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psnet.ahrq.gov/issue/framework-effective-board-governance-health-system-quality
January 20, 2016 - Book/Report
Framework for Effective Board Governance of Health System Quality.
Citation Text:
Framework for Effective Board Governance of Health System Quality. Daley Ullem E, Gandhi TK, Mate K, et al. IHI White Paper. Boston, MA: Institute for Healthcare Improvement; 2018.
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psnet.ahrq.gov/issue/safety-medication-use
January 01, 2019 - Book/Report
Safety in Medication Use.
Citation Text:
Safety in Medication Use. Tully MP, Franklin BD, eds. Boca Raton, FL: CRC Press, Taylor and Francis Group; 2016. ISBN: 9781482227000.
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psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare
May 06, 2015 - Book/Report
Leading High-Reliability Organizations in Healthcare.
Citation Text:
Leading High-Reliability Organizations in Healthcare. Morrow R. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781466594883.
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psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents
November 10, 2017 - Book/Report
Patient Safety: Investigating and Reporting Serious Clinical Incidents.
Citation Text:
Patient Safety: Investigating and Reporting Serious Clinical Incidents. Kelsey R. CRC Press: Boca Raton, FL; 2017. ISBN: 9781498781169.
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psnet.ahrq.gov/issue/foundations-safety-science-century-understanding-accidents-and-disasters
October 05, 2011 - Book/Report
Foundations of Safety Science: a century of understanding accidents and disasters.
Citation Text:
Foundations of Safety Science: a century of understanding accidents and disasters. Dekker S. Taylor & Francis Group, Boca Raton, FL: CRC Press; 2019. ISBN: 978113848178…
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psnet.ahrq.gov/issue/leading-health-care-transformation-primer-clinical-leaders
April 12, 2017 - Book/Report
Leading Health Care Transformation: A Primer for Clinical Leaders.
Citation Text:
Leading Health Care Transformation: A Primer for Clinical Leaders. Joshi M, Erb N, Zhang S, Sikka R. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498700184.
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www.ahrq.gov/funding/training-grants/eisenberg.html
January 01, 2025 - The John M. Eisenberg Excellence in Mentorship Award
Each year at the AHRQ National Research and Service Award (NRSA) Trainee Research conference, an award is presented in honor of Dr. John M. Eisenberg, who served as AHRQ Director from 1997–2002. An international leader in quality improvement, Dr. Eisenberg de…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mcdonald-t-et-al-1998
January 01, 1998 - McDonald T et al. 1998 "A comparison of a manual and a computer system in a primary health care clinic."
Reference
McDonald T, Blignaut PJ. A comparison of a manual and a computer system in a primary health care clinic. Curationis 1998;21(3):8-13.
Abstract
"Previous research has shown that nur…
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psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and-financial-loss
July 18, 2018 - Webinar
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss.
Citation Text:
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. Cambridge, MA; CRICO Strategies: July 14, 2020.
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psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature
May 20, 2020 - Book/Report
Strategies for Hospitals to Improve Patient Safety: A Review of the Literature.
Citation Text:
Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. Wong J, Beglaryan H. Toronto, ON: The Change Foundation; February 2004.
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psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment
September 05, 2012 - Book/Report
Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration.
Citation Text:
Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration. Tuc…
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www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
January 01, 2024 - is
addressed; participants don’t
always seem comfortable,
and facilitators vary in
comfort and skill
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psnet.ahrq.gov/node/852699/psn-pdf
August 30, 2023 - have left the healthcare workforce, resulting in changes to established teams, team dynamics, and skill
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psnet.ahrq.gov/node/50612/psn-pdf
October 30, 2019 - Because of this fluidity, clinicians need skill-building around "teaming"—on-the-fly collaborative and
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/appa.html
October 01, 2015 - or more frequent meetings to discuss patient care, while 40% began using staff at the top of their skill
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Skill degradation may also occur as technology takes over tasks once
completed by clinicians.
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www.ahrq.gov/ncepcr/reports/grants-transform/key-characteristics.html
March 01, 2017 - or more frequent meetings to discuss patient care, while 40% began using staff at the top of their skill
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - sometimes referred to
as "failure-to-rescue—nursing," was shown to be associated with nurse staffing and skill
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program2.html
April 01, 2018 - specifically, it can measure changes in trainee attitudes, improvements in knowledge, or increases in skill … Programs that include opportunities to practice a new skill typically also provide feedback to reinforce
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cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_WG_February_2022_Summary.pdf
January 01, 2022 - CDS Connect Work Group February 2022 Summary
Clinical Decision Support (CDS) Connect Work Group (WG)
Meeting Summary
February 17, 2022
3:00 – 4:00 pm ET
Attendees: 37 people, including 6 phone dial-ins
Organization Attendees
AHRQ Sponsors Mario Teran, Roland Gamache (2)
WG Members Alex Goel, Alison…