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psnet.ahrq.gov/issue/joint-commissions-ongoing-professional-practice-evaluation-process-costly-ineffective-and
July 01, 2017 - Study
The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture.
Citation Text:
Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice evaluation process: costly, ine…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-timeline-nw.pdf
June 19, 2015 - Recruitment Process Diagram Northwest
Draft H2N Recruitment Process Flow
June 19, 2015
Practice
completes
interest form
Interest form
is received in
H2N email
box
Recruiter sends an
email to practice
scheduling time for a
phone conversation,
provides some
additional information
about H2N via email…
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psnet.ahrq.gov/issue/inappropriate-dosing-direct-oral-anticoagulants-patients-atrial-fibrillation
August 04, 2021 - Study
Emerging Classic
Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation.
Citation Text:
Sugrue A, Sanborn D, Amin M, et al. Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. Am J Cardi…
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cdsic.ahrq.gov/cdsic/patient-centered-cds-postpartum-hypertension-monitor
September 28, 2022 - :
Skip to main content
HHS.gov
Menu
Main navigation
CDS Home
CDS Innovation Collaborative
An official website of the Department of Health & Human Services
…
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www.ahrq.gov/policy/electronic/plain-writing/index.html
July 01, 2025 - Plain Language at AHRQ
The Plain Writing Act of 2010 requires federal agencies to write clear Government communication that the public can understand and use. This page explains what plain language is and how the Agency for Healthcare Research and Quality (AHRQ) is implementing the Act.
What is Plain Language…
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psnet.ahrq.gov/issue/development-and-validation-brief-culture-safety-survey
May 26, 2021 - Study
Development and validation of a brief culture-of-safety survey.
Citation Text:
Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006.
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psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan
February 17, 2011 - Study
Classic
Improving patient safety in intensive care units in Michigan.
Citation Text:
Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09…
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psnet.ahrq.gov/issue/exploring-psychological-safety-healthcare-teams-inform-development-interventions-combining
March 18, 2020 - Study
Exploring psychological safety in healthcare teams to inform the development of interventions: combining observational, survey and interview data.
Citation Text:
O’Donovan R, McAuliffe E. Exploring psychological safety in healthcare teams to inform the development of interventions:…
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psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department
October 27, 2016 - Study
Adverse event and error of unexpected life-threatening events within 24h of emergency department admission.
Citation Text:
Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within 24hours of ED admission. Am J Emerg Med. 2017;35(3):479-…
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www.ahrq.gov/evidencenow/projects/index.html
November 01, 2024 - EvidenceNOW Projects
The EvidenceNOW initiative, one of AHRQ’s solutions for revitalizing the nation’s primary care system, uses a model of external support to help primary care practices implement the latest evidence into practice and improve their capacity for quality improvement. The EvidenceNOW model use…
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/home_toolkits.jsp
September 01, 2014 - Clinical Content Enhancement Toolkit
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates …
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psnet.ahrq.gov/issue/disclosing-and-reporting-practice-errors-nurses-residential-long-term-care-settings
April 02, 2015 - Review
Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review.
Citation Text:
Vaismoradi M, Vizcaya-Moreno F, Jordan S, et al. Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic r…
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psnet.ahrq.gov/issue/effects-rapid-response-systems-clinical-outcomes-systematic-review-and-meta-analysis
September 23, 2020 - Review
Classic
Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis.
Citation Text:
Ranji SR, Auerbach AD, Hurd CJ, et al. Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. J Hos…
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psnet.ahrq.gov/issue/how-can-regulatory-authorities-improve-safety-organizations-influencing-safety-culture
July 07, 2021 - Commentary
How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications.
Citation Text:
Nævestad T-O, Storesund Hesjevoll I, Elvik R. How can regulatory authorities improve safety in…
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psnet.ahrq.gov/issue/understanding-clinical-implications-resident-involvement-uncommon-operations
October 26, 2022 - Study
Understanding the clinical implications of resident involvement in uncommon operations.
Citation Text:
Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328. doi:10.1016/j…
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psnet.ahrq.gov/issue/patient-safety-begins-proper-planning-quantitative-method-improve-hospital-design
July 19, 2023 - Study
Patient safety begins with proper planning: a quantitative method to improve hospital design.
Citation Text:
Birnbach DJ, Nevo I, Scheinman SR, et al. Patient safety begins with proper planning: a quantitative method to improve hospital design. Qual Saf Health Care. 2010;19(5):46…
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digital.ahrq.gov/sites/default/files/docs/page/2006Lamer_052411comp.pdf
January 01, 2006 - Integrating Health Information Technology with Clinical Practice: Documenting Tobacco Cessation Interventions
Integrating Health Information
Technology with Clinical Practice:
Documenting Tobacco
Cessation Interventions
Christopher Lamer, PharmD, BCPS, NCPS, CDE
LCDR, U.S. Public Health Service
Patient Safet…
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psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital
December 23, 2020 - Study
Content analysis of nurses' reflections on medication errors in a regional hospital.
Citation Text:
Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.222043…
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psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
July 21, 2009 - Study
Patients use an internet technology to report when things go wrong.
Citation Text:
Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5.
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Format:
Google Scholar PubMe…
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psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and
September 24, 2018 - Study
Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT.
Citation Text:
McCreadie G, Oliver TB. Eight CT lessons that we learned the hard way: an analysis of current patterns of radiologic…