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psnet.ahrq.gov/node/36549/psn-pdf
March 21, 2017 - Patients' concerns about medical errors during
hospitalization.
March 21, 2017
Burroughs TE, Waterman AD, Gallagher TH, et al. Patients' concerns about medical errors during
hospitalization. Jt Comm J Qual Patient Saf. 2007;33(1):5-14.
https://psnet.ahrq.gov/issue/patients-concerns-about-medical-errors-during-hosp…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/time-and-motion-study
January 01, 2023 - Time and Motion Study
Also Known As
Process Observation Worksheet
Time Study
Examples
Hollingworth W, Devine E, Hansen R, et al. The impact of e-prescribing on prescriber and staff time in ambulatory care clinics: a time-motion study. J Am Med Inform Assoc 2007;14(6):722-30.
De…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/simulation
January 01, 2023 - Simulation
Also Known As
Role Playing
Scenario-Based Evaluation
Description
Simulation is a form of (usability) evaluation in which realistic cases are created and the participant is provided direction on the use of the system or task.
Uses
During the design phase of the sys…
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psnet.ahrq.gov/node/61085/psn-pdf
November 04, 2020 - National drug shortages worsen during COVID-19 crisis:
proposal for a comprehensive model to monitor and
address critical drug shortages.
November 4, 2020
Piatek OI, Ning JC-min, Touchette DR. National drug shortages worsen during COVID-19 crisis: proposal
for a comprehensive model to monitor and address critical …
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psnet.ahrq.gov/node/836955/psn-pdf
April 20, 2022 - The National Imperative to Improve Nursing Home
Quality: Honoring Our Commitment to Residents,
Families, and Staff.
April 20, 2022
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2022. ISBN: 9780309686259
https://psnet.ahrq.gov/issue/national-imperative-imp…
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psnet.ahrq.gov/node/38758/psn-pdf
July 08, 2009 - An international review of patient safety measures in
radiotherapy practice.
July 8, 2009
Shafiq J, Barton M, Noble DJ, et al. An international review of patient safety measures in radiotherapy
practice. Radiother Oncol. 2009;92(1):15-21. doi:10.1016/j.radonc.2009.03.007.
https://psnet.ahrq.gov/issue/international…
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psnet.ahrq.gov/node/36487/psn-pdf
June 16, 2011 - Perceptions of safety culture vary across the intensive
care units of a single institution.
June 16, 2011
Huang DT, Clermont G, Sexton B, et al. Perceptions of safety culture vary across the intensive care units of
a single institution. Crit Care Med. 2007;35(1):165-76.
https://psnet.ahrq.gov/issue/perceptions-saf…
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psnet.ahrq.gov/node/865817/psn-pdf
May 08, 2024 - Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in
secondary care inpatient wards.
May 8, 2024
Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in secondary care inpatie…
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www.ahrq.gov/cpi/about/organization/nac/webex-instructions.html
March 01, 2018 - AHRQ NAC Meeting
March 16, 11:00 a.m. to 1:00 p.m.
Instructions on Joining WebEx Via Computer
Step 1: Click on or copy the link below and paste it in your browser. It is recommended to use Firefox or Chrome.
https://capitalconsultingcorp.webex.com/capitalconsultingcorp/onstage/g.php?MTID=ea9f5703b56b58af…
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psnet.ahrq.gov/node/867440/psn-pdf
January 08, 2025 - How can specialist investigation agencies inform system-
wide learning for patient safety? A qualitative study of
perspectives on the early years of the English Healthcare
Safety Investigation Branch.
January 8, 2025
Crompton A, Waring J, Macrae C, et al. How can specialist investigation agencies inform system-wid…
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psnet.ahrq.gov/node/867441/psn-pdf
January 08, 2025 - Consumer involvement in the design and development of
medication safety interventions or services in primary
care: a scoping review.
January 8, 2025
DelDot M, Lau E, Rayner N, et al. Consumer involvement in the design and development of medication
safety interventions or services in primary care: a scoping review.…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab15.html
December 01, 2017 - Table 15. Inpatient admissions at Indian Health Service and Tribal hospitals by project site. Fiscal year 2010
ARRA Grants Initiative
Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for advancing del…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab3.html
December 01, 2017 - Table 3: Health Care Coverage Among Persons Who Used Health Services During Fiscal Year 2010. All Project Sites. Fiscal Year 2010.
ARRA Grants Initiative
Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and metho…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab9.html
December 01, 2017 - Table 9: Health risk as measured by the Verisk Risksmart software by age and health status. All project sites. Fiscal year 2010.
ARRA Grants Initiative
Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods…
-
www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab18.html
December 01, 2017 - Table 18. Adult non-obstetric inpatient admissions at Indian Health Service and Tribal hospitals classified as sensitive to ambulatory services by project site a.
Fiscal year 2010
Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems;…
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psnet.ahrq.gov/node/73513/psn-pdf
July 21, 2021 - Analysis of suicides reported as adverse events in
psychiatry resulted in nine quality improvement
initiatives.
July 21, 2021
Mackenhauer J, Winsløv J-H, Holmskov J, et al. Analysis of suicides reported as adverse events in
psychiatry resulted in nine quality improvement initiatives. Crisis. 2021;43(4):307-314. do…
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psnet.ahrq.gov/node/837302/psn-pdf
June 01, 2022 - An objective framework for evaluating unrecognized bias
in medical AI models predicting COVID-19 outcomes.
June 1, 2022
Estiri H, Strasser ZH, Rashidian S, et al. An objective framework for evaluating unrecognized bias in
medical AI models predicting COVID-19 outcomes. J Am Med Inform Assoc. 2022;29(8):1334–1341.
…
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psnet.ahrq.gov/node/837035/psn-pdf
May 04, 2022 - Is it time for the mental health field to consider unplanned
discharge a key metric of patient safety?
May 4, 2022
Riblet NB, Gottlieb DJ, Watts BV, et al. Is it time for the mental health field to consider unplanned discharge
a key metric of patient safety? J Nerv Ment Dis. 2022;210(3):227-230.
doi:10.1097/nmd.00…
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digital.ahrq.gov/organization/baylor-research-institute
January 01, 2023 - Baylor Research Institute
Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures - 2012
Principal Investigator
Ballard, David J.
Project Name
Impact of Health Information Technology Implementation on Diabetes Process and O…
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psnet.ahrq.gov/node/46163/psn-pdf
December 06, 2017 - Defining the critical role of nurses in diagnostic error
prevention: a conceptual framework and a call to action.
December 6, 2017
Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error
prevention: a conceptual framework and a call to action. Diagnosis (Berl). 2017;4(4):…