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psnet.ahrq.gov/node/39721/psn-pdf
September 20, 2011 - Physicians' perceptions, preparedness for reporting, and
experiences related to impaired and incompetent
colleagues.
September 20, 2011
DesRoches CM, Rao SR, Fromson J, et al. Physicians' perceptions, preparedness for reporting, and
experiences related to impaired and incompetent colleagues. JAMA. 2010;304(2):187-…
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psnet.ahrq.gov/node/39016/psn-pdf
April 04, 2011 - Variation in hospital mortality associated with inpatient
surgery.
April 4, 2011
Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N
Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa0903048.
https://psnet.ahrq.gov/issue/variation-hospital-mortality-associate…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-how-are-surveys-administered-fry-webinar.pdf
June 02, 2025 - Understanding CAHPS® Surveys: A Primer for New Users - Slides 32-38
How Are CAHPS Surveys
Administered?
Stephanie Fry
Senior Study Director
Westat
www.ahrq.gov/cahps
Administration of CAHPS Surveys
• Recall that AHRQ is a research and development
agency
AHRQ provides information about best survey science
…
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www.ahrq.gov/data/hcup/mental-disorders.html
May 01, 2023 - Geographic Variation in Inpatient Stays for Five Leading Mental Disorders, 2016-2018
This visualization presents rates of hospitalization per 100,000 population for mental disorders during the 3-year period 2016-2018, comparing national, State, and substate areas. Based on an analysis of data from AHRQ's Health…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/qi-strategies.html
July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit
Quality Improvement Strategies
Previous Page Next Page
Table of Contents
Quality of Pediatric Hospital-to-Home Transitions Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
Improveme…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-2txt.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 2: Medication Reconciliation Upon Discharge High Level Process Map Before Redesign (Text Description)
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATC…
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www.ahrq.gov/action-alliance/commitment/index.html
September 01, 2025 - Commitment To Advance Patient and Workforce Safety
The National Action Alliance is a community of healthcare provider organizations and federal, private, and community partners, including patients and their families, who share a commitment to forging innovative pathways toward safer healthcare for patients and …
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-2txt.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 2: Medication Reconciliation Upon Discharge High Level Process Map Before Redesign (Text Description)
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATC…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/045-ss-tips-patient-ed.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Tips for Teaching Preoperative Decolonization to Patients
Surgical Services
For: Cardiac, Hip and Joint Knee Replacement, and Spinal Fusion Surgeries
Preoperative decolonization is a preventive strategy used to target methicillin-resistant Staphylococcus …
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www.ahrq.gov/research/findings/evidence-based-reports/nutritn2tp.html
April 01, 2018 - Volume 2: Issues and Challenges in Conducting Systematic Reviews to Support Development of Nutrient Reference Values: Workshop Summary
Structured Abstract
Full Title: Nutritional Research Series: Advancing the Role of Evidence-based Reviews in Nutrition Research and Applications
Nutrient reference values ha…
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/followup.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Followup to the PSML Demonstration Projects
Previous Page Next Page
Table of Contents
Demonstration Grants Final Evaluation Report
Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
Less…
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www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tp-evaluation-report.html
August 01, 2024 - Patient-Centered Outcomes Research Trust Fund Training Program Evaluation Report
The Patient Protection and Affordable Care Act of 2010 authorized AHRQ to develop the skills of researchers to build capacity for future comparative effectiveness research (CER). With support from the Patient-Centered O…
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www.ahrq.gov/hai/tools/cauti-hospitals/toolkit-resources.html
February 01, 2023 - Resources
Toolkit for Reducing CAUTI in Hospitals
The Resources module of the Toolkit for Reducing CAUTI in Hospitals links to additional resources for CAUTI prevention and safety culture improvement.
Tools
Preventing CAUTI in the ICU Setting
This four-module narrated presentation is designed for inte…
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psnet.ahrq.gov/node/47392/psn-pdf
January 23, 2019 - Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety: final results
of the MARQUIS study.
January 23, 2019
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety: final results o…
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psnet.ahrq.gov/node/45425/psn-pdf
December 22, 2018 - Automated identification of antibiotic overdoses and
adverse drug events via analysis of prescribing alerts and
medication administration records.
December 22, 2018
Kirkendall ES, Kouril M, Dexheimer JW, et al. Automated identification of antibiotic overdoses and adverse
drug events via analysis of prescribing ale…
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psnet.ahrq.gov/node/43074/psn-pdf
December 18, 2014 - Graded autonomy in medical education—managing
things that go bump in the night.
December 18, 2014
Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night.
N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408.
https://psnet.ahrq.gov/issue/graded-autonomy-medic…
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psnet.ahrq.gov/node/45730/psn-pdf
December 14, 2016 - Identification of priorities for improvement of medication
safety in primary care: a PRIORITIZE study.
December 14, 2016
Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety
in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17(1):160.
https://psnet.ah…
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psnet.ahrq.gov/node/47736/psn-pdf
February 27, 2019 - Using a potentially aggressive/violent patient huddle to
improve health care safety.
February 27, 2019
Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve
Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.1016/j.jcjq.2018.08.011.
https://ps…
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psnet.ahrq.gov/node/47058/psn-pdf
August 20, 2018 - The first U.S. study on nurses' evidence-based practice
competencies indicates major deficits that threaten
healthcare quality, safety, and patient outcomes.
August 20, 2018
Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nurses' Evidence-Based Practice
Competencies Indicates Major Deficit…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023390-overby-final-report-2017.pdf
January 01, 2017 - Purpose
This project aimed to: (1) employ user-centered approaches … Methods
Aim 1: Employ user-centered approaches to design and develop a prototype clinical decision … Results
Aim 1: Employ user-centered approaches to design and develop a prototype clinical decision … In summary, our findings illustrated a need to support
customized notification approaches, user-specific … In addition,
we would implement novel technology approaches to address the challenges to achieving the