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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-gray-sops-action-planning-tool.pdf
June 02, 2025 - Action Planning for the SOPS Surveys-Introducing SOPS
10
Introducing the SOPS Action
Planning Tool
Laura Gray, MPH
Senior Study Director,
User Network for the AHRQ Surveys on Patient Safety Culture
(SOPS)
Westat
11
AHRQ Surveys on Patient Safety Culture
Surveys of clinicians and staff about the extent to
w…
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psnet.ahrq.gov/issue/introduction-obstetric-specific-medical-emergency-team-obstetric-crises-implementation-and
October 19, 2022 - Study
Introduction of an obstetric-specific medical emergency team for obstetric crises: implementation and experience.
Citation Text:
Gosman GG, Baldisseri MR, Stein KL, et al. Introduction of an obstetric-specific medical emergency team for obstetric crises: implementation and experi…
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psnet.ahrq.gov/issue/safe-electronic-health-record-use-requires-comprehensive-monitoring-and-evaluation-framework
May 22, 2015 - Commentary
Safe electronic health record use requires a comprehensive monitoring and evaluation framework.
Citation Text:
Sittig DF, Classen D. Safe electronic health record use requires a comprehensive monitoring and evaluation framework. JAMA. 2010;303(5):450-451. doi:10.1001/jama.20…
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psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity
March 02, 2011 - Study
Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.
Citation Text:
Grimes T, Delaney T, Duggan C, et al. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.…
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psnet.ahrq.gov/issue/errors-medication-process-frequency-type-and-potential-clinical-consequences
July 21, 2021 - Study
Errors in the medication process: frequency, type, and potential clinical consequences.
Citation Text:
Lisby M, Nielsen LP, Mainz J. Errors in the medication process: frequency, type, and potential clinical consequences. Int J Qual Health Care. 2005;17(1):15-22.
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psnet.ahrq.gov/issue/frequency-expected-effects-obstacles-and-facilitators-disclosure-patient-safety-incidents
February 11, 2015 - Review
Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review.
Citation Text:
Ock M, Lim SY, Jo M-W, et al. Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A Systematic Re…
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psnet.ahrq.gov/issue/building-community-engagement-approach-patient-safety-improvement
April 01, 2010 - Commentary
Building a community engagement approach for patient safety improvement.
Citation Text:
Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044.
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psnet.ahrq.gov/issue/value-assessment-deprescribing-interventions-suggestions-improvement
August 04, 2021 - Commentary
Value assessment of deprescribing interventions: suggestions for improvement.
Citation Text:
Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298.
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psnet.ahrq.gov/issue/patient-perceptions-safety-primary-care-qualitative-study-inform-care
September 28, 2022 - Study
Patient perceptions of safety in primary care: a qualitative study to inform care.
Citation Text:
Lasser EC, Heughan JA-A, Lai AY, et al. Patient perceptions of safety in primary care: a qualitative study to inform care. Curr Med Res Opin. 2021;37(11):1991-1999. doi:10.1080/0300799…
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psnet.ahrq.gov/issue/how-organisations-contribute-improving-quality-healthcare
June 25, 2014 - Commentary
How organisations contribute to improving the quality of healthcare.
Citation Text:
Fulop NJ, Ramsay AIG. How organisations contribute to improving the quality of healthcare. BMJ. 2019;365:l1773. doi:10.1136/bmj.l1773.
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Format:
DOI Google Scholar Pub…
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psnet.ahrq.gov/issue/teaching-nursing-students-ethical-and-legal-consequences-medical-errors-insights-radonda
July 05, 2017 - Study
Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw technique.
Citation Text:
Geiselman EL, Opsahl A, Townsend C. Teaching nursing students the ethical and legal consequences of medical errors: insig…
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/V50/Pediatric_Ind.pdf
April 01, 2022 - AHRQ Quality Indicators™ Pediatric Quality Indicators
AHRQ Quality Indicators™
Pediatric Quality Indicators
Assess quality of hospital care for children, at the hospital level and across a community
Pediatric Qua…
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psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review
June 01, 2022 - Review
Organizational factors that promote error reporting in healthcare: a scoping review.
Citation Text:
Wawersik D, Palaganas J. Organizational factors that promote error reporting in healthcare: a scoping review. J Healthc Manag. 2022;67(4):283-301. doi:10.1097/jhm-d-21-00166.
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psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name
March 25, 2020 - Review
The impact of adverse events on clinicians: what's in a name?
Citation Text:
Wu AW, Shapiro J, Harrison R, et al. The Impact of Adverse Events on Clinicians: What's in a Name? J Patient Saf. 2020;16(1):65-72. doi:10.1097/PTS.0000000000000256.
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Format:
DO…
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psnet.ahrq.gov/issue/role-computerized-physician-order-entry-usability-reduction-prescribing-errors
June 23, 2021 - Study
Role of computerized physician order entry usability in the reduction of prescribing errors.
Citation Text:
Peikari HR, Zakaria MS, Yasin NM, et al. Role of computerized physician order entry usability in the reduction of prescribing errors. Healthc Inform Res. 2013;19(2):93-101. d…
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psnet.ahrq.gov/issue/medication-administration-variances-and-after-implementation-computerized-physician-order
July 19, 2023 - Study
Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit.
Citation Text:
Taylor JA, Loan LA, Kamara J, et al. Medication administration variances before and after implementation of computerized phy…
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digital.ahrq.gov/2018-year-review/research-summary/improves-delivery-health-services
January 01, 2018 - AHRQ-Funded Research Improves the Delivery of Health Services at the Health Systems Level
AHRQ-funded research aims to improve the delivery of health services at the health systems or organizational level. Efforts to share health information across different technologies and healthcare…
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www.ahrq.gov/news/newsroom/press-releases/guiding-principles.html
December 01, 2023 - Guiding Principles Help Healthcare Community Address Potential Bias Resulting from Algorithms
Press Release Date: December 15, 2023
A new paper addresses the use of algorithms in healthcare, their impact on racial/ethnic disparities in care, and approaches to identify and mitigate biases.
A paper published toda…
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digital.ahrq.gov/principal-investigator/shiffman-richard-n
January 01, 2023 - Shiffman, Richard N.
Comprehensive categorization of guideline recommendations: creating an action palette for implementers.
Citation
Essaihi A, Michel G, Shiffman RN. Comprehensive categorization of guideline recommendations: creating an action palette for implementers. AMIA …
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digital.ahrq.gov/population/office-staff
January 01, 2023 - Office Staff
Adapting an electronic STI risk assessment program for use in pediatric primary care.
Citation
Ahmad FA, Chan P, McGovern C, Dickey V, Foraker R, McKay V. Adapting an electronic STI risk assessment program for use in pediatric primary care. J Prim Care Community H…