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digital.ahrq.gov/ahrq-funded-projects/using-it-improve-quality-cardiovascular-disease-cvd-prevention-and-management
January 01, 2023 - Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management
Project Final Report ( PDF , 1.61 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necess…
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psnet.ahrq.gov/issue/challenges-and-remediation-patient-safety-indicators-transition-icd-10-cm
September 23, 2020 - Study
Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM.
Citation Text:
Boyd AD, Yang YM, Li J, et al. Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. J Am Med Inform Assoc. 2015;22(1):19-28. doi:10.1136/amiaj…
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psnet.ahrq.gov/issue/development-evidence-based-framework-factors-contributing-patient-safety-incidents-hospital
June 25, 2014 - Review
Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review.
Citation Text:
Lawton R, McEachan RRC, Giles SJ, et al. Development of an evidence-based framework of factors contributing to patient safety …
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psnet.ahrq.gov/issue/one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and
July 01, 2016 - Study
Classic
One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs.
Citation Text:
Maben J, Griffiths P, Penfold C, et al. One size fits all? Mixed methods evaluation of the…
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psnet.ahrq.gov/issue/multi-method-exploratory-evaluation-service-designed-improve-medication-safety-patients
July 22, 2020 - Study
A multi-method exploratory evaluation of a service designed to improve medication safety for patients with monitored dosage systems following hospital discharge.
Citation Text:
Alqenae FA, Steinke DT, Belither H, et al. A multi-method exploratory evaluation of a service designed to…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/annual-summary/2010
January 01, 2010 - Evaluation and Integration of an Automatic Fall Prediction System - 2010
Project Name
Evaluation and Integration of an Automatic Fall Prediction System
Principal Investigator
Kearns, William D.
Organization
University of South Florida
Funding Mechanism
PAR: HS08-269…
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psnet.ahrq.gov/issue/characteristics-initial-prescription-episodes-and-likelihood-long-term-opioid-use-united
April 24, 2018 - Study
Classic
Characteristics of initial prescription episodes and likelihood of long-term opioid use—United States, 2006–2015.
Citation Text:
Shah A, Hayes CJ, Martin BC. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use - …
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psnet.ahrq.gov/issue/comparative-effectiveness-analysis-implementation-surgical-safety-checklists-tertiary-care
December 20, 2023 - Study
A comparative effectiveness analysis of the implementation of surgical safety checklists in a tertiary care hospital.
Citation Text:
Bock M, Fanolla A, Segur-Cabanac I, et al. A Comparative Effectiveness Analysis of the Implementation of Surgical Safety Checklists in a Tertiary Car…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/spectorhudak.ppt
December 01, 2013 - AHRQ Slide Template 2004
On-Time Prevention Program for Long Term Care: Clinical Decision Support
William Spector, Ph.D. AHRQ
Sandra Hudak, MS RN SLH Clinical Consulting
Presentation at AHIMA
June 17, 2013
Baltimore, MD
Using HIT for Prevention in Nursing Homes
Pressure ulcers, falls, and preventable hospitali…
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psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers-handovers-and
December 14, 2022 - Study
Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients?
Citation Text:
Scott J, Dawson P, Heavey E, et al. Content analysis of patient safety incident reports for older adult …
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psnet.ahrq.gov/issue/clinical-characteristics-and-short-term-outcomes-acute-kidney-injury-missed-diagnosis-older
April 20, 2022 - Study
Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit.
Citation Text:
Li Q, Hu P, Kang H, et al. Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis…
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psnet.ahrq.gov/issue/human-based-errors-involving-smart-infusion-pumps-catalog-error-types-and-prevention
November 16, 2022 - Review
Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies.
Citation Text:
Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Drug Saf. 2020;43(1…
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www.ahrq.gov/es/programs/index.html?page=3
Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
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psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
December 07, 2011 - Study
Emerging Classic
Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial.
Citation Text:
Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim2.html
July 01, 2013 - Eliminating CAUTI: Interim Data Report
Introduction and Objectives
Previous Page Next Page
Table of Contents
Eliminating CAUTI: Interim Data Report
Executive Summary
Introduction and Objectives
Methods
Results
Outcome and Process Measures
Culture Measures
Conclusions
He…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.html
March 01, 2017 - Appendix K. CAUTI Case Review Form
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Purpose
The CAUTI Case Review Form is a performance improvement look-back tool that assists long-term care (LTC) facilities with identifying possible resident care issues that might have contributed to a cathet…
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Appendix L. Intensive Care Unit Infographic Poster
Previous Page Next Page
Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation G…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-1-slides.pptx
August 03, 2022 - TeamSTEPPS Communication - Module 1
Communication
Module 1
1
Objectives
Describe how communication affects team processes and outcomes.
Define effective communication.
Identify communication challenges.
Identify TeamSTEPPS tools and strategies that can improve a team’s communication.
2
Communication
2
C…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-anger.html
January 01, 2025 - Grantee Profile
Improving the Quality of Care for Women With Urinary Incontinence
Jennifer Anger, M.D., M.P.H. Professor and Vice Chair of Research, Department of Urology University of California San Diego Health
Jennifer Anger, M.D., M.P.H.
“Even when patients were very bothered by incontinence, ne…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/ERYP-oE5C6JuSVZogm3Nyj
September 02, 2025 - Summary of USPSTF Draft Recommendation: Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults
1
The Task Force is a scientifically independent, volunteer panel of national experts in
prevention and evidence-based medicine that w…