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psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
December 30, 2014 - Study
Understanding diagnostic errors in medicine: a lesson from aviation.
Citation Text:
Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-64.
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psnet.ahrq.gov/issue/implementing-delivery-room-checklists-and-communication-standards-multi-neonatal-icu-quality
November 20, 2019 - Study
Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative.
Citation Text:
Bennett SC, Finer N, Halamek LP, et al. Implementing Delivery Room Checklists and Communication Standards in a Multi-Neonatal ICU Quality Impr…
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psnet.ahrq.gov/issue/putting-knowledge-practice-does-information-adverse-drug-interactions-influence-peoples
June 14, 2023 - Study
Putting knowledge into practice: does information on adverse drug interactions influence people's dosing behaviour?
Citation Text:
Dohle S, Dawson IGJ. Putting knowledge into practice: Does information on adverse drug interactions influence people's dosing behaviour? Br J Health Ps…
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psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-and-relatives-taking-legal-action
August 04, 2021 - Study
Classic
Why do people sue doctors? A study of patients and relatives taking legal action.
Citation Text:
Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609-1613.
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www.ahrq.gov/news/blog/ahrqviews/home-health-quality-improvement.html
December 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
Challenges and Opportunities in Home Health Quality Improvement
DEC
19
2022
By
a member of AHRQ’s National Advisory Council:
Susan Edgman-Levitan, P.A.
Susan Edgman-Levitan, P.A.
Editor’s Note: This is the third of four AHRQ …
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psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral
January 12, 2022 - Study
Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system.
Citation Text:
Rowily AA, Jalal Z, Paudyal V. Contributory factors…
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psnet.ahrq.gov/issue/adopting-real-time-surveillance-dashboards-component-enterprisewide-medication-safety
June 27, 2018 - Study
Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy.
Citation Text:
Waitman LR, Phillips IE, McCoy AB, et al. Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. Jt Comm J Q…
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digital.ahrq.gov/care-setting/childrens-hospital
January 01, 2023 - Children's Hospital
Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children
Description
This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-t…
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www.ahrq.gov/news/blog/ahrqviews/focus-diagnostic-safety.html
March 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
In the Spirit of Patient Safety Awareness Week, AHRQ Sharpens Its Focus on Diagnostic Safety
MAR
15
2023
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
Robert Otto Valdez, Ph.D., M.H.S.A.
In 2023, the American healthcare system rem…
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psnet.ahrq.gov/issue/what-i-wish-id-known-how-experienced-physician-managers-diagnose-treat-and-prevent-disruptive
September 23, 2020 - Commentary
What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour.
Citation Text:
Goodwin C, Haas S, Berry WR. What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. BMJ Lead. 2023;7(…
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psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
March 03, 2011 - Study
Classic
Patterns of communication breakdowns resulting in injury to surgical patients.
Citation Text:
Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives
January 01, 2023 - Past Initiatives
Evaluation of Meaningful Use (2013-2015)
AHRQ worked in partnership with the Office of the National Coordinator for Health IT and CMS to support rapid cycle research on Stage 3 of the Meaningful Use (MU) incentive program. In 2103 AHRQ awarded 12 grants and contracts under…
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psnet.ahrq.gov/issue/longitudinal-medication-reconciliation-hospital-admission-discharge-and-post-discharge
August 19, 2020 - Study
Longitudinal medication reconciliation at hospital admission, discharge and post-discharge.
Citation Text:
Daliri S, Bouhnouf M, van de Meerendonk HWPC, et al. Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. Res Social Adm Pharm. 2020;17(…
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psnet.ahrq.gov/issue/health-care-workers-second-victims-medical-errors
April 07, 2021 - Study
Health care workers as second victims of medical errors.
Citation Text:
Edrees HH, Paine LA, Feroli R, et al. Health care workers as second victims of medical errors. Pol Arch Med Wewn. 2011;121(4):101-108.
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hcup-us.ahrq.gov/db/vars/d10cwt_u/nisnote.jsp
September 10, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/db/vars/discwt10/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
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Espanol
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hcup-us.ahrq.gov/db/vars/discwtcharge/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
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Espanol
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psnet.ahrq.gov/issue/systematic-review-pediatric-medication-errors-parents-or-caregivers-home
July 07, 2021 - Review
A systematic review on pediatric medication errors by parents or caregivers at home.
Citation Text:
Lopez-Pineda A, Gonzalez de Dios J, Guilabert Mora M, et al. A systematic review on pediatric medication errors by parents or caregivers at home. Expert Opin Drug Saf. 2021:1-11. do…
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hcup-us.ahrq.gov/db/vars/discwt/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
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Careers
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Espanol
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hcup-us.ahrq.gov/db/vars/discwtcharge10/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs…