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psnet.ahrq.gov/node/74157/psn-pdf
December 08, 2021 - An international perspective on definitions and
terminology used to describe serious reportable patient
safety incidents: a systematic review.
December 8, 2021
Hegarty J, Flaherty SJ, Saab MM, et al. An international perspective on definitions and terminology used to
describe serious reportable patient safety inci…
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psnet.ahrq.gov/node/867038/psn-pdf
October 30, 2024 - From reporting to improving: how root cause analysis in
teams shape patient safety culture.
October 30, 2024
Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams
shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-1858. doi:10.2147/rmhp.s466852.
h…
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psnet.ahrq.gov/node/865664/psn-pdf
April 24, 2024 - The use of positive deviance approach to improve health
service delivery and quality of care: a scoping review.
April 24, 2024
Kassie AM, Eakin E, Abate BB, et al. The use of positive deviance approach to improve health service
delivery and quality of care: a scoping review. BMC Health Serv Res. 2024;24(1):438. doi…
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psnet.ahrq.gov/node/851200/psn-pdf
July 05, 2023 - Deficient Care of a Patient Who Died by Suicide and
Facility Leaders' Response at the Charlie Norwood VA
Medical Center in Augusta, Georgia.
July 5, 2023
Washington DC: Department of Veterans Affairs, Office of Inspector General; May 10, 2023.
Report no. 22-01116-110.
https://psnet.ahrq.gov/issue/defi…
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psnet.ahrq.gov/node/36902/psn-pdf
June 09, 2010 - Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety
and quality.
June 9, 2010
Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr …
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psnet.ahrq.gov/node/61066/psn-pdf
October 28, 2020 - Using event reports in real-time to identify and mitigate
patient safety concerns during the COVID-19 pandemic.
October 28, 2020
Kasda EM, Robson C, Saunders J, et al. Using event reports in real-time to identify and mitigate patient
safety concerns during the COVID-19 pandemic. J Patient Saf Risk Manag. 2020;25(4)…
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psnet.ahrq.gov/node/73446/psn-pdf
June 30, 2021 - A comprehensive departmental care review model:
requirements, structure, and flow.
June 30, 2021
Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model:
requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509.
doi:10.1016/j.jcjq.2021.04.009.
https:/…
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psnet.ahrq.gov/node/841144/psn-pdf
December 07, 2022 - Using community detection techniques to identify themes
in COVID-19-related patient safety event reports.
December 7, 2022
Boxley C, Krevat SA, Sengupta S, et al. Using community detection techniques to identify themes in
COVID-19-related patient safety event reports. J Patient Saf. 2022;18(8):e1196-e1202.
doi:10.…
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psnet.ahrq.gov/node/848361/psn-pdf
May 03, 2023 - More than algorithms: an analysis of safety events
involving ML-enabled medical devices reported to the
FDA.
May 3, 2023
Lyell D, Wang Y, Coiera E, et al. More than algorithms: an analysis of safety events involving ML-enabled
medical devices reported to the FDA. J Am Med Inform Assoc. 2023;30(7):1227-1236.
doi:1…
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psnet.ahrq.gov/node/73540/psn-pdf
January 01, 2022 - Getting the whole story: integrating patient complaints
and staff reports of unsafe care.
July 28, 2021
van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff
reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. doi:10.1177/13558196211029323.
htt…
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psnet.ahrq.gov/node/45244/psn-pdf
August 01, 2016 - Sleep science, schedules, and safety in hospitals:
challenges and solutions for pediatric providers.
August 1, 2016
Rosenbluth G, Landrigan CP. Sleep science, schedules, and safety in hospitals: challenges and solutions
for pediatric providers. Pediatr Clin North Am. 2012;59(6):1317-28. doi:10.1016/j.pcl.2012.09.00…
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psnet.ahrq.gov/node/867044/psn-pdf
October 30, 2024 - "Near miss": a mixed-methods analysis of medical
student assignments in patient safety.
October 30, 2024
Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments
in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000000000000196.
https://psnet.ahr…
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www.ahrq.gov/patient-safety/resources/learning-lab/ambulatory-pediatric-long-desc.html
January 01, 2025 - Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home
Principal Investigator: Kathleen Elizabeth Walsh, M.D., M.S., Boston Children’s Hospital, Boston, MA Co-PI: Eric Kirkendall, M.B.I., M.D., Wake Forest School of Medicine, Winston-Salem, NC AHRQ Grant No.: HS26644 Project Per…
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www.ahrq.gov/sites/default/files/wysiwyg/coronavirus/long-covid-care-network/reach-grantee-profile.pdf
January 01, 2023 - Long COVID Care Resources and Education to Advance Community Health (REACH)
Geographic Service Area
Santa Clara, San Mateo, San
Francisco, Alameda, Contra
Costa, Solano counties in
California
Collaborating FQHC network partners for this Long COVID Care REACH
model are the Community Health Center Network and San Mate…
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digital.ahrq.gov/ahrq-funded-projects/ehr-based-screening-tool-support-safe-discharges-covid-19-patients-emergency-department
September 29, 2023 - An Electronic Health Record-Based Screening Tool to Support Safe Discharges of COVID-19 Patients in the Emergency Department
Project Final Report ( PDF , 692.06 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsibl…
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digital.ahrq.gov/principal-investigator/grannis-shaun
January 01, 2023 - Grannis, Shaun
Enhancing Patient Matching in Support of Operational Health Information Exchange - Final Report
Citation
Grannis S. Enhancing Patient Matching in Support of Operational Health Information Exchange - Final Report. (Prepared by Indiana University-Purdue University…
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digital.ahrq.gov/document-type/conference-proceeding
January 01, 2024 - Conference Proceeding
2023 Society for Academic Emergency Medicine consensus conference on precision emergency medicine: Development of a policy-relevant, patient-centered research agenda.
Citation
Strehlow M, Gisondi MA, Caretta-Weyer H, Ankel F, Brackett A, Brar P, Chan TM, …
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digital.ahrq.gov/ahrq-funded-projects/promoting-use-integrated-personal-health-record-prevention/annual-summary/2011
January 01, 2011 - Promoting Use of an Integrated Personal Health Record for Prevention - 2011
Project Name
Promoting Use of an Integrated Personal Health Record for Prevention
Principal Investigator
Krist, Alexander H.
Organization
Virginia Commonwealth University
Funding Mechanism
P…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess1.html
October 01, 2014 - Your coworkers may have learned things you need to know from other care providers or from family members
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www.ahrq.gov/policymakers/chipra/demoeval/state-reports/index.html
March 01, 2019 - Florida Pediatric Medical Home Demonstration Project
This Web site highlights the successes, lessons learned