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psnet.ahrq.gov/issue/overconfidence-cause-diagnostic-error-medicine
July 30, 2014 - Review
Overconfidence as a cause of diagnostic error in medicine.
Citation Text:
Berner ES, Graber ML. Overconfidence as a cause of diagnostic error in medicine. Am J Med. 2008;121(5 Suppl):S2-S23. doi:10.1016/j.amjmed.2008.01.001.
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psnet.ahrq.gov/issue/ahrq-safety-program-methicillin-resistant-staphylococcus-aureus-prevention-request-proposal
June 16, 2021 - Press Release/Announcement
AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment.
Citation Text:
AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment. Agency for Healthcare Rese…
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psnet.ahrq.gov/issue/potentially-preventable-readmissions-conceptual-framework-rethink-role-primary-care-executive
November 01, 2016 - Book/Report
Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary.
Citation Text:
Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summa…
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psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
March 24, 2021 - Study
Gossypiboma: tales of lost sponges and lessons learned.
Citation Text:
McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152.
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psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
June 21, 2015 - Commentary
Applying the Toyota Production System: using a patient safety alert system to reduce error.
Citation Text:
Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386.
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psnet.ahrq.gov/issue/underreporting-patient-safety-incidents-reduces-health-cares-ability-quantify-and-accurately
June 08, 2011 - Commentary
Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure harm reduction.
Citation Text:
Noble DJ, Pronovost P. Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure harm …
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psnet.ahrq.gov/issue/enterprise-take-patient-safety
December 21, 2009 - Newspaper/Magazine Article
The enterprise take on patient safety.
Citation Text:
Rogoski RR. The enterprise take on patient safety. Health management technology. 2005;26(8):12, 14, 16-7.
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psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national
May 02, 2018 - Book/Report
The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level.
Citation Text:
The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Slawomirski L, Auraaen A, Klazing…
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psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus
December 24, 2008 - Toolkit
Toolkit for Preventing CLABSI and CAUTI in ICUs.
Citation Text:
Toolkit for Preventing CLABSI and CAUTI in ICUs. Rockville, MD: Agency for Healthcare Research and Quality; April 2022.
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digital.ahrq.gov/ahrq-funded-projects/assessing-effects-ehr-optimization-interventions-primary-care
August 01, 2024 - Assessing the Effects of EHR Optimization Interventions in Primary Care
Project Description
Providing healthcare organizations with evidence-based insights may empower them to implement electronic health record (EHR)-optimization strategies that deliver maximum potential for im…
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psnet.ahrq.gov/issue/new-frontier-healthcare-risk-management-working-reduce-avoidable-patient-suffering
September 26, 2012 - Commentary
A new frontier in healthcare risk management: working to reduce avoidable patient suffering.
Citation Text:
Card AJ, Klein VR. A new frontier in healthcare risk management: Working to reduce avoidable patient suffering. J Healthc Risk Manag. 2016;35(3):31-7. doi:10.1002/jhrm.2…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/careaffordability.html
June 01, 2018 - Chartbook on Care Affordability
Care Affordability
Previous Page Next Page
Table of Contents
Chartbook on Care Affordability
Acknowledgments
Care Affordability
Care Affordability Trends and Measures
Measures of Access Problems Due to Health Care Costs
Measures of Inefficiency
Supplement…
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www.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program
Select for:
Planning Grant Evaluation Report ( PDF , 715 KB)
Demonstration Grant Evaluation Report ( PDF , 928 KB)
On September 9, 2009, President Obama directed the Secretary of the U.S. Department of H…
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digital.ahrq.gov/sites/default/files/docs/page/Root.ppt
June 01, 2005 - A single RHIO has significantly reduced administrative costs on security management, business agreements
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - January 24, 2024
Validation of a reduced set of high-performance triggers for identifying
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www.ahrq.gov/ncepcr/reports/2025-annual-report/quality-improvement.html
August 01, 2025 - comorbidities, and socioeconomic status and examines whether receipt of timely follow-up is associated with reduced
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
December 01, 2017 - cards, the safety program team decreased the overall number of preference cards, removed inaccuracies, reduced … waste, and drastically reduced variability among surgeons.
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
January 01, 2022 - Research Themes and Findings
The DHR program funds research that demonstrates how digital healthcare solutions can be designed and implemented to improve healthcare system performance and patient health outcomes. Our funded research focuses on advancing patient safety, care, and shared dec…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustaining-guide.pdf
March 01, 2017 - Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care
AHRQ Safety Program for
Long-Term Care: HAIs/CAUTI
Guide to Sustaining a Program To Reduce
Catheter-Associated Urinary Tract
Infections in Long-Term Care
AHRQ Public…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-use-in-children-and-adolescents-primary-care-interventions-2013
August 15, 2013 - That is, behavior-based interventions reduced the absolute risk for smoking initiation at follow-up by