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psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
April 23, 2014 - Commentary
How a series of errors led to recurrent hypoglycemia.
Citation Text:
Singh R. How a series of errors led to recurrent hypoglycemia. J Fam Pract. 2006;55(6):489-97.
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psnet.ahrq.gov/issue/when-my-father-died
July 01, 2011 - Commentary
When my father died.
Citation Text:
Van Spall HGC. When my father died. Ann Intern Med. 2007;146(12):893-894.
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psnet.ahrq.gov/issue/can-high-tech-save-your-life
August 07, 2024 - Newspaper/Magazine Article
Wired hospitals: can high tech save your life?
Citation Text:
Fischman J. Wired hospitals: can high tech save your life? U.S. news & world report. 2005;139(4):44-5, 49-50, 52.
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psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-industry
January 13, 2021 - Book/Report
Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry.
Citation Text:
Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Rockville, MD: Center for Drug Evaluation and Research, US Food and Dru…
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meps.ahrq.gov/survey_comp/overall_p14.shtml
MEPS Context/Flow Specifications for the Overall CAPI Instrument - Panel 14 (2009-2010)
Context/Flow Specifications for the Overall
CAPI Instrument
MEPS-Household Component: Panel 14 (2009-2010)
Consolidated Instrument
Context: System
Ask IDSCREEN: {Collect caseid}
Context: R…
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meps.ahrq.gov/survey_comp/overall_p13.shtml
MEPS Context/Flow Specifications for the Overall CAPI Instrument - Panel 13 (2008-2009)
Context/Flow Specifications for the Overall
CAPI Instrument
MEPS-Household Component: Panel 13 (2008-2009)
Consolidated Instrument
Context: System
Ask IDSCREEN: {Collect caseid}
Context: RU…
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meps.ahrq.gov/survey_comp/overall_p13.pdf
September 17, 2024 - Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 13 (2008-2009) Consolidated Instrument
Context/Flow Specifications for the Overall CAPI Instrument MEPS-
Household Component: Panel 13 (2008-2009)
Consolidated Instrument
Context: System
Ask IDSCREEN: {Collect caseid} …
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meps.ahrq.gov/survey_comp/overall_p16.pdf
September 17, 2024 - Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 16 (2011-2012) Consolidated Instrument
Context/Flow Specifications for the Overall CAPI Instrument MEPS-
Household Component: Panel 16 (2011-2012)
Consolidated Instrument
Context: System
Ask IDSCREEN: {Collect ca…
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meps.ahrq.gov/survey_comp/overall_p14.pdf
September 17, 2024 - Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 14 (2009-2010) Consolidated Instrument
Context/Flow Specifications for the Overall CAPI Instrument MEPS-
Household Component: Panel 14 (2009-2010)
Consolidated Instrument
Context: System
Ask IDSCREEN: {Collect…
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meps.ahrq.gov/survey_comp/overall_p16.shtml
MEPS Context/Flow Specifications for the Overall CAPI Instrument MEPS-HC: Panel 16 (2011-2012)
Context/Flow Specifications for the Overall CAPI Instrument
MEPS-Household Component: Panel 16 (2011-2012)
Consolidated Instrument
Context: System
Ask IDSCREEN: {Collect caseid}
Context:…
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meps.ahrq.gov/survey_comp/overall_p15.pdf
September 17, 2024 - Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 15 (2010-2011) Consolidated Instrument
…
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meps.ahrq.gov/survey_comp/overall_p15.shtml
MEPS Context/Flow Specifications for the Overall CAPI Instrument - Panel 15 (2010-2011)
Context/Flow Specifications for the Overall CAPI Instrument
MEPS-Household Component: Panel 15 (2010-2011)
Consolidated Instrument
Context: System
Ask IDSCREEN: {Collect caseid}
Context: RU
…
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www.ahrq.gov/patient-safety/news-events/psaw-2022/index.html
December 01, 2024 - Patient Safety Awareness Week 2022
AHRQ and colleagues from the U.S. Department of Health and Human Services, the Health Resources and Services Administration, the Institute for Healthcare Improvement, and the entire patient safety community are collaborating to observe Patient Safety Awareness Week. While AHR…
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www.ahrq.gov/news/newsroom/case-studies/201701.html
March 01, 2017 - New Jersey Hospital Uses AHRQ Toolkit To Reduce Urinary Tract Infections
Search All Impact Case Studies
March 2017
Meadowlands Hospital Medical Center in Secaucus, New Jersey, used AHRQ’s " Toolkit for Reducing CAUTI in Hospitals " to increase staff knowledge about catheter-associated urinary tract infectio…
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www.ahrq.gov/sops/surveys/hospital/index.html
March 01, 2025 - SOPS Hospital Survey
In 2004, the Agency for Healthcare Research and Quality (AHRQ) released the Surveys on Patient Safety Culture® (SOPS®) Hospital Survey for providers and other staff to assess patient safety culture in their hospitals. Since then, hundreds of hospitals across the United States and internat…
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digital.ahrq.gov/principal-investigator/mazur-lukasz
January 25, 2018 - Mazur, Lukasz
Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology
Description
This research develops and evaluates an artificial intelligence-enhanced pretreatment peer-review proc…
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www.ahrq.gov/sops/surveys/nursing-home/index.html
April 01, 2025 - SOPS Nursing Home Survey
AHRQ released the Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey to assess staff perceptions about patient safety culture in their nursing home in 2008. In 2025, AHRQ released a new version, the SOPS Nursing Home Survey 2.0 . This new version removed all negatively wo…
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psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
March 03, 2021 - Commentary
Classic
Leading change: why transformation efforts fail.
Citation Text:
Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev 1995;73(2);59-67.
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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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meps.ahrq.gov/about_meps/workshops_events.jsp
Medical Expenditure Panel Survey Workshops and Events
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