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psnet.ahrq.gov/issue/swiss-cheese-model
March 27, 2005 - Image/Poster
Swiss Cheese Model.
Citation Text:
Swiss Cheese Model. Adapted from: Reason JT. Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997.
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digital.ahrq.gov/ahrq-funded-projects/decision-support-tool-discontinuation-disease-modifying-therapies-multiple
July 31, 2025 - A Decision Support Tool for the Discontinuation of Disease Modifying Therapies in Multiple Sclerosis
Project Description
A point-of-care decision support tool for discontinuing disease-modifying therapies in those with multiple sclerosis has the potential to reduce the risk inc…
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digital.ahrq.gov/technology/generative-artificial-intelligence
January 01, 2024 - Generative Artificial Intelligence
Clinical Decision Support Innovation Collaborative (CDSiC) Reports.
Citation
Clinical Decision Support Innovation Collaborative (CDSiC) Reports [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2023 Jan-2025 Sep. Av…
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psnet.ahrq.gov/issue/can-computers-help-doctors-reduce-diagnostic-errors
December 18, 2019 - Newspaper/Magazine Article
Can computers help doctors reduce diagnostic errors?
Citation Text:
Can computers help doctors reduce diagnostic errors? Shryock T. Med Econ. December 5, 2016.
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psnet.ahrq.gov/issue/patient-safety-21
October 14, 2020 - Multi-use Website
Patient Safety
Citation Text:
Patient Safety Organisation for Economic Co-operation and Development.
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psnet.ahrq.gov/issue/curing-our-diagnostic-disorder
December 04, 2019 - Newspaper/Magazine Article
Curing our diagnostic disorder.
Citation Text:
Curing our diagnostic disorder. Laposata M. The Pathologist. September 2017;(34):18-27.
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digital.ahrq.gov/organization/rti-international
January 01, 2023 - RTI International
Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions
Description
This research supported the testing of two interoperable Substitutable Medical Applications Reusable Technologies (SMART®) on Fast Healthcare Interoperability R…
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psnet.ahrq.gov/issue/how-doctors-think
January 14, 2011 - Book/Report
Classic
How Doctors Think.
Citation Text:
How Doctors Think. Groopman J. Boston, MA: Houghton Mifflin; 2007. ISBN: 0618610030.
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digital.ahrq.gov/principal-investigator/nahm-eun-shim
January 01, 2023 - Nahm, Eun-Shim
A Theory-Based Patient Portal eLearning Program for Older Adults With Chronic Illnesses - Final Report
Citation
Nahm E. A Theory-Based Patient Portal eLearning Program for Older Adults With Chronic Illnesses - Final Report. (Prepared by the University of Marylan…
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psnet.ahrq.gov/issue/identifying-risks-and-monitoring-safety-role-patients-and-citizens
May 08, 2013 - Book/Report
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens.
Citation Text:
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens. O'Hara J, Isden R. London, UK: Health Foundation; October 2013.
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psnet.ahrq.gov/issue/patient-safety-certificate-course
August 07, 2013 - Course Material/Curriculum
Patient Safety Certificate Course.
Citation Text:
Patient Safety Certificate Course. American Board of Quality Assurance and Utilization Review Physicians; ABQAURP.
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digital.ahrq.gov/principal-investigator/levick-donald
January 01, 2023 - Levick, Donald
Provider and patient satisfaction with the integration of ambulatory and hospital EHR systems.
Citation
Meyerhoefer CD, Sherer SA, Deily ME, et al. Provider and patient satisfaction with the integration of ambulatory and hospital EHR systems. J Am Med Inform As…
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digital.ahrq.gov/events/national-web-conference-using-health-it-chronic-disease-management
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…
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psnet.ahrq.gov/issue/who-patient-safety-curriculum-guide-multi-professional-edition
February 14, 2024 - Book/Report
WHO Patient Safety Curriculum Guide: Multi-Professional Edition.
Citation Text:
WHO Patient Safety Curriculum Guide: Multi-Professional Edition. WHO Patient Safety. Geneva, Switzerland: World Health Organization; October 2011. ISBN: 9789241501958.
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psnet.ahrq.gov/issue/reading-signals-maternity-and-neonatal-services-east-kent-report-independent-investigation
February 19, 2020 - Book/Report
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation.
Citation Text:
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. Kirkup B. Department of Healt…
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psnet.ahrq.gov/issue/gosport-war-memorial-hospital-report-gosport-independent-panel
July 25, 2018 - Government Resource
Gosport War Memorial Hospital. The Report of the Gosport Independent Panel.
Citation Text:
Gosport War Memorial Hospital. The Report of the Gosport Independent Panel. Gosport Independent Panel. London, England: Crown Copyright; 2018. ISBN: 9781528604062.
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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
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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.
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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?
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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. [ ] [ ] [ ] [