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psnet.ahrq.gov/issue/positive-deviance-different-approach-achieving-patient-safety
May 15, 2024 - Commentary
Positive deviance: a different approach to achieving patient safety.
Citation Text:
Lawton R, Taylor N, Clay-Williams R, et al. Positive deviance: a different approach to achieving patient safety. BMJ Qual Saf. 2014;23(11):880-3. doi:10.1136/bmjqs-2014-003115.
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-and-quality-improvement-science-integrating-approaches-safety
December 06, 2013 - Commentary
Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare.
Citation Text:
Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. BM…
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psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical
November 16, 2022 - Study
Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.
Citation Text:
Kiran RP, Ahmed Ali U, Coffey JC, et al. Impact of Resident Participation in Surgical Operations on Postoperative Outcomes. Ann Surg. 20…
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psnet.ahrq.gov/issue/reviewing-methodologically-disparate-data-practical-guide-patient-safety-research-field
April 24, 2018 - Commentary
Reviewing methodologically disparate data: a practical guide for the patient safety research field.
Citation Text:
Brown KF, Long SJ, Athanasiou T, et al. Reviewing methodologically disparate data: a practical guide for the patient safety research field. J Eval Clin Pract. 2…
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psnet.ahrq.gov/issue/healthcare-scandals-and-failings-doctors-do-official-inquiries-hold-profession-account
November 13, 2019 - Review
Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account?
Citation Text:
Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126.
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psnet.ahrq.gov/issue/what-expect-when-youre-evaluating-healthcare-improvement-concordat-approach-managing
February 17, 2011 - Commentary
What to expect when you're evaluating healthcare improvement: a concordat approach to managing collaboration and uncomfortable realities.
Citation Text:
Brewster L, Aveling E-L, Martin G, et al. What to expect when you're evaluating healthcare improvement: a concordat approach…
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psnet.ahrq.gov/issue/whats-name-provider-perception-injured-john-doe-patients
September 27, 2017 - Study
What's in a name? Provider perception of injured John Doe patients.
Citation Text:
Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027.
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca20.pdf
January 10, 2012 - New Measures to Access the Quality of Race/Ethnicity Reporting in State Databases
New Measures to Access the
Quality of Race/Ethnicity
Reporting in State Databases
David Zingmond, MD, PhD
AHRQ monthly grantees call
January 10, 2012
Aim
• Develop validated audit measures for
race/ethnicity reporting …
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psnet.ahrq.gov/issue/measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute
January 23, 2017 - Commentary
Classic
Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine.
Citation Text:
McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…
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effectivehealthcare.ahrq.gov/sites/default/files/ebctandcfinal.pdf
May 29, 2025 - AHRQ Evidence-Based Care (EBC) Challenge Terms and Conditions
Terms and Conditions:
By submitting a product in response to the AHRQ Evidence-Based Care (EBC) Challenge, each team and
each team member represents and warrants that:
The team and its members are the sole authors, creators, and owners of the pr…
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psnet.ahrq.gov/issue/monitoring-adverse-drug-reactions-children-using-community-pharmacies-pilot-study
July 01, 2017 - Study
Monitoring adverse drug reactions in children using community pharmacies: a pilot study.
Citation Text:
Stewart D, Helms P, McCaig D, et al. Monitoring adverse drug reactions in children using community pharmacies: a pilot study. Br J Clin Pharmacol. 2005;59(6):677-83.
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psnet.ahrq.gov/issue/student-mistakes-and-teacher-reactions-bedside-teaching
January 18, 2012 - Study
Student mistakes and teacher reactions in bedside teaching.
Citation Text:
Rubisch HPK, Blaschke A-L, Berberat PO, et al. Student mistakes and teacher reactions in bedside teaching. Adv Health Sci Educ Theory Pract. 2023;28(5):1523-1556. doi:10.1007/s10459-023-10233-y.
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psnet.ahrq.gov/issue/hhs-seeks-input-medical-office-survey-patient-safety-culture-database-information-collection
March 13, 2024 - Press Release/Announcement
HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection.
Citation Text:
HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Agency for Healthcare Quality and Research. Fe…
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www.ahrq.gov/news/newsroom/case-studies/cp30506.html
October 01, 2014 - AHRQ Resources Help Maine Telehealth Network Improve Care in Remote Areas
Search All Impact Case Studies
August 2005
A rural managed care program development project funded by AHRQ has helped create a thriving statewide collaborative telemedicine network. Maine Telehealth Network, in operation since 1998, h…
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psnet.ahrq.gov/issue/taking-detour-positive-and-negative-effects-supervisors-interruptions-during-admission-case
November 21, 2018 - Study
Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions.
Citation Text:
Goldszmidt M, Aziz N, Lingard LA. Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discuss…
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psnet.ahrq.gov/issue/why-july-matters
October 13, 2018 - Commentary
Why July matters.
Citation Text:
Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912. doi:10.1097/ACM.0000000000001196.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/issue/wristbands-aids-reduce-misidentification-ethnographically-guided-task-analysis
November 25, 2009 - Study
Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.
Citation Text:
Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.109…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/funaro-0914slides.pdf
January 01, 2014 - Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture
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45
YUMA DISTRICT HOSPITAL AND
CLINICS
Bev Funaro, RN
Director of Quality and Regulatory Affairs
46
46
Yuma Clinic Background
• Participate in the Hospital and Medical Office
surveys
• Administered survey in 2011 and 2…
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psnet.ahrq.gov/issue/problems-medical-devices-may-be-severely-under-reported
November 16, 2022 - Study
Problems with medical devices may be severely under-reported.
Citation Text:
Vicente KJ, Kern S. Problems with medical devices may be severely under-reported. Nurs Leadersh (Tor Ont). 2005;18(1):82-8.
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psnet.ahrq.gov/issue/slowing-down-stay-out-trouble-operating-room-remaining-attentive-automaticity
December 12, 2012 - Study
Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity.
Citation Text:
Moulton C-A, Regehr G, Lingard LA, et al. Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. Acad Med. 2010;85(10):1571-7. d…