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psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
February 17, 2016 - Study
Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine.
Citation Text:
Okafor N, Payne VL, Chathampally Y, et al. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. Emerg Med J. 2016;33(4):245-252. d…
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psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
October 19, 2022 - Study
Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.
Citation Text:
Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.…
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psnet.ahrq.gov/issue/patient-perspective-errors-cancer-care-results-cross-sectional-survey
August 18, 2021 - Study
The patient perspective on errors in cancer care: results of a cross-sectional survey.
Citation Text:
Carey M, Boyes AW, Bryant J, et al. The patient perspective on errors in cancer care: results of a cross-sectional survey. J Patient Saf. 2019;15(4):322-327. doi:10.1097/pts.000000…
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psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal-care
August 21, 2024 - Study
The challenge of risk prevention in home healthcare-an interview study with nurses in municipal care.
Citation Text:
Lekman J, Lindén E, Ekstedt M. The challenge of risk prevention in home healthcare—an interview study with nurses in municipal care. Scand J Caring Sci. 2023;37(4):1…
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psnet.ahrq.gov/issue/how-do-patients-want-physicians-handle-mistakes-survey-internal-medicine-patients-academic
September 23, 2020 - Study
Classic
How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting.
Citation Text:
Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine pat…
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-attitudes-and-practices-physicians-and-trainees
February 15, 2011 - Study
Disclosing medical errors to patients: attitudes and practices of physicians and trainees.
Citation Text:
Kaldjian LC, Jones EW, Wu BJ, et al. Disclosing medical errors to patients: attitudes and practices of physicians and trainees. J Gen Intern Med. 2007;22(7):988-96.
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psnet.ahrq.gov/issue/transactional-second-victim-model-experiences-affected-healthcare-professionals-acute-somatic
April 20, 2022 - Review
A transactional "second-victim" model—experiences of affected healthcare professionals in acute-somatic inpatient settings: a qualitative metasynthesis.
Citation Text:
Schiess C, Schwappach DLB, Schwendimann R, et al. A Transactional "Second-Victim" Model-Experiences of Affected H…
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psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety
November 03, 2021 - Commentary
Trainee autonomy and patient safety.
Citation Text:
George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML En…
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psnet.ahrq.gov/issue/consumer-participation-early-detection-deteriorating-patient-and-call-activation-rapid
February 28, 2024 - Review
Consumer participation in early detection of the deteriorating patient and call activation to rapid response systems: a literature review.
Citation Text:
Vorwerk J, King L. Consumer participation in early detection of the deteriorating patient and call activation to rapid response…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/intro.html
October 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
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Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
Model State Enhanc…
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www.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
January 01, 2023 - Making Adjustments to Health Care Quality Scores
One of the most thorny topics in quality measurement is the adjustment of scores across different plans or providers to account for differences in the characteristics of their patients or themselves. This page reviews key issues related to adjustments to scores…
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www.ahrq.gov/talkingquality/assess/what-you-evaluate/results.html
November 01, 2018 - Evaluating the Results of a Quality Reporting Project
The purpose of results- or outcome-oriented evaluation goes beyond answering the “did it work” question. To evaluate results, however, you have to be clear about what you wanted to achieve.
What consumer audience were you trying to reach?
What changes …
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psnet.ahrq.gov/issue/speaking-extension-socio-cultural-dynamics-hospital-settings-study-staff-experiences-speaking
May 19, 2021 - Study
Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals.
Citation Text:
Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics in hospital settings: a…
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psnet.ahrq.gov/issue/preferences-and-perceptions-medical-error-disclosure-among-marginalized-populations-narrative
June 15, 2022 - Review
Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review.
Citation Text:
Olazo K, Wang K, Sierra M, et al. Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. Jt Comm J Qual P…
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psnet.ahrq.gov/issue/use-patient-feedback-hospital-boards-directors-qualitative-study-two-nhs-hospitals-england
June 12, 2019 - Study
The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England.
Citation Text:
Lee R, Baeza JI, Fulop NJ. The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England. BMJ Qual Saf…
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psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary-care-womens
January 22, 2025 - Study
Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's and children's hospital: a qualitative feasibility study.
Citation Text:
Burchell D, MacPhee S, Sinclair D, et al. Using simulation to augment root cause analysis for patient saf…
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digital.ahrq.gov/2018-year-review/research-dissemination/journals
January 01, 2018 - AHRQ-Funded Researchers Disseminate in High-Impact Journals
In 2018, AHRQ-funded researchers published over 100 research articles in peer-reviewed journals and book chapters, including the following:
Development and Dissemination of a Novel Quality Improvement Framework to Improve Care…
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psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why
February 22, 2011 - Study
Classic
Preventable deaths: who, how often, and why?
Citation Text:
Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9.
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psnet.ahrq.gov/issue/patients-concerns-about-medical-errors-during-hospitalization
December 22, 2008 - Study
Classic
Patients' concerns about medical errors during hospitalization.
Citation Text:
Burroughs TE, Waterman AD, Gallagher TH, et al. Patients' concerns about medical errors during hospitalization. Jt Comm J Qual Patient Saf. 2007;33(1):5-14.
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psnet.ahrq.gov/issue/strengths-and-weaknesses-working-global-trigger-tool-method-retrospective-record-review-focus
March 24, 2012 - Study
Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members.
Citation Text:
Schildmeijer K, Nilsson L, Perk J, et al. Strengths and weaknesses of working with the Global Trigger Tool method for r…