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digital.ahrq.gov/ahrq-funded-projects/developing-shared-ehr-infrastructure-wisconsin
January 01, 2023 - Developing Shared EHR Infrastructure in Wisconsin
Project Final Report ( PDF , 69.93 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No s…
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psnet.ahrq.gov/issue/impact-individual-and-team-features-patient-safety-climate-survey-family-practices
January 08, 2014 - Study
Impact of individual and team features of patient safety climate: a survey in family practices.
Citation Text:
Hoffmann B, Miessner C, Albay Z, et al. Impact of individual and team features of patient safety climate: a survey in family practices. Ann Fam Med. 2013;11(4):355-62. d…
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psnet.ahrq.gov/issue/impact-implementation-family-initiated-escalation-care-deteriorating-patient-hospital
December 21, 2018 - Review
The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review.
Citation Text:
Gill FJ, Leslie GD, Marshall AP. The Impact of Implementation of Family-Initiated Escalation of Care for the Deteriorating Patient in …
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psnet.ahrq.gov/issue/what-practices-will-most-improve-safety-evidence-based-medicine-meets-patient-safety
March 18, 2019 - Commentary
Classic
What practices will most improve safety? Evidence-based medicine meets patient safety.
Citation Text:
Leape L, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine meets patient safety. JAMA. 2002;288(4):501-7…
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psnet.ahrq.gov/issue/improving-adverse-drug-event-reporting-healthcare-professionals
April 12, 2019 - Review
Improving adverse drug event reporting by healthcare professionals.
Citation Text:
Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594. doi:10.1002/14651858.cd012594.pub2.
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psnet.ahrq.gov/issue/severe-hypertension-pregnancy-progress-made-and-future-directions-patient-safety-quality
October 23, 2024 - Commentary
Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle.
Citation Text:
Prior A, Taylor I, Gibson KS, et al. Severe hypertension in pregnancy: progress made and future directio…
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psnet.ahrq.gov/issue/large-language-models-preventing-medication-direction-errors-online-pharmacies
February 27, 2019 - Study
Large language models for preventing medication direction errors in online pharmacies.
Citation Text:
Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8.…
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psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting
July 13, 2009 - Commentary
Creating a just culture in the perioperative setting.
Citation Text:
Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160. doi:10.1002/aorn.14074.
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DOI Google Scholar BibTeX EndNote X3 XML E…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/wi-intuit-launch-toolkit-contents.pdf
April 02, 2025 - Urinary Incontinence Table of Contents: Launch Toolkit
This project was funded under grant number U18HS028738 from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health
and Human Services (HHS). The authors are solely responsible for this document’s contents, findings, and conclusions, w…
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psnet.ahrq.gov/issue/what-words-convey-potential-patient-narratives-inform-quality-improvement
August 19, 2015 - Study
What words convey: the potential for patient narratives to inform quality improvement.
Citation Text:
Grob R, Schlesinger M, Barre LR, et al. What Words Convey: The Potential for Patient Narratives to Inform Quality Improvement. Milbank Q. 2019;97(1):176-227. doi:10.1111/1468-0009.…
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psnet.ahrq.gov/issue/seips-101-and-seven-simple-seips-tools
October 03, 2013 - Commentary
SEIPS 101 and seven simple SEIPS tools.
Citation Text:
Holden RJ, Carayon P. SEIPS 101 and seven simple SEIPS tools. BMJ Qual Saf. 2021;30(11):901-910. doi:10.1136/bmjqs-2020-012538.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/issue/high-reliability-organization-mindset
April 01, 2020 - Commentary
A high-reliability organization mindset.
Citation Text:
Merchant NB, O’Neal J, Dealino-Perez C, et al. A high-reliability organization mindset. Am J Med Qual. 2022;37(6):504-510. doi:10.1097/jmq.0000000000000086.
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psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
October 19, 2022 - Commentary
Utilizing pharmacy students in transitions-of-care services.
Citation Text:
L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561.
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psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
September 23, 2020 - Commentary
Using Kotter's change model for implementing bedside handoff: a quality improvement project.
Citation Text:
Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…
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psnet.ahrq.gov/issue/resilience-and-regulation-odd-couple-consequences-safety-ii-governmental-regulation
October 06, 2021 - Commentary
Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality.
Citation Text:
Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. BMJ Q…
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www.ahrq.gov/news/newsroom/case-studies/201709.html
June 01, 2017 - St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety
Search All Impact Case Studies
June 2017
St. Jude Children's Research Hospital uses AHRQ's Hospital Survey on Patient Safety Culture to obtain employee feedback on ways to improve medical care and safety for the approximately…
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psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists-allowing
December 14, 2022 - Study
Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure.
Citation Text:
Klasen JM, Beck J, Randall CL, et al. Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Acad Pe…
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psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
December 04, 2016 - Commentary
Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence.
Citation Text:
Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…
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psnet.ahrq.gov/issue/medication-errors-involving-nursing-students-systematic-review
March 09, 2022 - Review
Medication errors involving nursing students: a systematic review.
Citation Text:
Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481.
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psnet.ahrq.gov/issue/realist-synthesis-intentional-rounding-hospital-wards-exploring-evidence-what-works-whom-what
March 01, 2023 - Review
Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why.
Citation Text:
Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what …