-
hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca11.pdf
May 01, 2004 - Race, Ethnicity, and Language Data Collection: Nuts and Bolts
Northwestern University Feinberg School of Medicine
Race, Ethnicity, and Language Data
Collection: Nuts and Bolts
Romana Hasnain-Wynia, PhD
Northwestern University,
Feinberg School of Medicine
GOAL
Collect accurate and reliable race and
et…
-
digital.ahrq.gov/sites/default/files/docs/citation/quality-performance-monitoring-data-collection-and-reporting-final-report.pdf
April 01, 2015 - Quality Performance Monitoring Data Collection and Reporting Final Report
Final Contract Report
Quality Performance Monitoring,
Data Collection, and Reporting
Report of Experiences From Primary Care Practices in
the Virginia Ambulatory Care Outcomes Network
Final Contract Report
Quality …
-
www.ahrq.gov/evidencenow/research-results/results/infographics/facilitator-strategies.html
January 01, 2023 - Strategies Used by Effective Practice Facilitators
Strategies Used by Effective Practice Facilitators (PDF, 544 KB)
Source: Sweeney SM, Baron A, Hall JD, et al. Effective Facilitator Strategies for Supporting Primary Care Practice Change: A Mixed Methods Study. The Annals of Family Medicine . Sep 2022, 2…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-section-7-tables-8-9.pdf
June 02, 2025 - CHIPRA 133: Section 7, Tables 8 and 9
Table 8
Quantile Percent in Poverty
Maximum 49.9%
99 37.5%
95 28.9%
90 25.7%
75 20.7%
50 16.5%
25 12.5%
10 10.0%
5 8.6%
1 6.1%
Minimum 2.9%
Ta…
-
psnet.ahrq.gov/node/73431/psn-pdf
June 23, 2021 - Drive to Deprescribe.
June 23, 2021
The Society for Post-Acute and Long-Term Care Medicine.
https://psnet.ahrq.gov/issue/drive-deprescribe
Polypharmacy is a known challenge to patient safety. This collective program encourages long-term care
organizations, physicians, and pharmacists to take part in a learning net…
-
psnet.ahrq.gov/node/37169/psn-pdf
October 06, 2011 - The safety journal: lessons learned with an error
reporting tool to stimulate systems thinking.
October 6, 2011
Singh R, Naughton B, Singh A, et al. The Safety Journal. J Patient Saf. 2007;3(3):135-141.
doi:10.1097/0b013e31814258db.
https://psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-s…
-
psnet.ahrq.gov/node/37694/psn-pdf
June 12, 2008 - Incidence, staff awareness and mortality of patients at
risk on general wards.
June 12, 2008
Fuhrmann L, Lippert A, Perner A, et al. Incidence, staff awareness and mortality of patients at risk on
general wards. Resuscitation. 2008;77(3):325-30. doi:10.1016/j.resuscitation.2008.01.009.
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/38126/psn-pdf
December 23, 2012 - The MacArthur Fellows Program: Peter Pronovost.
December 23, 2012
The John D. and Catherine T. MacArthur Foundation.
https://psnet.ahrq.gov/issue/macarthur-fellows-program-peter-pronovost
Through his work, Peter Pronovost, a critical care physician and professor at Johns Hopkins University
School of Medicine, has …
-
psnet.ahrq.gov/node/43435/psn-pdf
August 06, 2014 - Trail of medical missteps in a Peace Corps death.
August 6, 2014
Stolberg SG.
https://psnet.ahrq.gov/issue/trail-medical-missteps-peace-corps-death
Raising concerns about health care provided by the Peace Corps, this newspaper article outlines an
investigation into failures, such as cognitive biases and poor judgm…
-
psnet.ahrq.gov/node/36762/psn-pdf
August 10, 2011 - Weekend versus weekday admission and mortality from
myocardial infarction.
August 10, 2011
Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from
Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.
https://psnet.ahrq.gov/issue/week…
-
psnet.ahrq.gov/node/40936/psn-pdf
November 16, 2011 - Sir Karl Popper, swans, and the general practitioner.
