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psnet.ahrq.gov/node/843413/psn-pdf
February 01, 2023 - Toward the translation of systems thinking methods in
patient safety practice: assessing the validity of Net-
HARMS and AcciMap.
February 1, 2023
Salmon PM, King B, Hulme A, et al. Toward the translation of systems thinking methods in patient safety
practice: assessing the validity of Net-HARMS and AcciMap. Safety…
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psnet.ahrq.gov/node/867529/psn-pdf
January 15, 2025 - “I had no idea this happened”: electronic feedback on
clinical reasoning for hospitalists.
January 15, 2025
Kotwal S, Udayappan KM, Kutheala N, et al. “I had no idea this happened”: electronic feedback on clinical
reasoning for hospitalists. J Gen Intern Med. 2024;39(16):3271-3277. doi:10.1007/s11606-024-09058-1.
…
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psnet.ahrq.gov/node/837201/psn-pdf
May 25, 2022 - Near miss research in the healthcare system: a scoping
review.
May 25, 2022
Feng T-ting, Zhang X, Tan L-ling, et al. Near miss research in the healthcare system: a scoping review. J
Nurs Adm. 2022;52(3):160-166. doi:10.1097/nna.0000000000001124.
https://psnet.ahrq.gov/issue/near-miss-research-healthcare-system-sco…
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psnet.ahrq.gov/node/48018/psn-pdf
July 31, 2019 - PEARLS for systems integration: a modified PEARLS
framework for debriefing systems-focused simulations.
July 31, 2019
Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for
Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342.
doi:10.1097/SIH.0000000000…
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psnet.ahrq.gov/node/60005/psn-pdf
March 04, 2020 - What if?: Transforming Diagnostic Research by
Leveraging a Diagnostic Process Map to Engage Patients
in Learning from Errors.
March 4, 2020
Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A
Diagnostic Process Map To Engage Patients In Learning From Errors. Washin…
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psnet.ahrq.gov/node/74169/psn-pdf
December 08, 2021 - Pointing fingers: verbosity of patient safety narratives is
associated with attribution of blame.
December 8, 2021
Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021.
https://psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-
bl…
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psnet.ahrq.gov/node/45069/psn-pdf
June 01, 2016 - The effects of power, leadership and psychological safety
on resident event reporting.
June 1, 2016
Appelbaum NP, Dow A, Mazmanian PE, et al. The effects of power, leadership and psychological safety on
resident event reporting. Med Edu. 2016;50(3):343-350. doi:10.1111/medu.12947.
https://psnet.ahrq.gov/issue/effe…
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psnet.ahrq.gov/node/44952/psn-pdf
March 02, 2016 - Engaging pediatric resident physicians in quality
improvement through resident-led morbidity and mortality
conferences.
March 2, 2016
Destino LA, Kahana M, Patel SJ. Engaging Pediatric Resident Physicians in Quality Improvement Through
Resident-Led Morbidity and Mortality Conferences. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/node/46249/psn-pdf
July 12, 2017 - Zero preventable deaths after traumatic injury: an
achievable goal.
July 12, 2017
Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8.
doi:10.1097/ta.0000000000001425.
https://psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal
Criti…
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psnet.ahrq.gov/node/47161/psn-pdf
July 25, 2018 - Quality and the health system: becoming a high reliability
organization.
July 25, 2018
Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization.
Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010.
https://psnet.ahrq.gov/issue/quality-and-health-system-…
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psnet.ahrq.gov/node/866746/psn-pdf
September 18, 2024 - Looking beyond LinkedIn: the case for excellence and
academic rigor in quality and safety programs.
September 18, 2024
Bearman G, Nori P. Looking beyond LinkedIn: the case for excellence and academic rigor in quality and
safety programs. Am J Med. 2024;137(8):694-697. doi:10.1016/j.amjmed.2024.04.018.
https://psne…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mastateataglance.pdf
March 01, 2012 - Massachusetts State at a Glance
…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
March 08, 2019 - Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary
Federal Interagency Workgroup on Improving Diagnostic
Safety and Quality in Health Care
March Meeting Summ…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/two-more/slides.html
May 01, 2013 - Two More E's and How to Spread
Contents
Slide 1. Two More E's and How to Spread
Slide 2. Learning Objectives
Slide 3. Implementation Framework
Slide 4. Implementation Framework
Slide 5. Endure—Plan for Sustainability
Slide 6. Endure—Plan for Sustainability
Slide 7. Endure—Plan for Sustainability
…
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digital.ahrq.gov/ahrq-funded-projects/academyhealth-electronic-data-methods-edm-forum-second-phase
January 01, 2023 - AcademyHealth Electronic Data Methods (EDM) Forum Second Phase
Project Final Report ( PDF , 868 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of…
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digital.ahrq.gov/population/physician
January 01, 2025 - Physician
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. Available from: https://www…
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digital.ahrq.gov/technology/predictive-modeling
January 01, 2024 - Predictive Modeling
Acceptance of automated social risk scoring in the emergency department: Clinician, staff, and patient perspectives.
Citation
Mazurenko O, Hirsh AT, Harle CA, McNamee C, Vest JR. Acceptance of automated social risk scoring in the emergency department: Clini…
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digital.ahrq.gov/population/it-staff
January 01, 2023 - IT Staff
Annual Conferences on Health IT & Analytics 2021-2023 - Final Report
Citation
Agarwal R. Annual Conferences on Health IT & Analytics 2021-2023 – Final Report. (Prepared by Johns Hopkins University under Grant No. R13 HS028541). Rockville, MD: Agency for Healthcare Res…
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digital.ahrq.gov/2019-year-review/research-dissemination/disseminating-knowledge-and-research-findings-conferences/ahrq-funded-research-2019-amia-annual-research-symposium
January 01, 2019 - AHRQ-Funded Research at the 2019 AMIA Annual Research Symposium
Table 1: Impact Stories of AHRQ-Funded Research Exemplars Completed in 2019
AHRQ Principal Investigator
AHRQ-Funded Research Profile
AMIA Session
Anne M. Turner
Addressing the Personal Health Information …
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psnet.ahrq.gov/issue/can-staff-and-patient-perspectives-hospital-safety-predict-harm-free-care-analysis-staff-and
July 21, 2017 - Study
Classic
Can staff and patient perspectives on hospital safety predict harm-free care? An analysis of staff and patient survey data and routinely collected outcomes.
Citation Text:
Lawton R, O'Hara JK, Sheard L, et al. Can staff and patient perspectives on …