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psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-2014-november-2015
July 08, 2021 - Book/Report
NHS Safety Thermometer Reports.
Citation Text:
NHS Safety Thermometer Reports. Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. 2012-2017.
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psnet.ahrq.gov/issue/framework-effective-board-governance-health-system-quality
January 20, 2016 - Book/Report
Framework for Effective Board Governance of Health System Quality.
Citation Text:
Framework for Effective Board Governance of Health System Quality. Daley Ullem E, Gandhi TK, Mate K, et al. IHI White Paper. Boston, MA: Institute for Healthcare Improvement; 2018.
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psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion
August 13, 2010 - Commentary
Perinatal patient safety from the perspective of nurse executives: a round table discussion.
Citation Text:
Perinatal patient safety from the perspective of nurse executives: a round table discussion. Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J.
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www.ahrq.gov/diagnostic-safety/research/grants-2019.html
March 01, 2024 - Diagnostic Safety Grants Awarded in FY 2019
Congress authorized $2 million in fiscal year 2019 for AHRQ to initiate a research agenda to understand and solve the problem of diagnostic errors. In 2019, AHRQ awarded the four grants below that will more precisely define the scope of diagnostic errors.
Utility o…
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psnet.ahrq.gov/issue/human-performance-breakdowns-are-rarely-accidents-they-are-usually-very-poor-choices
September 12, 2016 - Commentary
Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results.
Citation Text:
Besco RO. Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. J Hazard Mater. 2004;115(1-3)…
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psnet.ahrq.gov/issue/safety-subject-science
January 16, 2017 - Commentary
Is safety a subject for science?
Citation Text:
Hollnagel E. Is safety a subject for science? Safety Sci. 2013;67:21-24. doi:10.1016/j.ssci.2013.07.025.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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digital.ahrq.gov/location/usa-ca-san-francisco
January 01, 2023 - USA, CA, San Francisco
Engaging Diverse Patients in Health Information Technology Use
Description
This is a questionnaire designed to be completed by individuals with chronic care needs in patient homes. The tool includes questions to assess the current state of patient portal…
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digital.ahrq.gov/health-care-theme/meaningful-use
January 01, 2023 - Meaningful Use
Impact of Meaningful Use on Clinical Workflow in Emergency Departments
Description
This research investigated how electronic health record use affected clinical workflow, efficiency, and quality of care in the emergency department, and developed recommendations …
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psnet.ahrq.gov/issue/patient-safety-indicators-overview
December 24, 2008 - Measurement Tool/Indicator
Classic
Patient Safety Indicators Overview.
Citation Text:
Patient Safety Indicators Overview. Agency for Healthcare Research and Quality
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psnet.ahrq.gov/patient-safety-101
March 26, 2025 - Patient Safety 101: The Fundamentals
What is Patient Safety?
The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…
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psnet.ahrq.gov/issue/national-priorities-and-goals-aligning-our-efforts-transform-americas-healthcare
March 23, 2012 - Book/Report
National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare.
Citation Text:
National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare. National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 19…
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psnet.ahrq.gov/issue/care-we-need
March 25, 2020 - Book/Report
The Care We Need
Citation Text:
The Care We Need Washington DC: National Quality Forum; 2020.
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digital.ahrq.gov/location/usa-sc-charleston
January 01, 2023 - USA, SC, Charleston
Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach
Description
This research aims to examine a health system’s four telehealt…
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psnet.ahrq.gov/issue/safe-practices-better-healthcare-2006-update
September 06, 2011 - Book/Report
Safe Practices for Better Healthcare: 2006 Update.
Citation Text:
Safe Practices for Better Healthcare: 2006 Update. Washington DC: National Quality Forum; 2007.
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psnet.ahrq.gov/issue/20-years-after-err-human-leapfrog-hospital-safety-grades-prove-transparency-can-save-lives
December 11, 2019 - Press Release/Announcement
20 Years After “To Err is Human”, Leapfrog Hospital Safety Grades Prove Transparency Can Save Lives.
Citation Text:
20 Years After “To Err is Human”, Leapfrog Hospital Safety Grades Prove Transparency Can Save Lives. Washington DC; National Quality Forum: 2019.…
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www.ahrq.gov/talkingquality/resources/podcasts-webinars.html
December 01, 2022 - Presentations on Health Care Quality Reporting Topics
Plug-In & Multimedia Help
Podcasts
How Social Media Can Draw Visitors to a Quality Report
Barbara Lambiaso and Lauren Piccolo from Massachusetts Health Quality Partners (MHQP) talk about how MHQP uses social media to promote awareness and use of comp…
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety
November 27, 2018 - Book/Report
Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety.
Citation Text:
Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety. Oakbrook Terrace, IL: Joint Commission.
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www.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
January 01, 2021 - Grants to Enable Diagnostic Excellence
Congress authorized $2 million in fiscal year 2019 for AHRQ to initiate a research agenda to understand and solve the problem of diagnostic errors. In 2019, AHRQ awarded the four grants below that will more precisely define the scope of diagnostic errors.
Utility of Pre…
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www.ahrq.gov/research/findings/final-reports/ptmgmt/introduction.html
July 01, 2018 - Patient Self-Management Support Programs: An Evaluation
Introduction and Purpose
Previous Page Next Page
Table of Contents
Patient Self-Management Support Programs: An Evaluation
Acknowledgments
Introduction and Purpose
Summary
Background
Methodology
Design Options for a Self-Management …
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexecsum.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …