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psnet.ahrq.gov/issue/restorative-just-culture-exploration-enabling-conditions-successful-implementation
February 08, 2023 - Study
Restorative just culture: an exploration of the enabling conditions for successful implementation.
Citation Text:
Boskeljon-Horst L, Steinmetz V, Dekker SWA. Restorative just culture: an exploration of the enabling conditions for successful implementation. Healthcare (Basel). 2024;…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/folic-acid-suppl-draft-rec-bulletin.pdf
March 20, 2023 - Task Forces Issues Draft Recommendation Statement on Folic Acid Supplementation to Prevent Neural Tube Defects
www.uspreventiveservicestaskforce.org 1
Task Force Issues Draft Recommendation Statement on
Folic Acid Supplementation to Prevent Neural Tube Defects
Taking folic acid before and during early…
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psnet.ahrq.gov/issue/textbook-rapid-response-systems-concept-and-implementation
September 30, 2010 - Book/Report
Textbook of Rapid Response Systems: Concept and Implementation.
Citation Text:
Textbook Of Rapid Response Systems: Concept And Implementation. (DeVita MA, ed.). Springer; 2025. ISBN 9783031679513.
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digital.ahrq.gov/2018-year-review/research-summary/simple-mobile-application-key-patient-engagement-reporting-and
January 01, 2018 - A Simple Mobile Application is Key to Patient Engagement in Reporting and Monitoring of Asthma Symptoms
Key Finding and Impact:
A simple app, designed with input from patients, resulted in 92 percent of patients continuing to report their asthma outcomes at the end of the study. A tool like this simple app ma…
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psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
November 18, 2016 - Study
Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021.
Citation Text:
Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. J Patient…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/latent-tb-screening-final-rec-bulletin.pdf
May 02, 2023 - Task Force Issues Final Recommendation Statement on Screening for Latent Tuberculosis Infection
www.uspreventiveservicestaskforce.org 1
Task Force Issues Final Recommendation Statement on
Screening for Latent Tuberculosis Infection
Adults at increased risk for tuberculosis should be screened
WASHINGTON,…
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psnet.ahrq.gov/issue/patients-role-patient-safety
May 01, 2024 - Review
The patient's role in patient safety.
Citation Text:
Corina I, Abram M, Halperin D. The patient's role in patient safety. Obstet Gynecol Clin North Am. 2019;46(2):215-225. doi:10.1016/j.ogc.2019.01.004.
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/latent-tbi-screening-adults-draft-rec-bulletin.pdf
December 27, 2022 - Task Force Issues Draft Recommendation Statement on Screening for Latent Tuberculosis Infection
www.uspreventiveservicestaskforce.org 1
Grade in this recommendation:
B: Recommended.
Learn more here
Task Force Issues Draft Recommendation Statement on
Screening for Latent Tuberculosis Infection
Peo…
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psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical
June 01, 2022 - Study
Health information technology-related wrong-patient errors: context is critical.
Citation Text:
Health information technology-related wrong-patient errors: context is critical. Kim T, Howe J, Franklin E, et al. Patient Safety. 2020;2(4):40–57.
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digital.ahrq.gov/ahrq-funded-projects/interoperable-reusable-and-scalable-shared-decision-aid-navigator-system
August 31, 2025 - An Interoperable, Reusable, and Scalable Shared Decision Aid Navigator System: Supporting the 5 Rights of Patient Shared Decision Making
Project Description
Using interoperable standards to create a reusable, sharable, and scalable system for patient shared decision aids has th…
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psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa
November 18, 2015 - Book/Report
Classic
The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA.
Citation Text:
The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Vaughan D. Chicago, IL: University of Chicago Press; 1996. ISBN…
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integrationacademy.ahrq.gov/news-and-events/news/us-overdose-deaths-drop-significantly
September 23, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
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Integrating Behavioral Health & Primary Care
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psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns
March 04, 2020 - Study
Finding blunders in thyroid testing: experience in newborns.
Citation Text:
Zilka LJ, Lott JA, Baker LC, et al. Finding blunders in thyroid testing: experience in newborns. J Clin Lab Anal. 2008;22(4):254-6. doi:10.1002/jcla.20247.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/brownbridge-g-et-al
January 01, 2023 - Brownbridge G et al. 1986 "An interactive computerized protocol for the management of hypertension: effects on the general-practitioner's clinical behavior."
Reference
Brownbridge G, Evans A, Fitter M, et al. An interactive computerized protocol for the management of hypertension: effects on the gener…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/berghout-rm-et-al-2007
January 01, 2007 - Berghout RM et al. 2007 "Evaluation of general practitioner's time investment during a store-and-forward teledermatology consultation."
Reference
Berghout RM, Eminovic N, de Keizer NF, et al. Evaluation of general practitioner's time investment during a store-and-forward teledermatology consultation. …
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psnet.ahrq.gov/issue/errors-medicine-punishment-versus-learning-medical-adverse-events-revisited-expanding-frame
August 24, 2022 - Review
Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame.
Citation Text:
Brattebø G, Flaatten HK. Errors in medicine: punishment versus learning medical adverse events revisited – expanding the frame. Curr Opin Anaesthesiol. 2023;36(2):…
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psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcements-understand-and-improve-diagnostic
August 15, 2018 - Press Release/Announcement
Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care.
Citation Text:
Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory …
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psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors
June 15, 2022 - Review
A safety maturity model for technology-induced errors.
Citation Text:
Borycki EM, Kushniruk AW. A safety maturity model for technology-induced errors. Stud Health Technol Inform. 2022;289:447-451. doi:10.3233/shti210954.
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psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
December 12, 2018 - Newspaper/Magazine Article
IV push medications survey results—part 1 and part 2.
Citation Text:
IV push medications survey results—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5.
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psnet.ahrq.gov/issue/disclosing-medical-errors-prioritising-needs-patients-and-families
November 11, 2020 - Commentary
Disclosing medical errors: prioritising the needs of patients and families.
Citation Text:
Gallagher TH, Hemmelgarn C, Benjamin EM. Disclosing medical errors: prioritising the needs of patients and families. BMJ Qual Saf. 2023;32(10):557-561. doi:10.1136/bmjqs-2022-015880.
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