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psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
November 10, 2017 - Book/Report
Classic
Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition.
Citation Text:
Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. Dekker S. Boca Raton, FL: CRC Press; 2017. ISBN: 978147…
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digital.ahrq.gov/health-care-theme/medication
January 01, 2023 - Medication
Sponsored Health IT and Evidence-Based Prescribing Among Medical Residents
Description
This project evaluated SMARxT, web-based education modules designed to teach resident physicians how to effectively navigate and counteract pharmaceutical-sponsored messaging with…
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digital.ahrq.gov/health-care-theme/provider-burden
January 01, 2023 - Provider Burden
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation of a…
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psnet.ahrq.gov/issue/human-factors-healthcare
May 01, 2013 - Special or Theme Issue
Human Factors In Healthcare.
Citation Text:
Human Factors In Healthcare. Keebler JR, Salas E, Rosen MA, et al. eds. Hum Factors. 2022;64(1):5-258.
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psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
February 03, 2021 - Commentary
Beyond FMEA: the structured what-if technique (SWIFT).
Citation Text:
Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101.
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psnet.ahrq.gov/issue/wrong-site-sinus-surgery-otolaryngology
July 30, 2014 - Study
Wrong-site sinus surgery in otolaryngology.
Citation Text:
Shah RK, Nussenbaum B, Kienstra M, et al. Wrong-site sinus surgery in otolaryngology. Otolaryngol Head Neck Surg. 2010;143(1):37-41. doi:10.1016/j.otohns.2010.04.003.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chen-c-et-al-2009
January 01, 2009 - Chen C et al. 2009 "The Kaiser Permanente Electronic Health Record: transforming and streamlining modalities of care."
Reference
Chen C, Garrido T, Chock D, et al. The Kaiser Permanente electronic health record: transforming and streamlining modalities of care. Health Aff 2009;28(2):323-333.
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digital.ahrq.gov/snomed-ct
January 01, 2023 - Persons with disabilities having difficulty accessing this information should contact us at: https:/
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psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
July 12, 2017 - Book/Report
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era.
Citation Text:
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Imp…
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psnet.ahrq.gov/issue/evaluation-electronic-dosing-calculator-reduce-pediatric-medication-errors
April 24, 2018 - Study
Evaluation of an electronic dosing calculator to reduce pediatric medication errors.
Citation Text:
Murray B, Streitz MJ, Hilliard M, et al. Evaluation of an Electronic Dosing Calculator to Reduce Pediatric Medication Errors. Clin Pediatr (Phila). 2019;58(4):413-416. doi:10.1177/00…
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www.ahrq.gov/cpi/about/otherwebsites/clinical-decision-support/index.html
November 01, 2024 - Clinical Decision Support
Clinical decision support provides timely information, usually at the point of care, to help inform decisions about a patient's care. Clinical decision support can effectively improve patient outcomes and lead to higher-quality health care.
Clinical decision support (CDS) provides ti…
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digital.ahrq.gov/ahrq-funded-projects/virtual-reality-point-care-increase-uptake-medications-opioid-use-disorder
September 30, 2023 - comprising expertise in OUD care and research, patient decision making, VR development and design, and persons
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www.ahrq.gov/cahps/surveys-guidance/dental/about/survey-measures.html
April 01, 2018 - CAHPS Dental Plan Survey Measures
For more information: Patient Experience Measures for the CAHPS Dental Plan Survey (PDF, 614 KB)
Care From Dentists and Staff
Q6 How often did your regular dentist explain things in a way that was easy to understand?
Q7 How often did your regular dentis…
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psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-through-eyes-patients-and-their-care
August 16, 2016 - Book/Report
How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners.
Citation Text:
How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Jefs L, Kuluski K, MacLaurin A, e…
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pso.ahrq.gov/resources/act
August 01, 2022 - SHARE:
More topics in this section
Resources
Resources
Resources About the Patient Safety and Quality Improvement Act of 2005
Patient Safety Act
Patient Safety Rule
HHS Guidance
Guides
Other Educational Materials
…
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psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation
October 27, 2021 - Commentary
Innovation in safety, and safety in innovation.
Citation Text:
Eisenberg D, Wren SM. Innovation in safety, and safety in innovation. JAMA Surg. 2014;149(1):7-9. doi:10.1001/jamasurg.2013.5112.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/crosson-jc
January 01, 2023 - Crosson JC et al. 2007 "Variation in electronic prescribing implementation among twelve ambulatory practices."
Reference
Crosson JC, Isaacson N, Lancaster D, et al. Variation in electronic prescribing implementation among twelve ambulatory practices. J Gen Intern Med 2007;23(4):364-371.
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digital.ahrq.gov/medical-condition/osteoporosis
January 01, 2023 - Osteoporosis
Identification of Patients with Low Life Expectancy - Final Report
Citation
Turchin A. Identification of Patients with Low Life Expectancy - Final Report. (Prepared by Cincinnati Children's Hospital Medical Center under Grant No. R21 HS024977). Rockville, MD: Agen…
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psnet.ahrq.gov/issue/accelerating-what-works-using-qualitative-research-methods-developing-change-package-learning
November 25, 2009 - Commentary
Accelerating what works: using qualitative research methods in developing a change package for a learning collaborative.
Citation Text:
Sorensen A, Bernard SL. Accelerating what works: using qualitative research methods in developing a change package for a learning collaborati…
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - implicit bias involves associations outside conscious awareness that lead to a negative evaluation of a person … Routine serologic testing is not recommended to assess for immunity in either unvaccinated persons or … persons who have received currently available COVID-19 vaccines because a positive antibody test for