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  1. 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. Copy Citation Save Save to your library Print Download PDF Sh…
  2. 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. Copy Citati…
  3. 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. Cop…
  4. 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…
  5. 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)…
  6. 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. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  7. 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…
  8. 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 …
  9. 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 Copy Citation Save Save to your library Print Download PDF …
  10. 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…
  11. 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…
  12. 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. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  13. 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…
  14. 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. Copy Citation Save Save to your library Print Download PDF Share …
  15. 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.…
  16. 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…
  17. 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. Copy Citation Save…
  18. 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…
  19. 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 …
  20. 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 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …