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digital.ahrq.gov/organization/oregon-health-and-science-university
January 01, 2023 - Oregon Health and Science University
Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH)
Description
This research will refine an existing interoperable, patient-facing blood pressure control tool--the Collaboration Oriented Approach to Controlling High …
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digital.ahrq.gov/location/usa-or-portland
January 01, 2023 - USA, OR, Portland
Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH)
Description
This research will refine an existing interoperable, patient-facing blood pressure control tool--the Collaboration Oriented Approach to Controlling High Blood Pressure (COA…
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digital.ahrq.gov/ahrq-funded-projects/interoperable-reusable-and-scalable-shared-decision-aid-navigator-system
August 31, 2025 - An Interoperable, Reusable, and Scalable Shared Decision Aid Navigator System: Supporting the 5 Rights of Patient Shared Decision Making
Project Description
Using interoperable standards to create a reusable, sharable, and scalable system for patient shared decision aids has th…
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digital.ahrq.gov/ahrq-funded-projects/implementation-ddinteract-shared-decision-making-tool-anticoagulant-drug-drug
August 15, 2023 - Implementation of DDInteract: A Shared Decision Making Tool for Anticoagulant Drug-Drug Interactions
Project Description
This research has the potential to reduce drug-drug interactions involving anticoagulants through a novel shared decision making tool that visually displays,…
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psnet.ahrq.gov/issue/definition-quality-and-approaches-its-assessment-vol-1-explorations-quality-assessment-and
May 24, 2015 - Book/Report
Classic
The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring.
Citation Text:
The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Mon…
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psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis
January 10, 2018 - Book/Report
Medical Device Use Error: Root Cause Analysis.
Citation Text:
Medical Device Use Error: Root Cause Analysis. Wiklund M, Dwyer A, Davis E. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498705790.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs7.html
June 01, 2018 - Chartbook on Health Care for Blacks
Part 3: National Quality Strategy Priority—Care Affordability
Previous Page Next Page
Table of Contents
Chartbook on Health Care for Blacks
Health Care for Blacks
Acknowledgments
Part 1: Overviews of the Report and the Black Population
Part 2: Trends in Pr…
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hcup-us.ahrq.gov/news/exhibit_booth/NRDBrochure_050218.pdf
May 16, 2018 - What is the NRD?
The Nationwide Readmissions Database (NRD)
is part of the family of databases and software
tools developed for the Healthcare Cost and
Utilization Project (HCUP). The NRD is a unique
and powerful database designed to support
various types of analyses of national readmission
rates for all payers and the…
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psnet.ahrq.gov/issue/safe-use-health-information-technology
December 23, 2016 - Sentinel Event Alerts
Safe use of health information technology.
Citation Text:
Safe use of health information technology. Sentinel Event Alert. March 31, 2015;(54):1-6.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-starting-practice.pdf
June 02, 2025 - Job Aid: Starting with a Practice
Primary Care Practice Facilitator
Training Series
1
Job Aid: Starting with a Practice
Overview
How you start with a practice can set the tone for your work with the practice. Do your
homework and be well prepared for all of your meetings. Spend time getting to know…
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psnet.ahrq.gov/issue/national-survey-obstetric-anaesthetic-handovers
July 18, 2018 - Study
A national survey of obstetric anaesthetic handovers.
Citation Text:
Sabir N, Yentis SM, Holdcroft A. A national survey of obstetric anaesthetic handovers*. Anaesthesia. 2006;61(4). doi:10.1111/j.1365-2044.2006.04541.x.
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DOI Google Scholar BibTe…
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psnet.ahrq.gov/issue/interruptions-and-medication-administration-critical-care
December 08, 2021 - Review
Interruptions and medication administration in critical care.
Citation Text:
Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. doi:10.1111/nicc.12185.
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Format:
DOI Google Scho…
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psnet.ahrq.gov/issue/costs-developing-implementing-and-operating-safety-learning-system-community-practice
March 21, 2012 - Study
The costs of developing, implementing, and operating a safety learning system in community practice.
Citation Text:
O'Beirne M, Reid R, Zwicker K, et al. The costs of developing, implementing, and operating a safety learning system in community practice. J Patient Saf. 2013;9(4):2…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/HIT/Development-HIT-Item-Set.html
July 01, 2022 - Development of the CAHPS Health Information Technology Item Set
Nearly all health care providers have incorporated various forms of health IT into their practices. The pace of change has been driven in large part by pressure from public and private purchasers to adopt technologies that promise to improve the qu…
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psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response
January 12, 2022 - Study
Adverse event protocol for interventional pain medicine: the importance of an organized response.
Citation Text:
Sitzman BT. Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized Response. Pain Medicine. 2008;9(suppl 1). doi:10.1111/j.1526-4637.2…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
December 01, 2017 - Tool: OR Briefing and Debriefing Audit Tool
AHRQ Safety Program for Surgery
Operating Room Briefing and Debriefing Audit Tool
Introduction
Problem Statement
One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers unde…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/perioperative_asst.docx
December 01, 2017 - Tool: Perioperative Staff Safety Assessment
AHRQ Safety Program for Surgery
Perioperative Staff Safety Assessment
Introduction
Problem Statement
One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patie…
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psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
June 07, 2017 - Commentary
Development of a standardized, citywide process for managing smart-pump drug libraries.
Citation Text:
Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900…
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psnet.ahrq.gov/issue/utility-and-assessment-non-technical-skills-rapid-response-systems-and-medical-emergency
June 22, 2009 - Review
Utility and assessment of non-technical skills for rapid response systems and medical emergency teams.
Citation Text:
Chalwin RP, Flabouris A. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Intern Med J. 2013;43(9):962-9. d…
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psnet.ahrq.gov/issue/systematic-review-human-factors-and-ergonomics-hfe-based-healthcare-system-redesign-quality
February 13, 2014 - Review
A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety.
Citation Text:
Xie A, Carayon P. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and pa…