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psnet.ahrq.gov/issue/guide-patient-safety-medical-practice
March 11, 2015 - Book/Report
A Guide to Patient Safety in the Medical Practice.
Citation Text:
A Guide to Patient Safety in the Medical Practice. Vance JE. Chicago, IL: American Medical Association: 2008.
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www.ahrq.gov/patient-safety/reports/engage/casestudies.html
December 01, 2017 - Patient and Family Engagement in Primary Care
Case Studies
Research shows that patient engagement in health care can lead to measurable improvements in safety and quality. To promote stronger engagement, the Agency for Healthcare Research and Quality is developing a guide to help patients, families, and healt…
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psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
January 25, 2010 - Study
Emergency nursing and medical error—a survey of two states.
Citation Text:
Emergency nursing and medical error—a survey of two states. Hohenhaus SM.
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psnet.ahrq.gov/issue/questions-ask-about-radiation-safety
June 01, 2015 - Fact Sheet/FAQs
Questions to ask about radiation safety.
Citation Text:
Questions to ask about radiation safety. The American Society for Radiation Oncology
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psnet.ahrq.gov/issue/risky-business-creating-connections
September 04, 2024 - United States Meeting/Conference
Risky Business: Creating Connections.
Citation Text:
Risky Business: Creating Connections. Joseph B. Martin Conference Center, Boston, MA; September 19, 2024.
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www.ahrq.gov/news/newsroom/case-studies/202102.html
September 01, 2021 - AHRQ Quality Indicators Toolkit Strengthens Nursing Coursework at University of Phoenix
Search All Impact Case Studies
September 2021
The University of Phoenix's graduate nursing program uses AHRQ's Quality Indicators (QI) Toolkit as a learning tool to help students better understand the quality improveme…
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psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths
November 29, 2017 - Newspaper/Magazine Article
Mental health conditions leading cause of pregnancy-related deaths.
Citation Text:
Mental health conditions leading cause of pregnancy-related deaths. Quick Safety. January 16 2023;(67):1-3.
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psnet.ahrq.gov/issue/patient-safety-and-adverse-maternal-health-outcomes-missing-social-inequalities-lens
August 01, 2018 - Commentary
Patient safety and adverse maternal health outcomes: the missing social inequalities 'lens.'
Citation Text:
Patient safety and adverse maternal health outcomes: the missing social inequalities 'lens.' Murray SF, Bacchus L. BJOG. 2005 Oct;112(10):1339-1343.
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psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians
May 09, 2018 - Newspaper/Magazine Article
Care transitions know-how not just for clinicians.
Citation Text:
Care transitions know-how not just for clinicians. Ready T. HealthLeaders Media. September 26, 2017.
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digital.ahrq.gov/ahrq-funded-projects/barriers-meaningful-use-medicaid/annual-summary/2011
January 01, 2011 - Barriers to Meaningful Use in Medicaid - 2011
Project Name
Barriers to Meaningful Use in Medicaid
Principal Investigator
Thompson, Chuck
Organization
RTI International
Contract Number
290-07-10079-2
Project Period
June 2010 - June 2012
AHRQ Funding Amo…
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psnet.ahrq.gov/issue/people-disabilities-fear-pandemic-will-worsen-medical-biases
April 27, 2016 - Audiovisual
People with disabilities fear pandemic will worsen medical biases.
Citation Text:
People with disabilities fear pandemic will worsen medical biases. Shaprio J. National Public Radio. April 15, 2020.
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digital.ahrq.gov/ahrq-funded-projects/barriers-meaningful-use-medicaid/annual-summary/2010
January 01, 2010 - Barriers to Meaningful Use in Medicaid - 2010
Project Name
Barriers to Meaningful Use in Medicaid
Principal Investigator
Thompson, Chuck
Organization
RTI International
Contract Number
290-07-10079-2
Project Period
June 2010 – June 2012
AHRQ Funding Amo…
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psnet.ahrq.gov/node/33856/psn-pdf
April 01, 2018 - Patients
with clear understanding of their postdischarge instructions are 30% less likely to be readmitted … of their diagnosis from
77% to 100%, and medication understanding from 27% to 71%.(16) Interventions … of Patient Safety Risks
Our understanding of patient safety hazards during the peridischarge period … Quality of discharge practices and patient understanding at an
academic medical center. … Knowledge is power. a quality improvement project to
increase patient understanding of their hospital
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digital.ahrq.gov/principal-investigator/zikmund-fisher-brian
May 30, 2017 - Zikmund-Fisher, Brian
Improving the understanding of test results by … Improving the understanding of test results by substituting (not adding) goal ranges: web-based between-subjects … discussed methods for presenting meaningful displays of medical test result data to patients for improved understanding
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psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory
January 16, 2013 - RIS
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Related Resources From the Same Author(s)
Understanding … March 6, 2024
Understanding medication safety involving patient transfer from intensive … May 20, 2019
Understanding procedural violations using Safety-I and Safety-II: the case … June 19, 2013
Understanding the attitudes of hospital pharmacists to reporting medication
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psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-effectiveness-pharmacist-led-medication-reconciliation
January 23, 2017 - RIS
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Related Resources From the Same Author(s)
Understanding … January 23, 2017
Understanding and responding when things go wrong: key principles for … September 20, 2011
Understanding teamwork in rapidly deployed interprofessional teams … February 22, 2023
Understanding factors that could influence patient acceptability of
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psnet.ahrq.gov/node/39759/psn-pdf
December 17, 2010 - (Mis)understanding safety culture and its relationship to
safety management. … (Mis)understanding Safety Culture and Its Relationship to Safety Management.
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - Seeing an opportunity to contribute to a better understanding of
this issue, we then developed our own … The goal is to have a better understanding of how and why
people react the way they do and, through … this understanding, potentially prevent a disruptive event or
communication mishap from occurring. … Gaining a better understanding of human factor
issues; providing education and workshops supported by … Understanding Patient Safety. New York, NY: McGraw-Hill Professional; 2008.
5. Rosenstein AH.
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psnet.ahrq.gov/node/38699/psn-pdf
June 17, 2009 - Mapping research on culture and safety in high-risk
organizations: arguments for a sociotechnical
understanding … Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a
Sociotechnical Understanding
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/obtain-training-and-support-providers-and-staff/clinicwide-orientation-oud-treatment
January 01, 2019 - This training should improve staff’s understanding of addiction as “a chronic, relapsing brain disease … This training should help improve their basic understanding of the patients they will serve and the MAT … Understanding that opioid use disorder leads to fundamental changes in the brain can help reinforce to … Build an understanding of risk and protective factors and of the kinds of behaviors common in people … Everyone should have a basic understanding of behaviors, side effects, and complications of opioid use