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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section1.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
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Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices and Complications
Example…
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psnet.ahrq.gov/issue/returning-roots-culture-review-and-re-conceptualisation-safety-culture
December 16, 2020 - Review
Returning to the roots of culture: a review and re-conceptualisation of safety culture.
Citation Text:
Edwards JRD, Davey J, Armstrong K. Returning to the roots of culture: A review and re-conceptualisation of safety culture. Saf Sci. 2013;55. doi:10.1016/j.ssci.2013.01.004.
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psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases
November 03, 2021 - Study
A transdisciplinary team acting on evidence through analyses of moot malpractice cases.
Citation Text:
Constantino RE. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Dimens Crit Care Nurs. 2007;26(4):150-5.
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psnet.ahrq.gov/issue/long-term-solution-malpractice-crises-reduce-harm-patients
September 12, 2018 - Commentary
Long-term solution to malpractice crises: reduce harm to patients.
Citation Text:
Schoenbaum S, Segel K. Long-term solution to malpractice crises: reduce harm to patients. Physician Exec. 2006;32(2):26-9, 31.
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psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general-anesthesia
March 17, 2021 - Commentary
Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia.
Citation Text:
Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12.
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psnet.ahrq.gov/issue/bias-radiology-how-and-why-misses-and-misinterpretations
March 01, 2023 - Commentary
Bias in radiology: the how and why of misses and misinterpretations.
Citation Text:
Busby LP, Courtier JL, Glastonbury CM. Bias in Radiology: The How and Why of Misses and Misinterpretations. Radiographics. 2018;38(1):236-247. doi:10.1148/rg.2018170107.
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psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
June 22, 2022 - Commentary
Deaths due to medical error: jumbo jets or just small propeller planes?
Citation Text:
Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf. 2012;21(9). doi:10.1136/bmjqs-2012-001368.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_12_WkWthAdv_HO_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 12)
Guide to Patient and Family Engagement :: 1
Working With Patient and Family Advisors
The benefits of working with
patient and family advisors
Bringing the perspectives of patients and families directly
into the planning, delivery, and evalu…
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www.ahrq.gov/news/newsroom/case-studies/202504.html
June 01, 2025 - Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety
Search All Impact Case Studies
June 2025
Harborview Medical Center in Seattle, Washington, has improved patient safety across its facilities using AHRQ’s Quality Indicators (QIs) — standardized measures used to assess and m…
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesMcConnochie2010.pdf
January 01, 2001 - Integrated Telemedicine System Demonstrates Reduction in Children’s Emergency Department Visits
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www.ahrq.gov/priority-populations/observances/hispanic-heritage/index.html
October 01, 2021 - Grantees Focusing on Hispanic and Latino Populations
Peter Yellowlees, M.D.
“I have found it fascinating to see the way that almost all patients speak differently, using simpler phrases and less words, when using an interpreter. Their descriptions of clinical symptoms and histories is much ric…
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www.ahrq.gov/policymakers/chipra/overview/background/appendix-a5.html
December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
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psnet.ahrq.gov/issue/costly-issues-uncommunicative-or
July 29, 2020 - Newspaper/Magazine Article
Costly issues of an uncommunicative OR.
Citation Text:
Neil R. Costly issues of an uncommunicative OR. Materials management in health care. 2006;15(3):30-3.
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psnet.ahrq.gov/issue/alarm-algorithms-critical-care-monitoring
February 03, 2010 - Review
Alarm algorithms in critical care monitoring.
Citation Text:
Imhoff M, Kuhls S. Alarm algorithms in critical care monitoring. Anesth Analg. 2006;102(5):1525-37.
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psnet.ahrq.gov/issue/checklists-and-guidelines-imaging-techniques-visualizing-what-do
December 02, 2015 - Commentary
Checklists and guidelines: imaging techniques for visualizing what to do.
Citation Text:
Davidoff F. Checklists and guidelines: imaging techniques for visualizing what to do. JAMA. 2010;304(2):206-7. doi:10.1001/jama.2010.972.
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psnet.ahrq.gov/issue/medical-and-surgical-comanagement-after-elective-hip-and-knee-arthroplasty-randomized
January 22, 2014 - Study
Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial.
Citation Text:
Huddleston JM, Long KH, Naessens JM, et al. Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial. Ann I…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/intro.html
October 01, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Introduction
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Table of Contents
Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Executive Summary
Introduction
Methods
Overview of the 14 Transfo…
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psnet.ahrq.gov/issue/postoperative-complications-due-retained-surgical-sponge
February 23, 2011 - Commentary
Postoperative complications due to a retained surgical sponge.
Citation Text:
Sarda AK, Pandey D, Neogi S, et al. Postoperative complications due to a retained surgical sponge. Singapore Med J. 2007;48(6):e160-4.
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psnet.ahrq.gov/issue/revitalizing-established-rapid-response-team
September 23, 2020 - Commentary
Revitalizing an established rapid response team.
Citation Text:
Genardi ME, Cronin SN, Thomas LD. Revitalizing an established rapid response team. Dimens Crit Care Nurs. 2008;27(3):104-9. doi:10.1097/01.DCC.0000286837.95720.8c.
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psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication-incidents
July 25, 2018 - Newspaper/Magazine Article
Students have a key role in a culture of safety: analysis of student-associated medication incidents.
Citation Text:
Students have a key role in a culture of safety: analysis of student-associated medication incidents. ISMP Medication Safety Alert! Acute care e…