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www.ahrq.gov/news/newsroom/case-studies/ktcquips79.html
October 01, 2014 - Four Kentucky Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation
Search All Impact Case Studies
November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support calls focusin…
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psnet.ahrq.gov/issue/delay-or-avoidance-medical-care-because-covid-19-related-concerns-united-states-june-2020
September 23, 2020 - Study
Classic
Delay or avoidance of medical care because of COVID-19-related concerns--United States, June 2020.
Citation Text:
Czeisler MÉ, Marynak K, Clarke KEN, et al. Delay or avoidance of medical care because of COVID-19-related concerns - United States, Ju…
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psnet.ahrq.gov/issue/safety-health-care-ethnic-minority-patients-systematic-review
May 25, 2022 - Review
The safety of health care for ethnic minority patients: a systematic review.
Citation Text:
Chauhan A, Walton M, Manias E, et al. The safety of health care for ethnic minority patients: a systematic review. Int J Equity Health. 2020;19(1):118. doi:10.1186/s12939-020-01223-2.
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psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
September 06, 2023 - Study
Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity.
Citation Text:
Huth K, Hotz A, Emara N, et al. Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention…
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psnet.ahrq.gov/issue/adverse-events-veterans-affairs-inpatient-psychiatric-units-staff-perspectives-contributing
January 30, 2019 - Study
Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors.
Citation Text:
True G, Frasso R, Cullen SW, et al. Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and prote…
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-patients-discharged-acute-care-hospitals
June 23, 2021 - Study
Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities.
Citation Text:
Poudel A, Peel NM, Nissen L, et al. Potentially inappropriate prescribing in older patients discharged from acute care hospitals to resid…
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn19.jsp
August 01, 2014 - MHA/AHRQ Clinically Enhanced Data Project
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
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Espanol
FAQs
Email Upd…
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psnet.ahrq.gov/issue/culture-safety-impact-improvement-infection-prevention-process-and-outcomes
September 23, 2020 - Review
Culture of safety: impact on improvement in infection prevention process and outcomes.
Citation Text:
Braun B, Chitavi SO, Suzuki H, et al. Culture of Safety: Impact on Improvement in Infection Prevention Process and Outcomes. Curr Infect Dis Rep. 2020;22(12):34. doi:10.1007/s1190…
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psnet.ahrq.gov/issue/investigating-impact-cognitive-bias-nursing-documentation-decision-making-and-judgement
July 13, 2022 - Study
Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement.
Citation Text:
Martin K, Bickle K, Lok J. Investigating the impact of cognitive bias in nursing documentation on decision‐making and judgement. Int J Mental Health Nurs. 2022;31(4)…
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psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention
January 12, 2022 - Review
Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults.
Citation Text:
Leland NE, Lekovitch C, Martínez J, et al. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention int…
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psnet.ahrq.gov/issue/physician-task-load-and-risk-burnout-among-us-physicians-national-survey
October 26, 2022 - Study
Physician task load and the risk of burnout among US physicians in a national survey.
Citation Text:
Harry EM, Sinsky CA, Dyrbye LN, et al. Physician task load and the risk of burnout among US physicians in a national survey. Jt Comm J Qual Patient Saf. 2021;47(2):76-85. doi:10.101…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-brown.pdf
April 02, 2025 - HCBS CAHPS Survey Database: What You Need to Know - BROWN
Looking Forward: HCBS
Quality Measures Alignment
and HCBS CAHPS® Survey
Melanie Brown, PhD, Technical Director
Division of Community Systems Transformation, Disabled and Elderly Health
Programs Group, Center for Medicaid and CHIP Services, Centers for Medic…
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psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research-patient-safety
July 15, 2020 - Review
20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety.
Citation Text:
St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient …
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psnet.ahrq.gov/issue/cybersecurity-health-urgent-patient-safety-concern-we-can-learn-existing-patient-safety
October 28, 2020 - Commentary
Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it.
Citation Text:
O’Brien N, Ghafur S, Durkin M. Cybersecurity in health is an urgent patient safety concern: we can learn from existing pa…
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psnet.ahrq.gov/issue/medication-errors-acute-cardiovascular-and-stroke-patients-scientific-statement-american
February 03, 2011 - Organizational Policy/Guidelines
Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association.
Citation Text:
Michaels AD, Spinler SA, Leeper B, et al. Medication Errors in Acute Cardiovascular and Stroke Patients. Circulatio…
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psnet.ahrq.gov/issue/promises-project
January 30, 2019 - Multi-use Website
The PROMISES Project.
Citation Text:
The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…
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psnet.ahrq.gov/issue/trends-maternal-mortality-and-severe-maternal-morbidity-during-delivery-related
September 29, 2017 - Study
Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021.
Citation Text:
Fink DA, Kilday D, Cao Z, et al. Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalization…
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psnet.ahrq.gov/issue/covid-19-peer-support-and-crisis-communication-strategies-promote-institutional-resilience
February 03, 2021 - Commentary
Classic
COVID-19: peer support and crisis communication strategies to promote institutional resilience.
Citation Text:
Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote Institutional Resilience. Ann Int…
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psnet.ahrq.gov/issue/making-health-care-safer-what-contribution-health-psychology
November 26, 2008 - Commentary
Making health care safer: what is the contribution of health psychology?
Citation Text:
Vincent CA, Wearden A, French DP. Making health care safer: What is the contribution of health psychology? Br J Health Psychol. 2015;20(4):681-7. doi:10.1111/bjhp.12166.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-hl2.html
September 01, 2015 - Chartbook on Women's Health Care
Healthy Living: HPV Vaccine Among Adolescent Females
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Table of Contents
Chartbook on Women's Health Care
Acknowledgments
Women's Health Care
Key Findings of the 2014 QDR
2014 Chartbooks
Access to Health Care
Affordability
Commu…