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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Introduction
Previous Page Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive Summary
Introduct…
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www.ahrq.gov/news/newsroom/case-studies/cquips0802.html
October 01, 2014 - AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors in Emergency Departments
Search All Impact Case Studies
June 2008
AHRQ-sponsored research on how clinical pharmacy services can reduce medication-related errors in hospital emergency departments has been put to use in hospitals in a …
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www.ahrq.gov/practiceimprovement/delivery-initiative/abstract-williams.html
December 01, 2017 - The IHA Bundled Episode Payment and Gainsharing Demonstration Project
Abstract
Principal Investigator: Tom Williams, Dr.P.H.
Integrated Healthcare Association
Purpose
This study evaluated whether bundled payments can be an effective model for commercial health plans, hospitals, and physician organizatio…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impmaterials.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Implementation Materials: Self-Assessment Worksheet for Pressure Ulcer Prevention
Three implementation documents are used to help the nursing home change team integrate the pressure ulcer prevention reports they choose to use into day-…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/kawdsummello.html
October 01, 2014 - Mello-Thoms, Claudia
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: University of Pittsburgh
Grant Title: MammoTutor: An Internet-Based Computer Tutoring System to Teach Gene…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumlafl.html
October 01, 2014 - Lafleur, Joanne
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: University of Utah
Grant Title: Knowledge Engineering for Decision Support in Osteoporosis
Grant Number: K08…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumcoch.html
October 01, 2014 - Cochran, Gary
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: University of Nebraska Medical Center
Grant Title: Comparing the Effectiveness of Medication Use Systems in Small…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumpete.html
October 01, 2014 - Peterson, Pamela
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: University of Colorado, Denver
Grant Title: The Comparative Effectiveness of Single versus Dual Chamber Cardio…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsummedd.html
October 01, 2014 - Meddings, Jennifer
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: University of Michigan at Ann Arbor
Grant Title: Targeting Hospital-Acquired Complications: Impact on the Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-2.pdf
June 02, 2025 - Measure 1, Section 2, Attachment 2
SNAC Submission Form Measure 1: Accurate ADHD Diagnosis
Section 2: Detailed Measure Specifications
Attachment 2: Chart Abstraction Algorithm
This algorithm demonstrates how this measure would be calcu…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-discussion-guide.docx
September 01, 2022 - Acute Sinusitis – Discussion Guide
Acute Sinusitis: Discussion Guide
During a regularly scheduled staff meeting, the stewardship leader(s) is encouraged to ask all clinical staff which of the components of the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care related to acute sinusitis been revie…
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www.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error Classification
Previous Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chap…
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www.ahrq.gov/npsd/data/spotlights.html
September 01, 2025 - NPSD Data Spotlights
Below are the first three of an anticipated series of NPSD Data Spotlights to be published periodically. They will call attention to specific NPSD data and may include both quantitative and qualitative analyses. For example, future Data Spotlights may focus on data new to the NPSD Dashboar…
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www.ahrq.gov/research/findings/index.html
March 01, 2025 - Research Findings & Reports
Summaries of research findings and reports
EPC Evidence-Based Reports The Agency for Healthcare Research and Quality (AHRQ), through its EPCs, sponsors the development of various reports to assist public- and private-sector organizations in their efforts to improve the quality of h…
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www.ahrq.gov/cpi/centers/cepi/index.html
November 01, 2024 - Center for Evidence and Practice Improvement (CEPI)
Generates new knowledge, synthesizes evidence, translates science on what works in health and health care delivery, and catalyzes practice improvement across health care settings with a focus on primary care.
The Director of CEPI is Therese Miller, Dr.P.H. …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide151.html
October 01, 2014 - 151. Treatment Recommendations: Medications-Clonidine
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Patient selection
Appropriate as a second-line medication for treating tobacco use
Precautions, warnings, contraindications and side effects (s…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error Classification
Previous Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chap…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/chg-device-cleaning.pdf
March 01, 2022 - Staff Huddle Reminder: Device Cleaning With CHG
Decolonization of
Non-ICU Patients With Devices
Section 13-2 – Staff Huddle Reminder:
Device Cleaning With CHG
Because of the results of a large clinical trial, we provide daily chlorhexidine gluconate
(CHG) bathing/showering for non-ICU adult patients with…
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www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi8.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention
Next Steps
Previous Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention
Executive Summary
Introduction & Objectives
Methods
Data Collection and Analy…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-section-2.pdf
January 01, 2016 - Overuse of Imaging
Overuse of Imaging
Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache
Description
The percentage of children, ages 2 through 17 years old, with post-traumatic headache who were
evaluated in the emergency depa…