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psnet.ahrq.gov/issue/our-stubborn-quest-diagnostic-certainty
June 21, 2016 - Commentary
Our stubborn quest for diagnostic certainty.
Citation Text:
Kassirer JP. Our stubborn quest for diagnostic certainty. N Engl J Med. 1989;320(22):1489-1491. doi:10.1056/nejm198906013202211.
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www.ahrq.gov/diagnostic-safety/research/grants-2019.html
March 01, 2024 - Diagnostic Safety Grants Awarded in FY 2019
Congress authorized $2 million in fiscal year 2019 for AHRQ to initiate a research agenda to understand and solve the problem of diagnostic errors. In 2019, AHRQ awarded the four grants below that will more precisely define the scope of diagnostic errors.
Utility o…
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www.ahrq.gov/cahps/surveys-guidance/surgical/index.html
March 01, 2025 - CAHPS Surgical Care Survey
The CAHPS Surgical Care Survey asks adult patients to report on surgical care, surgeons, their staff, and anesthesiologists. This standardized survey expands on the CAHPS Clinician & Group Survey , which focuses on primary and specialty care, by incorporating domains that are relevan…
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www.ahrq.gov/diagnostic-safety/resources/index.html
March 01, 2025 - Resources Related to Diagnostic Safety and Quality
AHRQ Papers on Diagnostic Safety Topics AHRQ is developing a series of papers on different diagnostic safety issues. Some papers will be posted as Issue Briefs while others will be submitted for publication in peer-reviewed journals. Issue Briefs Journal Articl…
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psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
November 27, 2018 - Book/Report
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events.
Citation Text:
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…
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www.ahrq.gov/es/sops/resources/planning-tool/index.html
August 01, 2024 - SOPS Action Planning Tool
This Action Planning Tool was designed primarily for users of the Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture® (SOPS®) surveys , as well as the SOPS supplemental items. The SOPS surveys and supplemental items are an important source …
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psnet.ahrq.gov/issue/making-healthcare-safe-story-patient-safety-movement
January 20, 2021 - Book/Report
Making Healthcare Safe: The Story of the Patient Safety Movement.
Citation Text:
Making Healthcare Safe: The Story of the Patient Safety Movement. Leape LL. Cham, Switzerland: Springer Nature; 2021. ISBN: 9783030711252.
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psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-global-challenge-global-perspective
May 28, 2014 - Book/Report
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.
Citation Text:
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. The Joint Commission. Oakbrook Terrace, IL: Joint Commiss…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chumbler-n-et-al-2004
January 01, 2004 - Chumbler N et al. 2004 "The association of home-telehealth use and care coordination with improvement of functional and cognitive functioning in frail elderly men."
Reference
Chumbler N, Mann W, Wu S, et al. The association of home-telehealth use and care coordination with improvement of functional an…
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digital.ahrq.gov/location/usa-pa-philadelphia
January 01, 2023 - USA, PA, Philadelphia
Empower NICU - A Bridge to Resources for Adjusting and Coping with Emotions (EmBRACE)
Description
This research will develop, evaluate, and test the efficacy of Empower NICU – A Bridge to Resources for Adjusting and Coping with Emotions (EmBRACE), a mobil…
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psnet.ahrq.gov/issue/2011-annual-benchmarking-report-malpractice-risks-emergency-medicine
July 18, 2018 - Book/Report
2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.
Citation Text:
2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine. Ruoff G, ed. Cambridge, MA: CRICO Strategies; 2012.
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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/field-guide-human-error-investigations-third-edition
April 13, 2018 - Book/Report
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The Field Guide to Human Error Investigations, Third Edition.
Citation Text:
The Field Guide to Human Error Investigations, Third Edition. Dekker S. Boca Baton, FL: CRC Press; 2017.
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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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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/cpi/about/otherwebsites/healthit.ahrq.gov/index.html
November 01, 2024 - AHRQ's Digital Healthcare Research Program
AHRQ's digital healthcare initiative is part of the Nation's strategy to put information technology to work in healthcare. By making health information available electronically when and where it is needed, digital healthcare can improve the quality of care, even as it …
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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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www.ahrq.gov/sops/resources/planning-tool/index.html
August 01, 2024 - SOPS Action Planning Tool
This Action Planning Tool was designed primarily for users of the Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture® (SOPS®) surveys , as well as the SOPS supplemental items. The SOPS surveys and supplemental items are an important source …
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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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