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digital.ahrq.gov/ahrq-funded-projects/facilitators-and-barriers-adoption-successful-urban-telemedicine-model/final-report
January 01, 2023 - (Persons using assistive technology may not be able to fully access information in this report.
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-health-record-identify-children-likely-suffer-last-minute/final-report
January 01, 2023 - (Persons using assistive technology may not be able to fully access information in this report.
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digital.ahrq.gov/ahrq-funded-projects/treating-comorbid-depression-during-care-transitions-relational-agents/final-report
January 01, 2023 - (Persons using assistive technology may not be able to fully access information in this report.
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digital.ahrq.gov/ahrq-funded-projects/open-act-tracking-health-care-team-response-ehr-asynchronous-alerts/final-report
January 01, 2023 - (Persons using assistive technology may not be able to fully access information in this report.
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digital.ahrq.gov/ahrq-funded-projects/santa-cruz-county-diabetes-mellitus-registry/final-report
January 01, 2023 - (Persons using assistive technology may not be able to fully access information in this report.
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digital.ahrq.gov/ahrq-funded-projects/improving-anxiety-detection-pediatrics-using-health-information-technology/final-report
January 01, 2023 - (Persons using assistive technology may not be able to fully access information in this report.
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digital.ahrq.gov/ahrq-funded-projects/enhancing-fulfillment-data-community-practices-clinical-care-and-research/final-report
January 01, 2023 - (Persons using assistive technology may not be able to fully access information in this report.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/clinician-survey-quality-improvement-best
January 01, 2023 - Clinician Survey on Quality Improvement, Best Practice Guidelines and Information Technology
(Persons
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psnet.ahrq.gov/node/43735/psn-pdf
January 20, 2015 - Patient safety is not elective: a debate at the NPSF Patient
Safety Congress.
January 20, 2015
McTiernan P, Wachter R, Meyer GS, et al. Patient safety is not elective: a debate at the NPSF Patient
Safety Congress. BMJ Qual Saf. 2015;24(2):162-6. doi:10.1136/bmjqs-2014-003429.
https://psnet.ahrq.gov/issue/patient-s…
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psnet.ahrq.gov/node/46741/psn-pdf
June 07, 2018 - Suffering in silence: medical error and its impact on
health care providers.
June 7, 2018
Robertson JJ, Long B. Suffering in Silence: Medical Error and its Impact on Health Care Providers. J
Emerg Med. 2018;54(4). doi:10.1016/j.jemermed.2017.12.001.
https://psnet.ahrq.gov/issue/suffering-silence-medical-error-and-…
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psnet.ahrq.gov/node/44099/psn-pdf
November 06, 2015 - 'Sorry, I meant the patient's left side': impact of
distraction on left-right discrimination.
November 6, 2015
McKinley J, Dempster M, Gormley GJ. 'Sorry, I meant the patient's left side': impact of distraction on left-
right discrimination. Med Educ. 2015;49(4):427-35. doi:10.1111/medu.12658.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/851664/psn-pdf
July 26, 2023 - Lessons for Work-Life Wellness in Academic Medicine:
Parts 1-3.
July 26, 2023
Kans J Med. 2023;16:153-171.
https://psnet.ahrq.gov/issue/lessons-work-life-wellness-academic-medicine-parts-1-3
The well-being of the healthcare workforce is known to impact care delivery. This article series draws from
front-line scen…
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psnet.ahrq.gov/node/33929/psn-pdf
June 23, 2015 - 40 years behind the mask: safety revisited.
June 23, 2015
Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology.
1996;84(4):965-975.
https://psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
In this article based on a special lecture delivered at the 1995 annua…
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psnet.ahrq.gov/node/45566/psn-pdf
October 19, 2016 - Partnership for Patients (PfP) Hospital Engagement
Network (HEN) 2.0 Final Report.
October 19, 2016
Chicago, IL: American Hospital Association and Health Research & Educational Trust; September 2016.
https://psnet.ahrq.gov/issue/partnership-patients-pfp-hospital-engagement-network-hen-20-final-report
The Partnersh…
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psnet.ahrq.gov/node/60913/psn-pdf
September 16, 2020 - Triggers contributing to health care clinicians' disruptive
behaviors.
September 16, 2020
Bae S-H, Dang D, Karlowicz KA, et al. Triggers contributing to health care clinicians' disruptive behaviors. J
Patient Saf. 2020;16(3):e148-e155. doi:10.1097/pts.0000000000000288.
https://psnet.ahrq.gov/issue/triggers-contrib…
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psnet.ahrq.gov/node/844053/psn-pdf
February 28, 2025 - Surveys on Patient Safety Culture Nursing Home Survey:
User Database Report.
February 28, 2025
Agency for Healthcare Research and Quality; 2011-2025.
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-nursing-home-survey-user-database-report
The AHRQ Surveys on Patient Safety Culture™(SOPS®) Nursing Home …
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psnet.ahrq.gov/node/44061/psn-pdf
November 16, 2015 - Quality improvement and patient safety organizations in
anesthesiology.
November 16, 2015
Dutton RP. Quality improvement and patient safety organizations in anesthesiology. AMA J Ethics.
2015;17(3):248-52. doi:10.1001/journalofethics.2015.17.3.pfor1-1503.
https://psnet.ahrq.gov/issue/quality-improvement-and-patien…
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psnet.ahrq.gov/node/33993/psn-pdf
March 02, 2011 - Improving patient care. My right knee.
March 2, 2011
Berwick DM. Improving patient care. My right knee. Ann Intern Med. 2005;142(2):121-5.
https://psnet.ahrq.gov/issue/improving-patient-care-my-right-knee
Dr. Donald Berwick writes this compelling piece as a personal reflection on the current deficiencies in
health…
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www.ahrq.gov/talkingquality/resources/design/index.html
September 01, 2019 - Tips on Designing a Health Care Quality Report for Consumers
It takes good design as well as good writing to create a clear and effective consumer report on quality. You can use design features to:
Attract and hold the attention of your intended audience.
Help readers find information of personal interest…
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psnet.ahrq.gov/node/46955/psn-pdf
May 30, 2018 - Governing the quality and safety of healthcare: a
conceptual framework.
May 30, 2018
Brown A, Dickinson H, Kelaher M. Governing the quality and safety of healthcare: A conceptual framework.
Soc Sci Med. 2018;202:99-107. doi:10.1016/j.socscimed.2018.02.020.
https://psnet.ahrq.gov/issue/governing-quality-and-safety-…