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psnet.ahrq.gov/issue/intervention-decrease-narcotic-related-adverse-drug-events-childrens-hospitals
April 11, 2011 - Study
An intervention to decrease narcotic-related adverse drug events in children's hospitals.
Citation Text:
Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1…
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digital.ahrq.gov/sample-questions-answers-1
January 01, 2023 - Sample Questions & Answers
DISCLAIMER
The studies referenced here were reported in peer-reviewed publications as systematic reviews, hypothesis tests, or predictive analyses. Although the results are valid for the institutions they represent, they may not be valid for otherorganizations w…
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psnet.ahrq.gov/issue/evaluating-shared-decision-making-lung-cancer-screening
May 25, 2016 - Study
Evaluating shared decision making for lung cancer screening.
Citation Text:
Brenner AT, Malo TL, Margolis M, et al. Evaluating Shared Decision Making for Lung Cancer Screening. JAMA Intern Med. 2018;178(10):1311-1316. doi:10.1001/jamainternmed.2018.3054.
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psnet.ahrq.gov/issue/involvement-patients-cancer-patient-safety-qualitative-study-current-practices-potentials-and
September 27, 2017 - Study
Involvement of patients with cancer in patient safety: a qualitative study of current practices, potentials and barriers.
Citation Text:
Martin HM, Navne LE, Lipczak H. Involvement of patients with cancer in patient safety: a qualitative study of current practices, potentials and…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T8-Sample_Pocket_Card_Long_Version_Phase_3.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 3 - Sample Pocket Z-Card Long Version
9” (4 @ 2.25”) x 3.25”
Comprehensive Antibiogram Toolkit: Phase 3 - Sample Pocket Z-Card Long Version
9” (4 @ 2.25”) x 3.25”
Key Findings From the Antibiograms
· Most of our data come from urine cultures: Of 192 cultures used to make t…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/emergency-preparedness-plans.pdf
May 01, 2022 - Incorporating Infection Prevention and Control into an Emergency Preparedness Plan
Incorporating Infection Prevention and Control
into an Emergency Preparedness Plan
Emergency preparedness plans capture a nursing home’s approach to meeting the health, safety, and
security needs of staff and residents during an…
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www.ahrq.gov/news/newsroom/case-studies/201415.html
September 01, 2014 - RED Lowering Hospital Readmissions and Improving Patient Satisfaction at Euclid Hospital in Ohio
Search All Impact Case Studies
September 2014
Two years after introducing AHRQ's Re-Engineered Discharge (RED) toolkit and seeing patient satisfaction improve and avoidable heart failure readmissions decrease,…
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psnet.ahrq.gov/issue/unprofessional-behaviors-among-tomorrows-physicians-review-literature-focus-risk-factors
January 31, 2018 - Review
Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk factors, temporal trends, and future directions.
Citation Text:
Fargen KM, Drolet BC, Philibert I. Unprofessional Behaviors Among Tomorrow's Physicians: Review of the Literature Wit…
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psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety
March 13, 2013 - Commentary
Classic
Balancing "no blame" with accountability in patient safety.
Citation Text:
Wachter R, Pronovost P. Balancing "no blame" with accountability in patient safety. New Engl J Med. 2009;361(14):1401-1406. doi:10.1056/NEJMsb0903885.
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psnet.ahrq.gov/issue/integrating-incident-reporting-electronic-patient-record-system
June 08, 2010 - Study
Integrating incident reporting into an electronic patient record system.
Citation Text:
Haller G, Myles PS, Stoelwinder J, et al. Integrating incident reporting into an electronic patient record system. J Am Med Inform Assoc. 2007;14(2):175-81.
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psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant
November 25, 2009 - Study
Classic
Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant.
Citation Text:
Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient saf…
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psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
April 04, 2011 - Study
Classic
Explaining Michigan: developing an ex post theory of a quality improvement program.
Citation Text:
Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/26-patient-education-guide.docx
June 01, 2023 - Guide to Using the Improving Surgical Care and Recovery Patient Education BookletsAHRQ Safety Program for Improving
Surgical Care and Recovery
Purpose of Booklets
The booklets were developed for patients and caregivers to engage and prepare them for surgery and recovery in the hospital and at home. Patients and careg…
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www.ahrq.gov/news/newsroom/case-studies/201906.html
November 01, 2019 - AHRQ Tools Improve Care, Safety for St. Luke’s University Health Network Obstetric Patients
Search All Impact Case Studies
November 2019
St. Luke’s University Health Network—a non-profit, integrated network providing services at nine hospitals and more than 300 sites in Pennsylvania and New Jersey—is improv…
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psnet.ahrq.gov/issue/combined-proactive-risk-assessment-unifying-proactive-and-reactive-risk-assessment-techniques
May 11, 2022 - Study
Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care.
Citation Text:
Bender JA, Kulju S, Soncrant C. Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. Jt Comm J Qua…
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www.ahrq.gov/news/newsroom/case-studies/202001.html
April 01, 2020 - Maine Hospital Speeds Patients’ Admitting Time from the Emergency Department After Using AHRQ Tools
Search All Impact Case Studies
April 2020
LincolnHealth, a 25-bed critical access hospital in Damariscotta, Maine, improved the timeliness of admitting patients from the emergency department into a hospital u…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/bonnevie-l-et-al-2005
January 01, 2005 - Bonnevie L et al. 2005 "The use of computerized decision support systems in preventive cardiology-principal results from the national PRECARD survey in Denmark."
Reference
Bonnevie L, Thomsen T, Jorgensen T. The use of computerized decision support systems in preventive cardiology-principal results fr…
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hcup-us.ahrq.gov/db/vars/pay1/nrdnote.jsp
August 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NRD Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued)
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Y…
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psnet.ahrq.gov/issue/implementing-root-cause-analysis-and-action-integrating-human-factors-create-strong
December 23, 2020 - Study
Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.
Citation Text:
Wolf L, Gorman K, Clark J, et al. Implementing root cause analysis and action: integrating human factors to create strong interventi…