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  1. 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…
  2. psnet.ahrq.gov/issue/machine-learning-based-clinical-predictive-tool-identify-patients-high-risk-medication-errors
    March 29, 2012 - Study A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. Citation Text: Abdo A, Gallay L, Vallecillo T, et al. A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. Sci Rep. 2024;14…
  3. psnet.ahrq.gov/issue/open-disclosure-among-general-practitioners-second-victim-patient-safety-incident-cross
    February 15, 2023 - Study Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in Flanders (Belgium). Citation Text: Neyens L, Stouten E, Vanhaecht K, et al. Open disclosure among general practitioners as second victim of a patient safety inciden…
  4. psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii
    February 18, 2011 - Study Classic The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. Citation Text: Leape L, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Pra…
  5. psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative
    December 16, 2015 - Study Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. Citation Text: Mossburg SE, Weaver SJ, Pillari MS, et al. Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitativ…
  6. effectivehealthcare.ahrq.gov/sites/default/files/pdf/white-paper-framework-for-conceptualizing-evidence-needs_0.pdf
    December 01, 2017 - Health care Manage Rev. 2014;39(3):245-54. PMID: 23727787. … Healthc Manage Forum. 2010;23(2):48-57. PMID: 21739839.
  7. hcup-us.ahrq.gov/reports/methods/1999NISComparisonReportFinal.pdf
    March 08, 2002 - Table 2: NIS and NHDS Comparisons by Region, 1999 HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Produ…
  8. Spotlight Nstemi (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-07/spotlight_nstemi.pdf
    January 01, 2020 - Spotlight The NSTEMI Curbside Consultation Source and Credits • This presentation is based on the July 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Amparo C. Villablanca, MD and Gordon Wong, MD MBA o AHRQ WebM&M Editors …
  9. www.ahrq.gov/sites/default/files/2024-02/leapfrog-report.pdf
    January 01, 2024 - Final Progress Report: The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program Supported by a grant from the Agency for Healthcare Research and …
  10. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
    October 01, 2015 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 4. Observations About the Evaluation Previous Page Next Page Table of Contents National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 1. Overview 2. Synthesis of Key F…
  11. www.ahrq.gov/prevention/chronic-care/decision/mcc/mccpublications.html
    May 01, 2014 - AHRQ Multiple Chronic Conditions Research Network Publications This bibliography includes publications resulting from R18, R21 and R24 AHRQ Multiple Chronic Conditions Research Network grants funded between 2008 and 2010. The publications listed below are those that were published or in press as of August 2013.…
  12. psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
    April 24, 2024 - The Danger of 10% Intravenous Calcium Chloride Extravasation. Citation Text: The Danger of 10% Intravenous Calcium Chloride Extravasation.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Goog…
  13. www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
    March 01, 2020 - Strategy 6K: Cultivating Cultural Competence Contents 6.K.1. The Problem 6.K.2. Interventions    6.K.2.a. Maintaining Complete and Accurate Information on Enrollees    6.K.2.b. Building a Provider Network to Meet the Community’s Linguistic and Cultural Needs    6.K.2.c. Training Providers on Cultural…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
    June 03, 2008 - Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement Jamie N. Deis, MD; Keegan M. Smith, MD; Michael D. Warren, MD; Patricia G. Throop, BSN, CPHQ; Gerald B. Hickson, MD; …
  15. psnet.ahrq.gov/periodic-issue/periodic-issue-469
    December 31, 2024 - January 8, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports…
  16. hcup-us.ahrq.gov/partners.jsp
    August 01, 2025 - HCUP Partners An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  17. psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
    October 31, 2023 - These standards require that hospitals manage safety and security risks by establishing processes for
  18. psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
    October 31, 2023 - These standards require that hospitals manage safety and security risks by establishing processes for
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-244-fullreport.pdf
    December 01, 2019 - aims-caseload-tracker), EHRs, and registry systems can provide clinicians with the information needed to manage … There are effective treatments and models of care to manage and improve depression.
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
    January 01, 2007 - Challenges to Real-Time Decision Support in Health Care Challenges to Real-Time Decision Support in Health Care Mark Fitzgerald, MB, BS, FACEM; Nathan Farrow, RN, BN (Hons) Adv Nur (Critical Care); Pamela Scicluna, BSc; Angela Murray, RN; Yan Xiao, PhD; Colin F. Mackenzie, MBChB, FRCA, FCCM Abstract This …