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psnet.ahrq.gov/node/44382/psn-pdf
June 21, 2016 - Patient safety reporting: a qualitative study of thoughts
and perceptions of experts 15 years after 'To Err is
Human.'
June 21, 2016
Mitchell I, Schuster A, Smith K, et al. Patient safety incident reporting: a qualitative study of thoughts and
perceptions of experts 15 years after 'To Err is Human'. BMJ Qual Saf. …
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psnet.ahrq.gov/node/39368/psn-pdf
May 04, 2010 - Results of the Medications At Transitions and Clinical
Handoffs (MATCH) study: an analysis of medication
reconciliation errors and risk factors at hospital
admission.
May 4, 2010
Gleason KM, McDaniel MR, Feinglass J, et al. Results of the Medications At Transitions and Clinical
Handoffs (MATCH) Study: An Analysis…
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psnet.ahrq.gov/node/72467/psn-pdf
November 18, 2020 - Higher incidence of adverse events in isolated patients
compared with non-isolated patients: a cohort study.
November 18, 2020
Jiménez-Pericás F, Gea Velázquez de Castro MT, Pastor-Valero M, et al. Higher incidence of adverse
events in isolated patients compared with non-isolated patients: a cohort study. BMJ Open.…
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digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/unlocking-potential-pros-clinical-notes-treating-rheumatoid
January 01, 2018 - Unlocking the Potential of PROs in Clinical Notes for Treating Rheumatoid Arthritis
Significance and Potential Impact
Use of NLP and PROs has the potential to transform the care of patients with RA, and to reduce health disparities for underserved and minority populations.
Rheumatoid arthritis (RA) affect…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/RSVE2R5EKRj7egkc3R7eVQ
September 01, 2019 - Clinician Summary of USPSTF Recommendation Screening for Asymptomatic Bacteriuria in Adults
1
Clinician Summary of USPSTF Recommendation
Screening for Asymptomatic Bacteriuria in Adults
September 2019
What does the USPSTF recommend?
B
Grade
For pregnant persons
Screen persons who are pregnant for asymptomatic b…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ginsberg-highlights.pdf
June 02, 2025 - Understanding CAHPS Surveys: A Primer for New Users - Highlights from CAHPS Work
HIGHLIGHTS FROM RECENT
CAHPS WORK
Caren Ginsberg, Ph.D.
Director, CAHPS & SOPS
Center for Quality Improvement & Patient Safety, AHRQ
29
CAHPS V Accomplishments
• Survey and Item Set Development and Revision:
► Incorporating Teleh…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/overview.html
July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit
Overview
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
Improvement Data
Other Resour…
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psnet.ahrq.gov/node/40910/psn-pdf
November 09, 2011 - The effect of hospital electronic health record adoption on
nurse-assessed quality of care and patient safety.
November 9, 2011
Kutney-Lee A, Kelly D. The effect of hospital electronic health record adoption on nurse-assessed quality of
care and patient safety. J Nurs Adm. 2011;41(11):466-72. doi:10.1097/NNA.0b013e…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/exh3.html
October 01, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Exhibit 3. Items Classified by Estimating Costs Grantees as Direct and Indirect Cost Elements
Previous Page Next Page
Table of Contents
Estimating the Costs of Primary Care Transformation: A Practical Guide a…
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psnet.ahrq.gov/node/867335/psn-pdf
December 11, 2024 - Comparing safety, performance and user perceptions of a
patient-specific indication-based prescribing tool with
current practice: a mixed methods randomised user
testing study.
December 11, 2024
Feather C, Clarke J, Appelbaum N, et al. Comparing safety, performance and user perceptions of a patient-
specific indi…
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psnet.ahrq.gov/node/43299/psn-pdf
December 23, 2016 - Preventing infection from the misuse of vials.
December 23, 2016
Preventing infection from the misuse of vials. Sentinel Event Alert. 2014;June 16(52):1-6.
https://psnet.ahrq.gov/issue/preventing-infection-misuse-vials
The Joint Commission has issued a sentinel event alert regarding infections caused by the misuse …
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psnet.ahrq.gov/node/60212/psn-pdf
January 29, 2021 - Patient Safety Recommendations for COVID-19 Epidemic
Outbreak: 3.0
January 29, 2021
La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland:
International Society for Quality in Health Care; 2021.
https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epide…
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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/research/findings/final-reports/ptflow/index.html
July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Next Page
Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Executive Summary
Section 1. The Need to Address Emergency Department Crow…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/058-patient-instructions-iodophor.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Patient Info Sheet: Preoperative Nasal Decolonization With Iodophor
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is Nasal Decolonization?
Some bacteria can live inside your nostrils for a long time. Normally, the…
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digital.ahrq.gov/ahrq-funded-projects/ed-information-systems-kentucky-indiana-hospitals
January 01, 2023 - ED Information Systems: Kentucky & Indiana Hospitals
Project Description
Project Details -
Completed
Grant Number
UC1 HS014897
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Implementation …
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www.ahrq.gov/data/innovations/sdoh.html
June 01, 2023 - Social Determinants of Health
An integral part of delivering high-quality healthcare is understanding the social determinants of health (SDOH) of patients and of communities in which healthcare is provided. The World Health Organization defines SDOH as the conditions in which people are born, grow, live, work, …
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www.ahrq.gov/funding/process/award-process/index.html
June 01, 2017 - Funding Award Process at AHRQ
Description of the process through which AHRQ funding decisions are made.
After an application has completed the peer review process it is evaluated by AHRQ staff for possible funding. Several factors are taken into consideration, including:
Reviewers' priority or percentile …
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digital.ahrq.gov/year-survey/2008
January 01, 2008 - 2008
Baseline Clinician Interview Script
Description
This is an interview guide designed to be conducted with clinical staff in an ambulatory setting. The tool includes questions to assess the current state of electronic health records.
Year of Survey
2008
…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/05-pfe-planning-60-seconds.pdf
August 01, 2021 - 60 Seconds To Improve Diagnostic Safety Planning Worksheet
Toolkit for Engaging Patients
To Improve Diagnostic Safety
AHRQ Publication No. 21-0047-4-EF
August 2021
60 Seconds To Improve
Diagnostic Safety
Planning Worksheet
When planning your implementation, be sure to have the following materials
available s…