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6001. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Materials | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/industrial-systems-engineering-and-health-care-critical-areas-research-workshop/industrial-and-systems-engineering-and-health-care-critical-areas-research-workshop-materials
      January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

6002. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. | PSNet
      psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
      October 12, 2016 - Study Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. Citation Text: Omar A, Rees P, Cooper A, et al. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods a…

6003. Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. | PSNet
      psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation-pharmacist-led
      February 17, 2021 - Study Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. Citation Text: Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system…

6004. Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths | PSNet
      psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
      January 15, 2020 - Journal Article Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths Citation Text: Mitchell R, Faris M, Lystad R, et al. Using the WHO International Classification…

6005. Predictors and outcomes of patient safety culture: a cross-sectional comparative study. | PSNet
      psnet.ahrq.gov/issue/predictors-and-outcomes-patient-safety-culture-cross-sectional-comparative-study
      March 22, 2023 - Study Predictors and outcomes of patient safety culture: a cross-sectional comparative study. Citation Text: Mrayyan MT. Predictors and outcomes of patient safety culture: a cross-sectional comparative study. BMJ Open Qual. 2022;11(3):e001889. doi:10.1136/bmjoq-2022-001889. Copy Citati…

6006. Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare. | PSNet
      psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
      September 11, 2019 - Study Classic Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare. Citation Text: Liberati EG, Peerally MF, Dixon-Woods M. Learning from high risk industries may not be strai…

6007. Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery. | PSNet
      psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer-assessment-hazard
      May 24, 2012 - Study Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery. Citation Text: Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Survei…

6008. Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. | PSNet
      psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients
      August 25, 2021 - Study Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. Citation Text: Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in adverse events among patients with p…

6009. Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey. | PSNet
      psnet.ahrq.gov/issue/eliciting-willingness-pay-prevent-hospital-medication-administration-errors-uk-contingent
      March 28, 2012 - Study Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey. Citation Text: Hill SR, Bhattarai N, Tolley CL, et al. Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a continge…

6010. Emergency Department | Digital Healthcare Research
      digital.ahrq.gov/care-setting/emergency-department
      January 01, 2023 - Emergency Department Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse Description This research tests the effectiveness of MedSMA℞T Mob…

6011. Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals. | PSNet
      psnet.ahrq.gov/issue/handling-polypharmacy-qualitative-study-using-focus-group-interviews-older-patients-their
      August 03, 2022 - Study Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals. Citation Text: Mikkelsen TH, Søndergaard J, Kjaer NK, et al. Handling polypharmacy –a qualitative study using focus group interviews with olde…

6012. An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review. | PSNet
      psnet.ahrq.gov/issue/international-perspective-definitions-and-terminology-used-describe-serious-reportable
      August 04, 2021 - Review An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review. Citation Text: Hegarty J, Flaherty SJ, Saab MM, et al. An international perspective on definitions and terminology used to describe seri…

6013. Hard Truths: the Journey to Putting Patients First. | PSNet
      psnet.ahrq.gov/issue/hard-truths-journey-putting-patients-first
      December 04, 2015 - March 28, 2018 A Promise to Learn—a Commitment to Act: Improving the Safety of Patients … May 22, 2023 A Promise to Learn—a Commitment to Act: Improving the Safety of Patients

6014. Second Victim: Error, Guilt, Trauma, and Resilience. | PSNet
      psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
      April 13, 2018 - January 22, 2014 Informal learning from error in hospitals: what do we learn, how do … we learn and how can informal learning be enhanced?

6015. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33640/psn-pdf
      September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? … What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? … https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety- transformation … through each of these in greater https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation … https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation

6016. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
      August 01, 2006 - Use your five senses….Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice

6017. Partnering with Patients to Disseminate Research Products (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/sadwin.pdf
      January 01, 2011 - § Push Hard and Fast in the Center Slide 15 Photograph: Photo of various chests with the words "Learn … Healthcare/Researchers Photograph: Image of 5 health care professionals, with the words 'Focus on Quality, Learn

6018. Research Summary | Digital Healthcare Research
      digital.ahrq.gov/2019-year-review/research-summary
      January 01, 2019 - Learn More   Key Research Findings The Digital Healthcare Research Program funds research to … Learn more about the impact and key findings here.

6019. Compensation of chief executive officers at nonprofit US hospitals. | PSNet
      psnet.ahrq.gov/issue/compensation-chief-executive-officers-nonprofit-us-hospitals
      December 18, 2018 - January 22, 2014 Informal learning from error in hospitals: what do we learn, how do … we learn and how can informal learning be enhanced?

6020. Employee / Staff Pre-Go-Live Expectations / Perceptions Clinical Information Systems Survey (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/cis-survey-pre-go-live-physician.pdf
      December 27, 2004 - My ability to learn about and improve our patient care processes. [ ] [ ] [ ] [ ] [ ] [ ] … Sufficient resources have been provided for me to learn to use the new systems [ ] [ ] [ ] [ … My ability to learn about and improve our patient care processes. [ ] [ ] [ ] [ ] [ ] [ ] … Sufficient resources were provided for me to learn to use the new systems. [ ] [ ] [ ] [