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  1. psnet.ahrq.gov/issue/physicians-and-cognitive-decline-challenge-state-medical-boards
    July 29, 2020 - Commentary Physicians and cognitive decline: a challenge for state medical boards. Citation Text: Hoffman S. Physicians and cognitive decline: a challenge for state medical boards. J Med Regulation. 2022;108(2):19-28. doi:10.30770/2572-1852-108.2.19. Copy Citation Format: D…
  2. psnet.ahrq.gov/issue/improving-teamwork-impact-structured-interdisciplinary-rounds-medical-teaching-unit
    December 21, 2014 - Study Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. Citation Text: O'Leary KJ, Wayne DB, Haviley C, et al. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826-32. do…
  3. psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors
    November 06, 2013 - Commentary The CARE approach to reducing diagnostic errors. Citation Text: Rush JL, Helms SE, Mostow EN. The CARE approach to reducing diagnostic errors. Int J Dermatol. 2017;56(6):669-673. doi:10.1111/ijd.13532. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…
  4. psnet.ahrq.gov/issue/fall-prevention-hospitals-integrative-review
    November 03, 2021 - Review Fall prevention in hospitals: an integrative review. Citation Text: Spoelstra SL, Given BA, Given CW. Fall Prevention in Hospitals. Clin Nurs Res. 2011;21(1). doi:10.1177/1054773811418106. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…
  5. psnet.ahrq.gov/issue/language-barriers-and-understanding-hospital-discharge-instructions
    July 07, 2010 - Study Language barriers and understanding of hospital discharge instructions. Citation Text: Karliner LS, Auerbach AD, Nápoles A, et al. Language barriers and understanding of hospital discharge instructions. Med Care. 2012;50(4):283-9. doi:10.1097/MLR.0b013e318249c949. Copy Citation…
  6. psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
    January 12, 2022 - Commentary Will human factors restore faith in the GMC? Citation Text: Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
  7. psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-provisions-and-potential-opportunities
    February 15, 2011 - Commentary The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities. Citation Text: Liang BA, Riley W, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005: Provisions and Potential Opportunities. American Journal of Medical …
  8. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-intro-qi.pdf
    June 02, 2025 - Job Aid: Introduction to Quality Improvement Primary Care Practice Facilitator Training Series 1 Job Aid: Introduction to Quality Improvement Quality Improvement (QI) Basics The QI Process You will be helping practices to:  Identify areas for improvement.  Set goals.  Develop a plan that…
  9. psnet.ahrq.gov/issue/framework-patient-safety-research-and-improvement
    May 20, 2009 - Commentary Framework for patient safety research and improvement. Citation Text: Pronovost P, Goeschel CA, Marsteller JA, et al. Framework for patient safety research and improvement. Circulation. 2009;119(2):330-7. doi:10.1161/CIRCULATIONAHA.107.729848. Copy Citation Format: …
  10. www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
    May 01, 2023 - Tool: Two-Challenge Rule The Two-Challenge Rule is another tool used to facilitate team members' speaking up. It was developed to manage conflict when team members’ perception of a situation differs. Human factor experts developed the rule to help airline captains prevent disasters when otherwise excellent deci…
  11. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/131-what-are-the-4-es-one-pager.docx
    May 24, 2024 - The aim is to Engage hearts and minds and thus, change attitudes and behaviors.1-6 Raise awareness of the problem, communicate benefits of the solution, and lay out the goals for the intervention. · Use unit data, published literature, and national benchmarks. Storytelling is an underrated tool. Engagement is not a on…
  12. psnet.ahrq.gov/issue/zero-suicide-initiative
    July 03, 2013 - Grant Announcement Zero Suicide Initiative. Citation Text: Zero Suicide Initiative. Office of the Federal Register, National Archives and Records Administration. Fed Register. November 3, 2021;(86):60883-60893. Copy Citation Save Save to your library Print…
  13. psnet.ahrq.gov/issue/perceptions-preventable-medical-errors-alberta-canada
    January 21, 2019 - Study Perceptions of preventable medical errors in Alberta, Canada. Citation Text: Northcott H, Vanderheyden L, Northcott J, et al. Perceptions of preventable medical errors in Alberta, Canada. Int J Qual Health Care. 2007;20(2):115-122. doi:10.1093/intqhc/mzm067. Copy Citation F…
  14. www.ahrq.gov/gam/summaries/domain-framework/index.html
    July 01, 2018 - NQMC Measure Domain Framework The National Quality Measures Clearinghouse (NQMC) was a database of measures meeting specific criteria for inclusion. Measures in NQMC were classified into domains according to the domain framework below. There are many dimensions of performance related to clinical health care d…
  15. psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
    October 09, 2024 - Review Pay-for-performance and patient safety in acute care: a systematic review. Citation Text: Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. …
  16. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyapc.html
    July 01, 2018 - Guide to Patient and Family Engagement Appendix C: List of Web Sites Reviewed Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References App…
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-shaller-intro.pdf
    January 01, 2017 - CAHPS Elicitation Protocol Webcast Introducing a Protocol To Obtain Patient Comments Using the CAHPS Clinician & Group Survey A Webcast Presented by the AHRQ CAHPS User Network January 26, 2017 1:00 – 2:00 pm EST www.ahrq.gov/cahps CAHPS Webcast Series • Consumer Assessment of Healthcare Providers and System…
  18. psnet.ahrq.gov/issue/new-legal-protections-reporting-patient-errors-under-patient-safety-and-quality-improvement
    November 16, 2022 - Review New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis. Citation Text: Howard J, Levy F, Mareiniss DP, et al. New legal protections for reporting patient errors under the Patient Sa…
  19. psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy
    July 24, 2024 - Commentary Alarm fatigue: use of an evidence-based alarm management strategy. Citation Text: Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223. Copy Citation Format: DOI Google Scholar BibTeX EndNote …
  20. psnet.ahrq.gov/issue/some-cancer-experts-see-overdiagnosis-question-emphasis-early-detection
    June 19, 2019 - Newspaper/Magazine Article Some cancer experts see 'overdiagnosis,' question emphasis on early detection. Citation Text: Linos E, Schroeder SA, Chren M-M. Potential Overdiagnosis of Basal Cell Carcinoma in Older Patients With Limited Life Expectancy. JAMA. 2014;312(10). doi:10.1001/jama.…