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www.ahrq.gov/cpi/about/otherwebsites/hcupnet.ahrq.gov/index.html
September 01, 2014 - Healthcare Cost and Utilization Project (HCUP) User Support (HCUP-US)
Mission
The Healthcare Cost and Utilization Project (HCUP, pronounced "H-Cup") is a family of health care databases and related software tools and products developed through a Federal-State-Industry partnership and sponsored by the Agency f…
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www.ahrq.gov/policymakers/chipra/cpcf-form8.html
December 01, 2013 - Candidate Measure Submission Form (CPCF)
CHIPRA Pediatric Quality Measures Program (PQMP)
The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved by the Office of Management and Budget (OMB) in accordance with the Paperwork Reduction Act. The OMB Control Num…
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digital.ahrq.gov/2019-year-review/research-dissemination/ahrq-funded-researchers-disseminate-findings-high-impact-journals
January 01, 2019 - AHRQ-Funded Researchers Disseminate Findings in High-Impact Journals
In 2019, AHRQ-funded researchers published over 100 research articles in peer-reviewed journals and book chapters.
A Health System’s Pilot Experience with Using Social Knowledge Networking (SKN) Technology t…
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psnet.ahrq.gov/node/39045/psn-pdf
April 04, 2011 - Risks of complications by attending physicians after
performing nighttime procedures.
April 4, 2011
Rothschild JM. Risks of Complications by Attending Physicians After Performing Nighttime Procedures.
JAMA. 2009;302(14):1565-1572. doi:10.1001/jama.2009.1423.
https://psnet.ahrq.gov/issue/risks-complications-attendi…
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psnet.ahrq.gov/node/47531/psn-pdf
June 19, 2019 - Patient Safety.
June 19, 2019
Health Aff (Millwood). 2018;37(11):1723-1908.
https://psnet.ahrq.gov/issue/patient-safety-14
The Institute of Medicine report, To Err Is Human, marked the founding of the patient safety field. This
special issue of Health Affairs, published 20 years after that report, highlights achie…
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psnet.ahrq.gov/node/45121/psn-pdf
September 27, 2016 - Factors influencing a nurse's decision to question
medication administration in a neonatal clinical care unit.
September 27, 2016
Aydon L, Hauck Y, Zimmer M, et al. Factors influencing a nurse's decision to question medication
administration in a neonatal clinical care unit. J Clin Nurs. 2016;25(17-18):2468-77.
do…
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psnet.ahrq.gov/node/40946/psn-pdf
January 19, 2012 - Effects of a multicentre teamwork and communication
programme on patient outcomes: results from the Triad
for Optimal Patient Safety (TOPS) project.
January 19, 2012
Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication
programme on patient outcomes: results from the Triad f…
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psnet.ahrq.gov/node/46747/psn-pdf
June 06, 2018 - Tackling ambulatory safety risks through patient
engagement: what 10,000 patients and families say about
safety-related knowledge, behaviors, and attitudes after
reading visit notes.
June 6, 2018
Bell SK, Folcarelli P, Fossa A, et al. Tackling Ambulatory Safety Risks Through Patient Engagement: What
10,000 Patien…
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psnet.ahrq.gov/node/45511/psn-pdf
July 21, 2017 - Can patient involvement improve patient safety? A cluster
randomised control trial of the Patient Reporting and
Action for a Safe Environment (PRASE) intervention.
July 21, 2017
Lawton R, O'Hara JK, Sheard L, et al. Can patient involvement improve patient safety? A cluster
randomised control trial of the Patient R…
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psnet.ahrq.gov/node/43629/psn-pdf
May 01, 2015 - Exposing physicians to reduced residency work hours
did not adversely affect patient outcomes after residency.
May 1, 2015
Jena AB, Schoemaker L, Bhattacharya J. Exposing physicians to reduced residency work hours did not
adversely affect patient outcomes after residency. Health Aff (Millwood). 2014;33(10):1832-40.…
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psnet.ahrq.gov/node/44715/psn-pdf
May 19, 2019 - Electronic health record–related events in medical
malpractice claims.
May 19, 2019
Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice
Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.0000000000000240.
https://psnet.ahrq.gov/issue/electronic-health-record-rel…
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psnet.ahrq.gov/node/38829/psn-pdf
January 03, 2017 - Implementing standardized operating room briefings and
debriefings at a large regional medical center.
January 3, 2017
Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings
and debriefings at a large regional medical center. Jt Comm J Qual Patient Saf. 2009;35(8):391-7.
…
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psnet.ahrq.gov/node/44369/psn-pdf
July 16, 2018 - The impact of a computerized physician order entry
system on medical errors with antineoplastic drugs 5
years after its implementation.
July 16, 2018
Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on
medical errors with antineoplastic drugs 5 years after its implemen…
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psnet.ahrq.gov/node/43400/psn-pdf
August 13, 2014 - Readmission after delayed diagnosis of surgical site
infection: a focus on prevention using the American
College of Surgeons National Surgical Quality
Improvement Program.
August 13, 2014
Gibson A, Tevis S, Kennedy G. Readmission after delayed diagnosis of surgical site infection: a focus on
prevention using the …
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psnet.ahrq.gov/node/47149/psn-pdf
June 06, 2018 - Reducing serious safety events and priority hospital-
acquired conditions in a pediatric hospital with the
implementation of a patient safety program.
June 6, 2018
Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired
Conditions in a Pediatric Hospital with the Imp…
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psnet.ahrq.gov/node/45385/psn-pdf
January 03, 2017 - Viewing prevention of catheter-associated urinary tract
infection as a system: using systems engineering and
human factors engineering in a quality improvement
project in an academic medical center.
January 3, 2017
Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Associated Urinary Tract Infection …
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psnet.ahrq.gov/node/43323/psn-pdf
January 07, 2015 - Unrealized potential and residual consequences of
electronic prescribing on pharmacy workflow in the
outpatient pharmacy.
January 7, 2015
Nanji KC, Rothschild JM, Boehne JJ, et al. Unrealized potential and residual consequences of electronic
prescribing on pharmacy workflow in the outpatient pharmacy. J Am Med Inf…
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psnet.ahrq.gov/node/42969/psn-pdf
October 31, 2014 - Reducing the burden of surgical harm: a systematic
review of the interventions used to reduce adverse events
in surgery.
October 31, 2014
Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the
interventions used to reduce adverse events in surgery. Ann Surg. 2014;2…
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psnet.ahrq.gov/node/42938/psn-pdf
February 12, 2014 - Successful implementation of a unit-based quality nurse
to reduce central line-associated bloodstream infections.
February 12, 2014
Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central
line-associated bloodstream infections. Am J Infect Control. 2014;42(2):139-43…
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psnet.ahrq.gov/node/45797/psn-pdf
October 31, 2017 - Delayed workup of rectal bleeding in adult primary care:
examining process-of-care failures.
October 31, 2017
Weingart SN, Stoffel EM, Chung DC, et al. Delayed Workup of Rectal Bleeding in Adult Primary Care:
Examining Process-of-Care Failures. The Joint Commission Journal on Quality and Patient Safety.
2016;43(1)…