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psnet.ahrq.gov/issue/urgent-need-improve-health-care-quality-institute-medicine-national-roundtable-health-care
May 27, 2015 - Commentary
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The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality.
Citation Text:
Chassin MR, Galvin RW. The urgent need to improve health care quality. Institute of Medicine National Roundtable o…
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psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety
July 10, 2008 - Study
Classic
A framework for engaging physicians in quality and safety.
Citation Text:
Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf. 2012;21(9):722-728. doi:10.1136/bmjqs-2011-000167.
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psnet.ahrq.gov/issue/effect-computer-order-entry-prevention-serious-medication-errors-hospitalized-children
May 27, 2011 - Study
Classic
Effect of computer order entry on prevention of serious medication errors in hospitalized children.
Citation Text:
Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious medication errors in hospitalized …
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psnet.ahrq.gov/issue/medical-misadventures-errors-and-mistakes-and-motor-vehicular-accidents-disproportionate
March 05, 2025 - Study
Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden of childhood mortality among Blacks/African Americans in the United States: CDC Dataset, 1968-2015.
Citation Text:
Holmes L, Enwere M, Mason R, et al. Medical misadventures as …
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psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety
June 07, 2023 - Study
Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety.
Citation Text:
Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:…
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psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
April 12, 2011 - Study
Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs.
Citation Text:
Roulet L, Ballereau F, Hardouin J-B, et al. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related …
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psnet.ahrq.gov/issue/barriers-implementation-checklists-office-based-procedural-setting
February 18, 2019 - Study
Barriers to the implementation of checklists in the office-based procedural setting.
Citation Text:
Shapiro FE, Fernando RJ, Urman RD. Barriers to the implementation of checklists in the office-based procedural setting. J Healthc Risk Manag. 2014;33(4):35-43. doi:10.1002/jhrm.21141…
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psnet.ahrq.gov/issue/cpoe-iran-viable-prospect-physicians-opinions-using-cpoe-iranian-teaching-hospital
June 30, 2011 - Study
CPOE in Iran—a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital.
Citation Text:
Kazemi A, Ellenius J, Tofighi S, et al. CPOE in Iran--a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital. Int J Med Inform. 2009;7…
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psnet.ahrq.gov/issue/quality-indicators-implementation-safety-promotion-towards-valid-and-reliable-global
February 03, 2010 - Study
Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes.
Citation Text:
Timpka T, Nordqvist C, Festin K, et al. Quality indicators for implementation of safety promotion: towards valid and reliable global cert…
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psnet.ahrq.gov/issue/measuring-and-managing-quality-surgery-statistical-vs-incidental-approaches
August 04, 2021 - Commentary
Classic
Measuring and managing quality of surgery. Statistical vs incidental approaches.
Citation Text:
McGuire HH, Horsley JS, Salter DR, et al. Measuring and managing quality of surgery. Statistical vs incidental approaches. Arch Surg. 1992;127(6):7…
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psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children-detected-paediatric
February 15, 2023 - Study
Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool.
Citation Text:
Chapman SM, Fitzsimons J, Davey N, et al. Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatr…
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psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here
January 23, 2012 - Study
Classic
High-reliability health care: getting there from here.
Citation Text:
Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490. doi:10.1111/1468-0009.12023.
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digital.ahrq.gov/funding-mechanism/ahrq-conference-grant-program-r13
January 01, 2023 - AHRQ Conference Grant Program (R13)
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the…
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psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
June 27, 2011 - Study
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Perceptions of safety culture vary across the intensive care units of a single institution.
Citation Text:
Huang DT, Clermont G, Sexton B, et al. Perceptions of safety culture vary across the intensive care units of a single institution. Crit Car…
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www.ahrq.gov/patient-safety/index.html
January 01, 2024 - Patient Safety and Quality Improvement
AHRQ Safety Program for Perinatal Care, Phase 2
Resources to help labor and delivery units reduce obstetric hemorrhage and severe hypertension in pregnancy
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digital.ahrq.gov/health-it-evaluation-toolkit
January 01, 2023 - Health IT Evaluation Toolkit and Evaluation Measures Quick Reference Guides
Health IT Evaluation Toolkit
This toolkit, which was designed to help project teams develop an evaluation plan of their health IT project, consists of three sections:
Section I outlines a st…
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integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-resources-october-2017-update
October 31, 2017 - An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/effect-health-care-professional-disruptive-behavior-patient-care-systematic-review
February 16, 2022 - Review
The effect of health care professional disruptive behavior on patient care: a systematic review.
Citation Text:
Hicks S, Stavropoulou C. The effect of health care professional disruptive behavior on patient care: a systematic review. J Patient Saf. 2022;18(2):138-143. doi:10.1097/…
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psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us
March 17, 2021 - Review
Summary and frequency of barriers to adoption of CPOE in the US.
Citation Text:
Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2.
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psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017
June 28, 2017 - Study
Drug and opioid-involved overdose deaths- United States, 2013-2017.
Citation Text:
Scholl L, Seth P, Kariisa M, et al. Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. MMWR Morb Mortal Wkly Rep. 2018;67(5152):1419-1427. doi:10.15585/mmwr.mm675152e1.
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