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meps.ahrq.gov/survey_comp/hcquest_contextflow.shtml
January 01, 2017 - MEPS Survey Interview Context Flow
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psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities-across-us
July 20, 2022 - Study
Implementation of an antibiotic stewardship program in long-term care facilities across the US.
Citation Text:
doi:http://www.doi.org/10.1001/jamanetworkopen.2022.0181.
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DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/understanding-and-responding-health-literacy-social-determinant-health
September 27, 2017 - Commentary
Classic
Understanding and responding to health literacy as a social determinant of health.
Citation Text:
Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annu Rev Public Health. 2021;42(1):159-17…
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digital.ahrq.gov/program-overview/research-stories/use-ehr-embedded-tools-improve-screening-intimate-partner
January 01, 2023 - Use of EHR-Embedded Tools to Improve Screening for Intimate Partner Violence
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Leveraging Technology for Personalized, Evidence-Based Care and Decision Support
An intervention with new tools and formalized procedures to screen for int…
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psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care
October 21, 2020 - Commentary
A framework for the analysis of communication errors in health care.
Citation Text:
Bender JA, Thiyagarajan S, Morrish W, et al. A framework for the analysis of communication errors in health care. J Patient Saf. 2025;21(2):69-81. doi:10.1097/pts.0000000000001303.
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psnet.ahrq.gov/issue/improving-medication-related-safety-residents-nursing-homes-qualitative-study
March 24, 2019 - Study
Improving medication-related safety for residents in nursing homes: a qualitative study.
Citation Text:
Shieu B, Lee Y-W, Epps F, et al. Improving medication-related safety for residents in nursing homes: a qualitative study. J Gerontol Nurs. 2025;51(3):38-43. doi:10.3928/00989134-…
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psnet.ahrq.gov/issue/impact-leadership-walkarounds-operational-cultural-and-clinical-outcomes-systematic-review
October 12, 2022 - Review
Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review.
Citation Text:
Foster M, MHA BS, Mazur L. Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. BMJ Open Qual. 2023;12(4):e002284. …
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digital.ahrq.gov/program-overview/research-stories/improving-safety-postoperative-handoff-communication-telemedicine
January 01, 2023 - Improving Safety in Postoperative Handoff Communication with Telemedicine and Machine Learning
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Using Digital Healthcare Tools to Improve Patient Safety
Implementing a postoperative handoff intervention augmented with telemedicine an…
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psnet.ahrq.gov/issue/identifying-and-mapping-measures-medication-safety-during-transfer-care-digital-era-scoping
July 24, 2024 - Review
Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review.
Citation Text:
Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literatur…
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psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
September 20, 2011 - Book/Report
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm.
Citation Text:
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 201…
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digital.ahrq.gov/ahrq-funded-projects/participation-primary-care-practices-health-information-exchange-minnesota
January 01, 2023 - Participation by Primary Care Practices in Health Information Exchange in Minnesota
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-07-10010-2
Funding Mechanism(s)
Primary Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-suppl-items.doc
June 02, 2025 - SOPS® Diagnostic Safety Supplemental Items for the SOPS Medical Office Survey
SOPS® Diagnostic Safety Supplemental Items for the SOPS Medical Office Survey
Language: English
· These supplemental items were designed for use with the core SOPS® Medical Office Survey.
· Composite Measures: The supplemental items are …
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psnet.ahrq.gov/issue/safety-culture-safety-climate-and-safety-performance-healthcare-facilities-systematic-review
October 20, 2021 - Review
Safety culture, safety climate, and safety performance in healthcare facilities: a systematic review.
Citation Text:
Noor Arzahan IS, Ismail Z, Yasin SM. Safety culture, safety climate, and safety performance in healthcare facilities: A systematic review. Safety Sci. 2022;147:1056…
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psnet.ahrq.gov/issue/incoming-interns-recognize-inadequate-physical-examination-cause-patient-harm
July 20, 2022 - Study
Incoming interns recognize inadequate physical examination as a cause of patient harm.
Citation Text:
Russo S, Berg K, Davis JJ, et al. Incoming interns recognize inadequate physical examination as a cause of patient harm. J Med Educ Curric Dev. 2020;7:238212052092899. doi:10.1177/…
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psnet.ahrq.gov/issue/radiology-research-quality-and-safety-current-trends-and-future-needs
November 16, 2022 - Review
Radiology research in quality and safety: current trends and future needs.
Citation Text:
Zygmont ME, Itri JN, Rosenkrantz AB, et al. Radiology Research in Quality and Safety: Current Trends and Future Needs. Acad Radiol. 2017;24(3):263-272. doi:10.1016/j.acra.2016.07.021.
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psnet.ahrq.gov/issue/crossing-global-quality-chasm-improving-health-care-worldwide
June 15, 2011 - Book/Report
Classic
Crossing the Global Quality Chasm: Improving Health Care Worldwide.
Citation Text:
Crossing the Global Quality Chasm: Improving Health Care Worldwide. Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,…
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psnet.ahrq.gov/issue/sociotechnical-work-system-approach-occupational-fatigue
January 15, 2025 - Commentary
Sociotechnical work system approach to occupational fatigue.
Citation Text:
Watterson TL, Steege LM, Mott DA, et al. Sociotechnical work system approach to occupational fatigue. Jt Comm J Qual Patient Saf. 2023;49(9):485-493. doi:10.1016/j.jcjq.2023.05.007.
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psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
March 13, 2019 - Study
Classic
A controlled trial of smart infusion pumps to improve medication safety in critically ill patients.
Citation Text:
Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill …
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psnet.ahrq.gov/issue/developing-high-performance-team-training-framework-internal-medicine-residents-abcs-teamwork
June 01, 2011 - Study
Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork.
Citation Text:
Carbo AR, Tess A, Roy CL, et al. Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork. J Patient Sa…
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psnet.ahrq.gov/issue/high-alert-medication-administration-and-intravenous-smart-pumps-descriptive-analysis
December 12, 2018 - Study
High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice.
Citation Text:
Marwitz KK, Giuliano KK, Su W-T, et al. High-alert medication administration and intravenous smart pumps: A descriptive analysis of clinical practice. Res S…