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www.ahrq.gov/news/newsroom/case-studies/201906.html
November 01, 2019 - AHRQ Tools Improve Care, Safety for St. Luke’s University Health Network Obstetric Patients
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November 2019
St. Luke’s University Health Network—a non-profit, integrated network providing services at nine hospitals and more than 300 sites in Pennsylvania and New Jersey—is improv…
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cdsic.ahrq.gov/cdsic/workflow-execution-publication-resource
June 22, 2024 - :
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cdsic.ahrq.gov/cdsic/horizon-scan-resource
May 09, 2022 - :
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digital.ahrq.gov/program-overview/research-reports/2023-year-review/research-spotlight
January 01, 2023 - Research Spotlight
Going the Last Mile: Bringing Evidence to Bear on Healthcare AI Practice and Policy At Digital Healthcare Research (DHR), the core of our work is research. The projects we fund close critical gaps in evidence about how digital healthcare technologies work in the real world…
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cdsic.ahrq.gov/cdsic/integrating-patient-engagement-app
December 14, 2022 - :
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/self-assessment-checklist
August 01, 2025 - An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative
June 15, 2022 - Study
Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals.
Citation Text:
Serou N, Husband AK, Forrest SP, et al. Support for healthcare professionals after surgical patient safety incidents: a qualitative …
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www.ahrq.gov/evidencenow/projects/heart-health/index.html
March 01, 2024 - Advancing Heart Health
An AHRQ Initiative
The Problem
The Nation's primary care practices have been challenged in recent decades by fragmentation of the healthcare system, a lack of resources to meet patient needs, and limited access to an infrastructure to support quality improvement (QI). As a result, m…
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psnet.ahrq.gov/issue/hospital-cultural-competency-and-attributes-patient-safety-culture-study-us-hospitals
October 20, 2021 - Study
Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals.
Citation Text:
Upadhyay S, Stephenson AL, Weech-Maldonado R, et al. Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals. J Patient Saf. 202…
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psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team
February 12, 2020 - Study
Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards.
Citation Text:
Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” …
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psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety
March 13, 2013 - Commentary
Classic
Balancing "no blame" with accountability in patient safety.
Citation Text:
Wachter R, Pronovost P. Balancing "no blame" with accountability in patient safety. New Engl J Med. 2009;361(14):1401-1406. doi:10.1056/NEJMsb0903885.
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psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
February 10, 2011 - Study
Classic
Incident reporting system does not detect adverse drug events: a problem for quality improvement.
Citation Text:
Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events: a problem for quality improvem…
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psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic
July 29, 2020 - Study
Classic
Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study.
Citation Text:
Srigley JA, Furness CD, Baker R, et al. Quantification of the Hawthorne effect in hand …
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psnet.ahrq.gov/issue/effective-implementation-work-hour-limits-and-systemic-improvements
September 28, 2010 - Study
Classic
Effective implementation of work-hour limits and systemic improvements.
Citation Text:
Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl…
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psnet.ahrq.gov/issue/understanding-enablers-and-barriers-implementing-patient-led-escalation-system-qualitative
January 18, 2023 - Study
Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study.
Citation Text:
Sutton E, Ibrahim M, Plath W, et al. Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. BMJ Qual S…
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psnet.ahrq.gov/issue/hospital-nurses-and-physicians-experiences-practicing-patient-safety-work-recognize
October 20, 2021 - Study
Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study.
Citation Text:
Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…
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psnet.ahrq.gov/issue/evaluating-alert-fatigue-over-time-ehr-based-clinical-trial-alerts-findings-randomized
April 29, 2018 - Study
Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study.
Citation Text:
Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. J Am Med Inform…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/home_race.jsp
September 01, 2014 - Race and Ethnicity Data Improvement Toolkit
An official website of the Department of Health & Human Services
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digital.ahrq.gov/ahrq-funded-projects/nicu-2-home-using-hit-support-parents-nicu-graduates-transitioning-home/annual-summary/2012
January 01, 2012 - NICU-2-HOME: Using Health IT to Support Parents of NICU Graduates Transitioning to Home - 2012
Project Name
NICU-2-HOME: Using Health IT to Support Parents of NICU Graduates Transitioning to Home
Principal Investigator
Garfield, Craig F.
Organization
Northwestern University
…
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psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals
March 02, 2022 - Study
Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety.
Citation Text:
Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting and learning systems i…