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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…
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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…
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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
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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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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 …
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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…
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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. …
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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…
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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.
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Format…
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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…
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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…
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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.
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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.
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DOI Google Scholar Bi…
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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.
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Format:
Google Scholar PubMed BibTeX EndNote X…
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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…
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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.
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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
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Table of Contents
ARRA ACTION: Comparative Effective…
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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…
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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…
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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…
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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)
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Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why …