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psnet.ahrq.gov/issue/organisational-failure-exploratory-study-steel-industry-and-medical-domain
June 02, 2010 - Book/Report
Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain.
Citation Text:
Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain. van Vuuren W. Eindhoven, NL; Eindhoven University of Technology: 1998. ISBN 9038605…
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psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
February 06, 2019 - Book/Report
Classic
Resilience Engineering in Practice: a Guidebook.
Citation Text:
Resilience Engineering in Practice: a Guidebook. Hollnagel E, Pariès J, Woods DD et al eds. Farnham UK; Ashgate, 2011. ISBN: 9781472420749
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement
December 21, 2022 - Legislation/Regulation
Patient safety and quality improvement.
Citation Text:
Patient safety and quality improvement. Agency for Healthcare Research and Quality. Fed Register. February 12, 2008;73(29):8112-8183.
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psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
September 06, 2017 - Book/Report
Classic
IHI Framework for Improving Joy in Work.
Citation Text:
IHI Framework for Improving Joy in Work. Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shiffman-rn-et-al-1999
January 01, 1999 - Shiffman RN et al. 1999 "Computer-based guideline implementation systems: a systematic review of functionality and effectiveness."
Reference
Shiffman RN, Liaw Y, Brandt CA, et al. Computer-based guideline implementation systems: a systematic review of functionality and effectiveness. J Am Med Inform A…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Communication and Optimal Resolution (CANDOR) Toolkit
What is the Communication and Optimal Resolution Process?
The Communication and Optimal Resolution (CANDOR) process is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpecte…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/recommendations-in-progress
June 22, 2025 - Recommendations in Progress
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The following topics are in review and development with the U.S. Preventive Services Task Force (Task Force). The purpose of a review is to update…
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psnet.ahrq.gov/issue/lean-hospitals-improving-quality-patient-safety-and-employee-engagement-third-edition
May 04, 2016 - Book/Report
Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition.
Citation Text:
Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition. Graban M. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781498743259.
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digital.ahrq.gov/2020-year-review
January 01, 2020 - Improving Healthcare Through AHRQ's Digital Healthcare Research Program
About this Report
This report summarizes the research activities and outcomes funded by the AHRQ Digital Healthcare Research Program in 2020. The objective of the report is to support AHRQ stakeholders, inclu…
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/current-members/marie-tonette-krousel-wood-md-msph
January 01, 2024 - Share to Facebook
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Marie (Tonette) Krousel-Wood, M.D., M.S.P.H.
Member
Marie (Tonette) Krousel-Wood, M.D., M.S.P.H., is a professor and the Jack Aron endowed chair in primary care medicine in…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role4.html
September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Next Steps
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Table of Contents
The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Introduction
The History of Patient Roles
Impac…
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psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety-improvement
October 07, 2008 - Book/Report
Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement.
Citation Text:
Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement. McCarthy D, Klein S. New York, NY: The Commonwealth Fund; March 15,…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-horizon-scanning
January 01, 2023 - Health Information Technology Horizon Scanning
Project Final Report ( PDF , 2.53 MB)
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Project Description
Publications
Project Details -
Completed
Contract Number
29…
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psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions-advance-surgical
September 01, 2018 - Special or Theme Issue
Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice.
Citation Text:
Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. Hallbeck MS, Paq…
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www.ahrq.gov/news/events/nac/zoom-webinar-instructions.html
October 01, 2024 - Zoom Webinar Instructions
Please note that attendees will not be able to use their personal video during the AHRQ NAC Meeting only, and there will be no chat or Q&A option. Should you have any technical problems or questions before/during the meeting, please contact Amy Rabin at amy.rabin@ahrq.hhs.gov . To Joi…
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psnet.ahrq.gov/issue/nurse-and-nurse-assistant-perceptions-missed-nursing-care-what-does-it-tell-us-about-teamwork
January 23, 2012 - Study
Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork?
Citation Text:
Kalisch BJ. Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork? J Nurs Adm. 2009;39(11):485-93. doi:10.1097/NNA.0b013e318…
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psnet.ahrq.gov/issue/monitoring-diagnostic-process-inpatient-neurology-service
November 03, 2015 - Study
Monitoring the diagnostic process on an inpatient neurology service.
Citation Text:
Dhand A, Bucelli R, Varadhachary A, et al. Monitoring the Diagnostic Process on an Inpatient Neurology Service. Neurohospitalist. 2017;7(3):132-136. doi:10.1177/1941874416677681.
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psnet.ahrq.gov/issue/covid-19-assessing-risk-public-protection-posed-doctor-result-concerns-about-their-practice
July 15, 2015 - Book/Report
Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pandemic.
Citation Text:
Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pan…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/copd-research-protocol.pdf
April 11, 2018 - bias by evaluating funnel plots symmetry and using
statistical tests such as Egger linear regression test
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018749-nease-final-report-2013.pdf
January 01, 2013 - whether
adoption of a community-wide health information exchange was associated with a reduction in
test … Department of Health and Human Services of a particular drug, device, test, treatment, or
other clinical … There was good evidence that test utilization has reduced substantially
within institutions (such as … (PCP) listed in the claim for
the test; (4) if the PCP was not defined in the claims dataset, the test … Computerized display of past test results. Effect on
outpatient testing.