November 16, 2011
Berghmans R, Schouten HC. Sir Karl Popper, swans, and the general practitioner. BMJ. 2011;343:d5469.
doi:10.1136/bmj.d5469.
https://psnet.ahrq.gov/issue/sir-karl-popper-swans-and-general-practitioner
This commentary describes a delayed diagnos…
-
psnet.ahrq.gov/node/36321/psn-pdf
October 26, 2010 - Ethical and practical aspects of disclosing adverse events
in the emergency department.
October 26, 2010
Stokes SL, Wu AW, Pronovost P. Ethical and practical aspects of disclosing adverse events in the
emergency department. Emerg Med Clin North Am. 2006;24(3):703-714.
https://psnet.ahrq.gov/issue/ethical-and-pract…
-
psnet.ahrq.gov/node/42665/psn-pdf
October 16, 2013 - The consequences of the hindsight bias in medical
decision making.
October 16, 2013
Arkes HR. The Consequences of the Hindsight Bias in Medical Decision Making. Curr Direct Psychol Sci.
2013;22(5):356-360. doi:10.1177/0963721413489988.
https://psnet.ahrq.gov/issue/consequences-hindsight-bias-medical-decision-makin…
-
psnet.ahrq.gov/node/37806/psn-pdf
July 14, 2010 - Impact of patient safety mandates on medical education
in the United States.
July 14, 2010
Kane JM, Brannen ML, Kern E. Impact of Patient Safety Mandates on Medical Education in the United
States. J Patient Saf. 2008;4(2):93-97. doi:10.1097/pts.0b013e318173f7b5.
https://psnet.ahrq.gov/issue/impact-patient-safety-m…
-
psnet.ahrq.gov/node/41809/psn-pdf
February 28, 2018 - Zebra in the intensive care unit: a metacognitive reflection
on misdiagnosis.
February 28, 2018
Gillon SA, Radford ST. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Crit
Care Resusc. 2012;14(3):216-20.
https://psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-m…
-
psnet.ahrq.gov/node/39854/psn-pdf
September 15, 2010 - Medical Malpractice and Errors.
September 15, 2010
Health Aff (Millwood). 2010;29(9):1564-1619.
https://psnet.ahrq.gov/issue/medical-malpractice-and-errors
Articles in this special issue cover liability costs and defensive medicine, the gap in understanding
diagnostic error, and the need for effective patient safe…
-
psnet.ahrq.gov/node/867649/psn-pdf
January 01, 2015 - Improving Pain Management for Hospitalized Medical
Patients.
January 1, 2015
Society of Hospital Medicine. Improving Pain Management for Hospitalized Medical Patients.
https://psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients
Pain management presents complex patient safety concerns. Info…
-
psnet.ahrq.gov/node/50668/psn-pdf
November 13, 2019 - Case Study Webinar Series on Clinician Burnout: The
Ohio State University
November 13, 2019
NAM Action Collaborative on Clinician Well-Being and Resilience. Case Study Webinar Series on Clinician
Burnout: The Ohio State University. National Academies of Medicine.
https://psnet.ahrq.gov/issue/case-study-webinar-ser…
-
psnet.ahrq.gov/node/837708/psn-pdf
July 20, 2022 - Without question.
July 20, 2022
Liebowitz J. Without Question. N Engl J Med. 2022;386(26):2456-2457. doi:10.1056/nejmp2204361.
https://psnet.ahrq.gov/issue/without-question
Diagnostic errors caused by premature closure and anchoring bias occur when clinicians rely on initial
diagnosis despite receiving subsequent …
-
psnet.ahrq.gov/node/45287/psn-pdf
August 03, 2016 - Mistakes We Make in Dialysis.
August 3, 2016
Rodby RA, Perazella MA, eds. Semin Dial. 2016;29(4):253-328.
https://psnet.ahrq.gov/issue/mistakes-we-make-dialysis
Insufficient application of new evidence to inform treatment decisions can hinder safe care delivery. Articles
in this special issue explore common renal …