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psnet.ahrq.gov/issue/diagnostic-safety-issue-briefs
December 24, 2008 - Special or Theme Issue
Diagnostic Safety Issue Briefs.
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Diagnostic Safety Issue Briefs. Rockville, MD: Agency for Healthcare Research and Quality; 2020-2024.
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psnet.ahrq.gov/issue/eliminating-serious-preventable-and-costly-medical-errors-never-events
May 26, 2021 - Press Release/Announcement
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events.
Citation Text:
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. Baltimore, MD: Centers for Medicare and Medicaid Services; May 18, 2006.
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psnet.ahrq.gov/issue/impact-statewide-reporting-system-medication-error-reduction
December 16, 2011 - Study
Impact of a statewide reporting system on medication error reduction.
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Impact of a statewide reporting system on medication error reduction. Rask K; Hawley J; Davis A; Naylor D; Thorpe K.
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23668
August 11, 2025 - An official website of the Department of Health & Human Services
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digital.ahrq.gov/program-overview/research-reports/2023-year-review/executive-summary
January 01, 2023 - Executive Summary
Chris Dymek, Ed.D. Director, Digital Healthcare Research Division "At AHRQ’s Digital Healthcare Research (DHR) program, our driving purpose is to improve healthcare delivery. By providing evidence-based insights and practical guidelines and resources, we create value for pa…
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digital.ahrq.gov/2019-year-review/research-summary
January 01, 2019 - Research Summary
The mission of AHRQ’s Digital Healthcare Research Program is directly aligned with the overall AHRQ mission. Through rigorous research, AHRQ generates the ground-breaking knowledge, tools, and data needed to improve health system performance and health outcomes. These …
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www.ahrq.gov/teamstepps-program/curriculum/mutual/teach/half-day.html
June 01, 2023 - Mutual Support Half-Day Training Content
Components you can include in Module 4 for a half-day training include:
Introduction and Objectives: 3 minutes
Task Assistance: 5 minutes
Formative Feedback: 6 minutes
Feedback Exercise: 4 minutes
Advocacy and Assertion Tools: 12 minutes
Conflict in Teams: …
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psnet.ahrq.gov/issue/implementing-patient-safety-alert-system
June 21, 2015 - Study
Implementing a patient safety alert system.
Citation Text:
Furman C. Implementing a patient safety alert system. Nurs Econ. 2005;23(1):42-5.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/largest-maternity-scandal-nhs-history-dozens-mothers-and-babies-died-wards-hospital-trust
January 29, 2020 - Newspaper/Magazine Article
‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals
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‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked repor…
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psnet.ahrq.gov/issue/time-tackle-diagnostic-errors-physicians-blame-patient-treadmill-missed-calls
April 22, 2016 - Newspaper/Magazine Article
Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls.
Citation Text:
Rice S. Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. Modern healthcare. 2015;45(3):18-20.
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digital.ahrq.gov/2019-year-review/research-summary/using-smartphone-location-data-care-coordination
January 01, 2019 - Using Smartphone Location Data for Care Coordination
A smartphone app that uses location data to notify PCPs when a patient arrives in the hospital or ER is a simple, potentially scalable approach to improve care coordination after a hospital visit.
Principal Investigator: Liss, David T. Orga…
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digital.ahrq.gov/health-care-theme/quality-measurement
January 01, 2023 - Quality Measurement
Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings
Description
This research aims to improve the early detection of venous thromboembolism in primary and urgent care by…
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www.uspreventiveservicestaskforce.org/uspstf/behavioral-counseling-interventions-evidence-based-approach-figure-1
November 01, 2013 - Behavioral Counseling Interventions: An Evidence-based Approach - Figure 1
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Figure 1. Does Changing Individual Health Behavior Improve Health Outcomes?
Analytic Framework 1 …
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www.ahrq.gov/pqmp/implementation-qi/toolkit/child-hcahps/improvement-data.html
July 01, 2021 - CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
Improvement Data
Previous Page Next Page
Table of Contents
CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
Introduction
Overview
About Measure Specifications and Reporting
Key Driver Diagram
Quality Improvement Strategies
Improvement …
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psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us
November 15, 2011 - Fact Sheet/FAQs
The Uneven Burden of Maternal Mortality in the U.S.
Citation Text:
The Uneven Burden of Maternal Mortality in the U.S. NIHCM Foundation. Washington DC: National Institute for Health Care Management. August 2, 2022.
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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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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