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  1. psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-came-out
    January 26, 2022 - Newspaper/Magazine Article Patients went into the hospital for care. After testing positive there for Covid, some never came out. Citation Text: Patients went into the hospital for care. After testing positive there for Covid, some never came out. Jewett C. Kaiser Health News. November 4…
  2. psnet.ahrq.gov/issue/are-you-well-positioned-resolve-conflicts-safety-order-learning-physicians-homicide-trial-and
    May 18, 2022 - Newspaper/Magazine Article Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. Citation Text: Are you well positioned to resolve conflicts with the safety of an order? Learning…
  3. www.ahrq.gov/ncepcr/reports/grants-transform/introduction.html
    October 01, 2023 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Introduction Previous Page Next Page Table of Contents Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Executive Summary Introduction Methods Overview of the 14 Transfo…
  4. www.ahrq.gov/news/newsroom/case-studies/cp31103.html
    October 01, 2014 - University of Missouri Uses AHRQ's Health Literacy Toolkit to Train and Coach Physicians Search All Impact Case Studies September 2011 The University of Missouri Center for Health Policy, through funding from Health Literacy Missouri, a nonprofit organization based in St. Louis, incorporated AHRQ's "Health …
  5. psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional-influences
    November 03, 2021 - Book/Report Classic Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. Citation Text: Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. Helmreich RL, Merritt AC. Brookfi…
  6. psnet.ahrq.gov/issue/perspective-road-map-academic-departments-promote-scholarship-quality-improvement-and-patient
    July 02, 2014 - Commentary Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Citation Text: Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/gurwitz.pdf
    January 01, 2014 - Off-Label Use of Atypical Antipsychotics in the Nursing Home Research to Help Underserved Populations Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness Research Products Off-Label Use of Atypical Antipsychotics in the Nursing Home Description The prevalence of off-label use of atypi…
  8. psnet.ahrq.gov/issue/designing-strategy-promote-safe-innovative-label-use-medications
    May 06, 2009 - Commentary Designing a strategy to promote safe, innovative off-label use of medications. Citation Text: Ansani N, Sirio CA, Smitherman T, et al. Designing a strategy to promote safe, innovative off-label use of medications. Am J Med Qual. 2006;21(4):255-261. Copy Citation Format…
  9. www.ahrq.gov/hai/clabsi-tools/appendix-9.html
    March 01, 2018 - Appendix 9: Back to Basics Tools for Reducing Central Line-Associated Blood Stream Infections These tools will help your unit implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI). When used with the CUSP (Comprehensive Unit-based Safety Program) Toolkit, th…
  10. psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-prevention-retained-surgical-items
    January 05, 2017 - Commentary Implementing AORN recommended practices for prevention of retained surgical items. Citation Text: Goldberg JL, Feldman DL. Implementing AORN recommended practices for prevention of retained surgical items. AORN J. 2012;95(2):205-16; quiz 217-9. doi:10.1016/j.aorn.2011.11.010…
  11. psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
    January 26, 2022 - Toolkit Reducing Adverse Drug Events Related to Opioids Implementation Guide. Citation Text: Reducing Adverse Drug Events Related to Opioids Implementation Guide. Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015. Copy Citation …
  12. psnet.ahrq.gov/issue/theres-science-team-development-interventions-organizations
    January 15, 2020 - Review There's a science for that: team development interventions in organizations. Citation Text: Shuffler ML, DiazGranados D, Salas E. There’s a Science for That. Curr Dir Psychol Sci. 2011;20(6). doi:10.1177/0963721411422054. Copy Citation Format: DOI Google Scholar Bi…
  13. psnet.ahrq.gov/issue/bundaberg-and-beyond-duty-disclose-adverse-events-patients
    January 12, 2022 - Commentary Bundaberg and beyond: duty to disclose adverse events to patients. Citation Text: Madden B, Cockburn T. Bundaberg and beyond: duty to disclose adverse events to patients. J Law Med. 2007;14(4):501-27. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…
  14. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-experience-fry-webinar.pdf
    January 01, 2014 - Understanding CAHPS® Surveys: A Primer for New Users What Is Patient Experience and How Does CAHPS Measure It? Stephanie Fry Senior Study Director Westat www.ahrq.gov/cahps What is Patient Experience? “Patient experience encompasses the range of interactions that patients have with the health care system, inc…
  15. psnet.ahrq.gov/issue/effective-approaches-control-non-actionable-alarms-and-alarm-fatigue
    January 15, 2025 - Commentary Effective approaches to control non-actionable alarms and alarm fatigue. Citation Text: Winters BD. Effective approaches to control non-actionable alarms and alarm fatigue. J Electrocardiol. 2018;51(6S):S49-S51. doi:10.1016/j.jelectrocard.2018.07.007. Copy Citation Forma…
  16. www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter4.html
    December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure Chapter 4. Factors to Consider when Analyzing Data for Multiple Project Sites Previous Page Next Page Table of Contents ARRA ACTION: Comparative Effective…
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-technicalspecs.pdf
    June 02, 2025 - Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Technical Specifications The percentage of children, ages 2 through 17 years, with either a BMI >95th percentile or a BMI ≥85th percentile with weight-related comorbidities, and an outpatient visit, who had at least one sub…
  18. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-technicalspecs.pdf
    June 02, 2025 - Hypertension Screening for Children Who Are Overweight or Obese: Technical Specifications The percentage of children aged 3 through 17 years with an outpatient care visit and a BMI ≥85th percentile who had a blood pressure percentile documented and classified as normal or abnormal during the measure…
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/026-assessing-evc-essential-one-pager.docx
    October 01, 2024 - When starting or improving an environmental cleaning (EVC) monitoring program, there are five essential steps to address, which are outlined below. This document focuses on the implementation of fluorescent gel (FG) monitoring, which is generally easier to use and implement, especially when starting a new monitoring pr…
  20. www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex522.html
    March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas Exhibit 5-22. Measure 22: The quality of the service provided by community resource to a practice (GP-LI) Previous Page Next Page Table of Contents Clinical-Community Relationships Measures (CCRM) Atlas Introduction Acknowledgments 1. Why …