing Organization:
Cleveland Clinic Health … Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
www.ahrq.gov
http … sheets), 4th quarter 2005
• Deploy Emergency Department module, 1st quarter 2006
• Implement integrated … a centralized repository
• Implement collaborative build process for CCHS-wide implementation of integrated … Perceived usefulness
Ease of use
Information quality
Information overload
Self-efficacy and perceived behavioral