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psnet.ahrq.gov/node/43419/psn-pdf
October 20, 2014 - Impact of a reengineered electronic error-reporting
system on medication event reporting and care process
improvements at an urban medical center.
October 20, 2014
McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication
event reporting and care process improvements …
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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/sites/default/files/wysiwyg/hai/tools/mrsa-2/038-ss-nasal-iodophor-protocol.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Pre-Op Surgical Nasal Iodophor Decolonization Protocol for Staff
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Background: Nasal Iodophor
· Does not require a physician order and can be used for nasal decoloni…
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psnet.ahrq.gov/node/845361/psn-pdf
March 29, 2023 - A standardized marking procedure for ENT operations to
prevent wrong-site surgery: development, establishment
and subsequent evaluation among patients and medical
personnel.
March 29, 2023
Rohrmeier C, Abudan Al-Masry N, Keerl R, et al. A standardized marking procedure for ENT operations to
prevent wrong-site sur…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/final-impact-synthesis-report.pdf
July 22, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
thInsert Cover Here
AHRQ Infrastructure for Maintaining Primary Care
Transformation (IMPaCT) Grants
A Synthesis Report
July 2015
AHRQ Infrastructure for Maintaining Primary
…
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www.ahrq.gov/sites/default/files/publications/files/final-impact-synthesis-report.pdf
July 22, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
thInsert Cover Here
AHRQ Infrastructure for Maintaining Primary Care
Transformation (IMPaCT) Grants
A Synthesis Report
July 2015
AHRQ Infrastructure for Maintaining Primary
…
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - We spoke with her about NPSF and the organization's evolving role in enhancing health care safety at
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-brief1-care-coordination.pdf
April 01, 2021 - Rapid Evidence Product
April 2021
Care Coordination and Care Plans for
Transitions Across Care Settings
Purpose
The purpose of this topic development brief is to explore and scope the evidence on care
coordination and care plans for transitions across care settings (“transitional care interventions”)
i…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
May 07, 2008 - Imbedding Research in Practice to Improve Medication Safety
Imbedding Research in Practice to
Improve Medication Safety
Marsha A. Raebel, PharmD; Elizabeth A. Chester, PharmD; David W. Brand, MSPH;
David J. Magid, MD, MPH
Abstract
Objective: The objective of this project was to improve medication saf…
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www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care
PROL IN HOME HEALTH CARE
Title: Process Reliability and Organizational Learning in Home Health Care
Principal Investigator and Team Members:
Michael P. Silver, MPH Principal Investigator
Cher Edmonds Study Coordinator
Robert…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-fullreport.pdf
July 01, 2017 - Pediatric Medical Complexity Algorithm
Pediatric Medical Complexity Algorithm
Section 1. Basic Measure Information
1.A. Measure Name
Pediatric Medical Complexity Algorithm
1.B. Measure Number
0141
1.C. Measure Description
Please provide a non-technical description of the measure that conveys what it measure…
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs028693-rajamani-final-report-2023.pdf
January 01, 2023 - Advancing Population and Public health Reporting and Outcomes with Vaccination data Exchange (APPROVE) – Final Report
1
AHRQ Grant Final Progress Report
Title of Project:
Advancing Population and Public health Reporting and Outcomes with Vaccination data
Exchange (APPROVE)
Principal Investigator and Team M…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/topic-brief1-care-coordination.pdf
April 01, 2021 - Rapid Evidence Product
April 2021
Care Coordination and Care Plans for
Transitions Across Care Settings
Purpose
The purpose of this topic development brief is to explore and scope the evidence on care
coordination and care plans for transitions across care settings (“transitional care interventions”)
i…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-centered-medical-home_executive.pdf
July 01, 2012 - varied considerably in their approach to implementing major components (e.g., variable approaches to enhancing
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psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
May 01, 2011 - to think more critically about why the error happened and develop a robust prevention plan, thereby enhancing
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psnet.ahrq.gov/node/49450/psn-pdf
June 01, 2004 - to think more critically about why the error happened and develop a robust
prevention plan, thereby enhancing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
July 22, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Insert Cover Here
Findings From the AHRQ Transforming Primary
Care Grant Initiative: A Synthesis Report
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Hum…
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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - In Conversation With... Jeffrey Shuren, MD, JD
May 28, 2020
Also Read the Essay
Citation Text:
In Conversation With.. Jeffrey Shuren, MD, JD. PSNet [internet]. 2020.In Conversation With... Jeffrey Shuren, MD, JD. PSNet [internet]. Rockville (MD): Agency for Healt…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Falls Prevention Self-Assessment Worksheet
Purpose
The Self-Assessment Worksheet is a worksheet designed to help staff review how they currently identify residents who have experienced a change in falls risk, how they determine if new clinica…
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - Hospital at Home? Care Reduces Costs, Readmissions,
and Complications and Enhances Satisfaction for Elderly
Patients.
April 7, 2021
https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-
and-enhances
Summary
The Hospital at Homesm program provides hospital-level care…