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psnet.ahrq.gov/node/73603/psn-pdf
August 18, 2021 - The patients' perspective: hematological cancer patients'
experiences of adverse events as part of care.
August 18, 2021
Bryant J, Carey M, Sanson-Fisher R, et al. The patients' perspective: hematological cancer patients'
experiences of adverse events as part of care. J Patient Saf. 2021;17(5):e387-e392.
doi:10.10…
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psnet.ahrq.gov/node/866556/psn-pdf
August 21, 2024 - Digital maturity as a predictor of quality and safety
outcomes in US hospitals: cross-sectional observational
study.
August 21, 2024
Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in
US hospitals: cross-sectional observational study. J Med Internet Res. 2024…
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psnet.ahrq.gov/node/866636/psn-pdf
January 01, 2025 - Hospital commitments to address diagnostic errors: an
assessment of 95 US hospitals.
September 4, 2024
Campione Russo A, Tilly J?L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an
assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13485.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/50573/psn-pdf
October 23, 2019 - Preventing patient harm via adverse event review: An
APSA survey regarding the role of morbidity and mortality
(M&M) conference.
October 23, 2019
Berman L, Ottosen M, Renaud E, et al. Preventing patient harm via adverse event review: An APSA survey
regarding the role of morbidity and mortality (M&M) conference. J …
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T1-Sample_Letter_of_Agreement_Phase_2.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 2
Sample Letter of Agreement
Date
Name
Address of Laboratory
RE:
Developing an Antibiogram for [NURSING HOME NAME]
Dear [insert name]:
For several years, antibiogram reports have been used in hospitals to address the issue of appropriate antibiotic use; nursing homes are …
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psnet.ahrq.gov/node/44515/psn-pdf
February 23, 2018 - The Expert Panel Report to Texas Health Resources
Leadership on the 2014 Ebola Events.
February 23, 2018
Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resources Leadership;
2015.
https://psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
…
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psnet.ahrq.gov/node/44580/psn-pdf
January 13, 2016 - Computerized Prescriber Order Entry Medication Safety
(CPOEMS): Uncovering and Learning From Issues and
Errors.
January 13, 2016
Brigham and Women's Hospital, Harvard Medical School, Partners HealthCare. Silver Spring, MD: US
Food and Drug Administration; December 15, 2015.
https://psnet.ahrq.gov/issue/computeriz…
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psnet.ahrq.gov/node/73435/psn-pdf
June 30, 2021 - Incidence, origins and avoidable harm of missed
opportunities in diagnosis: longitudinal patient record
review in 21 English general practices.
June 30, 2021
Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities
in diagnosis: longitudinal patient record review in…
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psnet.ahrq.gov/node/838910/psn-pdf
October 26, 2022 - Rates of surgical consultations after emergency
department admission in Black and White Medicare
patients.
October 26, 2022
Roberts SE, Rosen CB, Keele LJ, et al. Rates of surgical consultations after emergency department
admission in Black and White Medicare patients. JAMA Surg. 2022;157(12):1097-1104.
doi:10.10…
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psnet.ahrq.gov/node/39862/psn-pdf
September 24, 2016 - Errors and electronic prescribing: a controlled laboratory
study to examine task complexity and interruption effects.
September 24, 2016
Magrabi F, Li SYW, Day R, et al. Errors and electronic prescribing: a controlled laboratory study to examine
task complexity and interruption effects. J Am Med Inform Assoc. 2010;…
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psnet.ahrq.gov/node/60316/psn-pdf
January 01, 2021 - Hospital-acquired Conditions Reduction Program, patient
safety, and Magnet designation in the United States.
May 13, 2020
Hamadi H, Borkar SR, DHA LRM, et al. Hospital-acquired Conditions Reduction Program, patient safety,
and Magnet designation in the United States. J Patient Saf. 2021;17(8):e1814-e1820.
doi:10.1…
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tools.html
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
List of Tools
Previous Page Next Page
Table of Contents
Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Chapter 1. Introduction
Chapte…
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www.ahrq.gov/talkingquality/translate/organize/index.html
March 01, 2016 - Organizing Quality Measures To Reduce Information Overload
As the number of available quality measures grows, report designers face the challenge of providing a great deal of information without overwhelming the user. In addition, individual users of the report may be interested in different measures, so they n…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology6.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Clarification in Using Different Paradigms and Terms for Improvement Efforts
Previous Page Next Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspect…
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integrationacademy.ahrq.gov/sites/default/files/2020-07/frank_degruy.docx
January 01, 2020 - Successfully Integrating Behavioral Health in Primary Care Settings Requires Teamwork
Frank Degruy Transcript AHRQ Academy Video
A successful integrated health care model has at least three members of the team at its core. This would be a primary care clinician, a behavioral health clinician, and a care manager or a c…
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www.uspreventiveservicestaskforce.org/uspstf/announcements/ahrq-seeks-nominations-new-members-us-preventive-services-task-force-0
March 15, 2025 - AHRQ Seeks Nominations of New Members to the U.S. Preventive Services Task Force
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December 19, 2024 – The Agency for Healthcare Research and Quality (AHRQ) welcomes nomination…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/new-mexico
January 01, 2023 - New Mexico
Team Description
Welcome!
New Mexico is pleased to be selected to participate in the Health Information Security and Privacy Collaborative (HISPC). The HISPC contract will make a significant contribution to improving health care quality, safety, and efficiency in New Mexico. T…
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www.ahrq.gov/pcor/healthcare-extension-services/evaluation-center.html
February 01, 2025 - National Evaluation Center for AHRQ's Healthcare Extension Service: State-based Solutions to Healthcare Improvement
Applications have closed and are being reviewed for those hoping to establish a National Evaluation Center to evaluate AHRQ's Healthcare Extension Service: State-based Solutions to Healthcare Impr…
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psnet.ahrq.gov/node/44513/psn-pdf
September 23, 2015 - Improving Diagnosis in Health Care.
September 23, 2015
Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine.
Washington, DC: National Academies Press; 2015. ISBN: 9780309377690.
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care
The National Academy of Me…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/usability
January 01, 2023 - Usability Evaluation
1. Examples of usability evaluations
Usability Evaluation Tools
Post-Usability Evaluation Questionnaire ( PDF , 13KB)
2. Why and how do we conduct usability testing before selecting a health IT system vendor?
By conducting usability testing on a health …