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  1. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality

    www.ahrq.gov/sops/about/patient-safety-culture.html
    June 01, 2024 - What Is Patient Safety Culture? Patient Safety Culture Defined Patient safety culture is the extent to which an organization's culture supports and promotes patient safety. It refers to the values, beliefs, and norms that are shared by healthcare practitioners and other staff throughout the organization that in…

  2. Tennessee | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/tennessee
    January 01, 2023 - Tennessee Project Overview | Data and Functionality | Technical Design and Architecture   Project Overview MidSouth eHealth Alliance (MSeHA) is a non-profit organization that seeks to improve the health care system of Tennessee by focusing on health care quality, safety, and effici…

  3. Outcomes from the Privacy and Security Solutions for Interoperable Health Information Exchange Project | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/outcomes-privacy-and-security-solutions
    January 01, 2023 - Outcomes from the Privacy and Security Solutions for Interoperable Health Information Exchange Project Below are the final reports produced under RTI International's contract with the Agency for Healthcare Research and Quality (AHRQ). The contract, entitled Privacy and Security…

  4. A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. | PSNet

    psnet.ahrq.gov/issue/national-analysis-ed-presentations-early-pregnancy-and-complications-implications-post-roe
    September 07, 2016 - Study A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. Citation Text: Goodwin G, Marra E, Ramdin C, et al. A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. Am…

  5. Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. | PSNet

    psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-design-approach
    June 27, 2012 - Study Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. Citation Text: Segall N, Bonifacio AS, Barbeito A, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016;42(9)…

  6. The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/medsafer-study-electronic-decision-support-deprescribing-hospitalized-older-adults-cluster
    July 31, 2019 - Study The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial. Citation Text: McDonald EG, Wu PE, Rashidi B, et al. The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a …

  7. Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. | PSNet

    psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
    January 17, 2012 - Study Classic Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. Citation Text: DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the V…

  8. Effects of the I-PASS nursing handoff bundle on communication quality and workflow. | PSNet

    psnet.ahrq.gov/issue/effects-i-pass-nursing-handoff-bundle-communication-quality-and-workflow
    November 12, 2014 - Study Effects of the I-PASS nursing handoff bundle on communication quality and workflow. Citation Text: Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-0…

  9. Inadequate hand-off communication. | PSNet

    psnet.ahrq.gov/issue/inadequate-hand-communication
    April 02, 2015 - Sentinel Event Alerts Inadequate hand-off communication. Citation Text: Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

  10. Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. | PSNet

    psnet.ahrq.gov/issue/patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-informing
    February 23, 2022 - Study Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. Citation Text: Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty t…

  11. Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error? | PSNet

    psnet.ahrq.gov/issue/can-electronic-prescribing-system-detect-doctors-who-are-more-likely-make-serious-prescribing
    June 30, 2011 - Study Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error? Citation Text: Coleman JJ, Hemming K, Nightingale PG, et al. Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error? J…

  12. Eliminating central line-associated bloodstream infections: a national patient safety imperative. | PSNet

    psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-national-patient-safety-imperative
    March 21, 2012 - Study Eliminating central line-associated bloodstream infections: a national patient safety imperative. Citation Text: Berenholtz SM, Lubomski LH, Weeks K, et al. Eliminating central line-associated bloodstream infections: a national patient safety imperative. Infect Control Hosp Epidem…

  13. Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet

    psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
    October 12, 2018 - EMERGING INNOVATIONS Let us to the TWISST; Plan, Simulate, Study and Act. Citation Text: Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. Copy Citation Format: DOI Google Scholar BibTeX…

  14. CAHPS Health Plan Survey Database | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/cahps-database/hp-database/index.html
    December 01, 2024 - CAHPS Health Plan Survey Database The CAHPS Health Plan Survey (HP CAHPS) Database is a central repository of survey data from State Medicaid agencies, State Children's Health Insurance Programs (CHIP), and individual health plans that have administered the HP CAHPS Survey and chose to submit their data to th…

  15. Gustafson, David H. | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/gustafson-david-h
    October 11, 2023 - Gustafson, David H. Digital Healthcare Innovations to Engage and Empower Patients in Their Care Event Date October 11, 2023 - 12:30pm - October 11, 2023 - 2:00pm AHRQ hosted a presentation highlighting how patient engagement in healthcare allows patients and their fam…

  16. Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
    December 12, 2014 - Study Classic Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. Citation Text: Ball JE, Bruyneel L, Aiken LH, et al. Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional …

  17. Latent safety threats and countermeasures in the operating theater: a national in situ simulation-based observational study. | PSNet

    psnet.ahrq.gov/issue/latent-safety-threats-and-countermeasures-operating-theater-national-situ-simulation-based
    February 22, 2023 - Study Latent safety threats and countermeasures in the operating theater: a national in situ simulation-based observational study. Citation Text: Long JA, Webster CS, Holliday T, et al. Latent safety threats and countermeasures in the operating theater: a national in situ simulation-base…

  18. Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. | PSNet

    psnet.ahrq.gov/issue/clinical-supervision-general-practice-training-interweaving-supervisor-trainee-and-patient
    October 13, 2021 - Study Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. Citation Text: Sturman N, Parker M, Jorm C. Clinical supervision in general practice training: the interw…

  19. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods
    November 04, 2020 - Study How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Citation Text: de Kam D, Kok J, Grit K, et al. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Health Policy (New York). 202…

  20. Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. | PSNet

    psnet.ahrq.gov/issue/unmasking-bias-artificial-intelligence-systematic-review-bias-detection-and-mitigation
    March 24, 2019 - Review Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. Citation Text: Chen F, Wang L, Hong J, et al. Unmasking bias in artificial intelligence: a systematic review of bias detection and m…
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