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psnet.ahrq.gov/issue/medical-error-disclosure-training-evidence-values-based-ethical-environments
October 15, 2016 - Study
Medical error disclosure training: evidence for values-based ethical environments.
Citation Text:
Rathert C, Phillips W. Medical Error Disclosure Training: Evidence for Values-Based Ethical Environments. Journal of Business Ethics. 2010;97(3). doi:10.1007/s10551-010-0520-3.
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psnet.ahrq.gov/issue/gender-biases-estimation-others-pain
March 25, 2020 - Study
Classic
Gender biases in estimation of others' pain.
Citation Text:
Zhang L, Losin EAR, Ashar YK, et al. Gender biases in estimation of others' pain. J Pain. 2021;22(9):1048-1059. doi:10.1016/j.jpain.2021.03.001.
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psnet.ahrq.gov/issue/teams-under-pressure-emergency-department-interview-study
June 03, 2013 - Study
Teams under pressure in the emergency department: an interview study.
Citation Text:
Flowerdew L, Brown R, Russ S, et al. Teams under pressure in the emergency department: an interview study. Emerg Med J. 2012;29(12):e2. doi:10.1136/emermed-2011-200084.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
June 02, 2025 - Infographic Poster: Did you know...Patient safety issues in primary care are real.
Did you know...
Patient safety issues in
primary care are real.
Annually,
1 in 20 outpatients experiences a diagnostic error
55%
of patients said
diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissi…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/023-optimizing-evc-one-pager.docx
October 01, 2024 - In the patient care environment, quality of cleaning is measured by which and what percentage of high-touch surfaces (HTSs) are adequately cleaned and disinfected. Below, the four most common methods of monitoring are discussed, including their pros and cons.
Observation1-3
· A supervisor or trained staff conducts visu…
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www.ahrq.gov/news/newsroom/case-studies/202301.html
October 01, 2024 - Ohio Veterans’ Facility Relied on AHRQ Resource to Develop Diabetes Initiative
Search All Impact Case Studies
March 2023
The Dayton (Ohio) Veterans Affairs (VA) Medical Center facility has adopted AHRQ’s SHARE Approach as part of the U.S. Department of Veterans Affairs' national Hypoglycemic Safety Initia…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/113-cleaning-monitoring-methods-one-pager.docx
April 01, 2025 - In the patient care environment, quality of cleaning can be measured by which and what percentage of high-touch surfaces (HTS) are adequately cleaned and disinfected. Below, the four most common methods of monitoring are discussed, including their pros and cons.
Observation1-3
· A supervisor or trained staff conducts …
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psnet.ahrq.gov/issue/relevance-agency-healthcare-research-and-quality-patient-safety-indicators-childrens
July 14, 2010 - Study
Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals.
Citation Text:
Sedman A, Harris M, Schulz K, et al. Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. Pedi…
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psnet.ahrq.gov/issue/mentorship-newly-appointed-physicians-strategy-enhancing-patient-safety
April 22, 2012 - Study
Mentorship for newly appointed physicians: a strategy for enhancing patient safety?
Citation Text:
Harrison R, McClean S, Lawton R, et al. Mentorship for newly appointed physicians: a strategy for enhancing patient safety? J Patient Saf. 2014;10(3):159-67. doi:10.1097/PTS.0b013e318…
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psnet.ahrq.gov/issue/clinical-reasoning-wild-premature-closure-during-covid-19-pandemic
September 02, 2020 - Commentary
Clinical reasoning in the wild: premature closure during the COVID-19 pandemic.
Citation Text:
Boyle JG, Walters MR, Jamieson S, et al. Clinical reasoning in the wild: premature closure during the COVID-19 pandemic. Diagnosis (Berl). 2020;7(3):177-179. doi:10.1515/dx-2020-0061…
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psnet.ahrq.gov/issue/bringing-clinical-laboratory-strategy-advance-diagnostic-excellence
September 08, 2021 - Commentary
Bringing the clinical laboratory into the strategy to advance diagnostic excellence.
Citation Text:
Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/…
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psnet.ahrq.gov/issue/s-teams-truly-multiprofessional-course-focusing-nontechnical-skills-improve-patient-safety
November 30, 2022 - Commentary
S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater.
Citation Text:
Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on Nontechnical Skills to Improve Patient Safety…
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psnet.ahrq.gov/issue/case-mistaken-identity-staff-input-patient-id-errors
March 27, 2024 - Study
A case of mistaken identity: staff input on patient ID errors.
Citation Text:
Ortiz J, Amatucci C. A case of mistaken identity: staff input on patient ID errors. Nurs Manag. 2009;40(4):37-41. doi:10.1097/01.NUMA.0000349689.98615.6d.
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psnet.ahrq.gov/issue/adequacy-information-transferred-resident-sign-out-hospital-handover-care-prospective-survey
April 30, 2008 - Study
Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey.
Citation Text:
Borowitz SM, Waggoner-Fountain LA, Bass EJ, et al. Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective …
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psnet.ahrq.gov/issue/assessing-impact-hospital-mergers-and-acquisitions-safety-culture-proactive-risk-assessments
June 12, 2024 - Study
Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments
Citation Text:
Folcarelli P, Hoffman J, Janes M, et al. Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments. J Healthc…
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psnet.ahrq.gov/issue/career-impact-chief-resident-quality-and-safety-training-program-alumni-evaluation
June 19, 2019 - Study
Career impact of the chief resident in quality and safety training program: an alumni evaluation
Citation Text:
Aboumrad M, Carluzzo KL, Lypson ML, et al. Career impact of the chief resident in quality and safety training program: an alumni evaluation. Acad Med. 2020;95(2). doi:10.…
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psnet.ahrq.gov/issue/attitudes-and-barriers-incident-reporting-collaborative-hospital-study
June 15, 2011 - Study
Attitudes and barriers to incident reporting: a collaborative hospital study.
Citation Text:
Evans SM, Berry JG, Smith BJ, et al. Attitudes and barriers to incident reporting: a collaborative hospital study. Qual Saf Health Care. 2006;15(1):39-43.
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psnet.ahrq.gov/issue/use-doctor-badges-physician-role-identification-during-clinical-training
December 18, 2017 - Study
Use of "Doctor" badges for physician role identification during clinical training.
Citation Text:
Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416. …
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psnet.ahrq.gov/issue/enhancing-pediatric-safety-assessing-and-improving-resident-competency-life-threatening
December 14, 2016 - Study
Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool.
Citation Text:
Lerner C, Gaca AM, Frush DP, et al. Enhancing pediatric safety: assessing and improving resident competency in l…
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psnet.ahrq.gov/issue/inpatient-housestaff-discontinuity-care-and-patient-adverse-events
July 02, 2008 - Study
Inpatient housestaff discontinuity of care and patient adverse events.
Citation Text:
Fletcher KE, Singh S, Schapira MM, et al. Inpatient Housestaff Discontinuity of Care and Patient Adverse Events. Am J Med. 2016;129(3):341-7.e21. doi:10.1016/j.amjmed.2015.11.008.
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