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digital.ahrq.gov/ahrq-funded-projects/improving-electronic-health-records-patient-education-materials/annual-summary/2012
January 01, 2012 - Improving Electronic Health Records Patient Education Materials - 2012
Project Name
Improving Electronic Health Records Patient Education Materials
Principal Investigator
Shoemaker, Sarah
Organization
Abt Associates, Inc.
Funding Mechanism
National Resource Center T…
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digital.ahrq.gov/ahrq-funded-projects/developing-guide-identifying-and-remediating-unintended-consequences/annual-summary/2010
January 01, 2010 - Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health IT - 2010
Project Name
Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health Information Technology
Principal Investigator
Koppel, Ross
Orga…
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psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
June 14, 2017 - Commentary
Improving patient safety by practicing in a just culture.
Citation Text:
Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005.
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psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
September 12, 2016 - Newspaper/Magazine Article
Taking risky business out of the MRI suite.
Citation Text:
Rozovsky FA, Gilk TB, Latina RJ. Managing liability exposure and safety. Taking risky business out of the MRI suite. Materials management in health care. 2006;15(1):18-23.
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…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/tobacco-narrative.pdf
December 31, 2018 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Measure Narrative
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Measure Narrative
Description
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times…
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psnet.ahrq.gov/issue/safety-considerations-mitigate-risks-misconnections-small-bore-connectors-intended-enteral
June 02, 2021 - Regulation
Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications.
Citation Text:
Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications. Rockville, MD:…
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psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and-primary-care
November 25, 2009 - Tools/Toolkit
Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care.
Citation Text:
Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. National Confidential Inquiry into Suicide and Safety in Mental Health. Manchester, UK: Univers…
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psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety
January 15, 2020 - Commentary
Nursing peer review: developing a framework for patient safety.
Citation Text:
Diaz L. Nursing peer review: developing a framework for patient safety. J Nurs Adm. 2008;38(11):475-9. doi:10.1097/01.NNA.0000339473.27349.28.
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DOI Google Schola…
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psnet.ahrq.gov/issue/defining-technical-skills-teamwork-surgery
October 26, 2010 - Commentary
Defining the technical skills of teamwork in surgery.
Citation Text:
Healey A, Undre S, Vincent C. Defining the technical skills of teamwork in surgery. Qual Saf Health Care. 2006;15(4):231-4.
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Google Scholar PubMed BibTeX EndNote X3 XML En…
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psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis
November 18, 2011 - Book/Report
Maximize Patient Safety with Advanced Root Cause Analysis.
Citation Text:
Maximize Patient Safety with Advanced Root Cause Analysis. Corbett C, Clapper C, Johnson KM, et al. Middleton, MA: HCPro; 2004. ISBN: 1578393485
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psnet.ahrq.gov/issue/assessment-quality-data-provided-pap-test-requisitions-implications-quality-care-and-patient
March 15, 2017 - Study
Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety.
Citation Text:
Naryshkin S, Schultz BL. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Cytoj…
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psnet.ahrq.gov/issue/medication-attributed-adverse-effects-placebo-groups-implications-assessment-adverse-effects
January 08, 2018 - Review
Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects.
Citation Text:
Rief W, Avorn J, Barsky AJ. Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects. Arch Intern Med. 2006;166(…
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psnet.ahrq.gov/issue/using-information-optimize-medical-outcomes
August 04, 2021 - Commentary
Using information to optimize medical outcomes.
Citation Text:
Duncan JR. Using Information to Optimize Medical Outcomes. JAMA. 2009;301(22). doi:10.1001/jama.2009.827.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
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www.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html
July 01, 2023 - Making Health Care Safer II
An Updated Critical Analysis of the Evidence for Patient Safety Practices
This evidence report updates the 2001 report, Making Health Care Safer: A Critical Analysis of Patient Safety Practices.
Select for a list of 22 patient safety strategies discussed in the new report that a…
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www.ahrq.gov/pcor/healthcare-extension-services/index.html
February 01, 2025 - AHRQ's Healthcare Extension Service: State-Based Solutions to Healthcare Improvement
Applications Currently Being Reviewed for Healthcare Extension Cooperatives, National Coordinating Center, and National Evaluation Center Applications have closed and are currently being reviewed for applicants seeking to join …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/ed-workflowdiagrams.pdf
January 01, 2018 - Emergency Department Workflow Diagrams
Emergency Department
Workflow Diagrams
Ambulatory patient
arrives.
Provider assigns
patient to self and
evaluates patient.
Diagnostic testing
including labwork and
chest x-ray. Diagnosis
CAP?
Pursue other
diagnoses.
Inpatient treatment
warranted? Based on
clin…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/christopher_sellers.pdf
January 01, 2014 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans
AL CHIP’s Experience with
Consumer Assessment
Chris Sellers, MPH, Director of Data and
Evaluation
Children's Health Insurance Program (CHIP), Alabama
Department of Public Health
Alabama Department of Public Health 25
Who Are We…
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psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service
January 22, 2014 - Study
Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service?
Citation Text:
Raine J, Scarrott D. Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? Eur J Pediatr. 2012;171(10…
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www.ahrq.gov/news/newsroom/case-studies/201802.html
August 01, 2018 - Connecticut Hospital Reduces Pressure Injuries Using AHRQ Toolkit
Search All Impact Case Studies
May 2018
Saint Francis Hospital and Medical Center, a 617-bed hospital in Hartford, CT, reduced hospital-acquired pressure injuries by more than 60 percent using an AHRQ toolkit. Preventing Pressure Ulcers in H…
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digital.ahrq.gov/principal-investigator/samore-matthew
January 01, 2023 - Samore, Matthew
Understanding adoption of a personal health record in rural health care clinics: revealing barriers and facilitators of adoption including attributions about potential patient portal users and self-reported characteristics of early adopting users.
Citation
Butl…