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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
May 01, 2023 - Tool: Two-Challenge Rule
The Two-Challenge Rule is another tool used to facilitate team members' speaking up. It was developed to manage conflict when team members’ perception of a situation differs. Human factor experts developed the rule to help airline captains prevent disasters when otherwise excellent deci…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
November 26, 2013 - Graphics for Section 5. Evidence or Other Justification for the Focus of the Measure
Q‐METRIC Sickle Cell Disease Measure 2: Timeliness of Antibiotic …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-5-table-4.pdf
January 01, 2011 - Section 5, Table 4
Table 4: Evidence Supporting Appropriate Emergency Department Fever Management for Children
with Sickle Cell Disease
Type of
evidence
Key findings Level of
evidence
(USPSTF
ranking*)
Citation(s)
Clinical
guidelines
All children with SCD who have fever greater
than 38.5 degrees Cels…
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www.ahrq.gov/sites/default/files/wysiwyg/nqsleverfactsheet.pdf
May 01, 2014 - National Quality Strategy: Using Levers to Achieve Improved Health and Health Care
National Quality Strategy: Using Levers to
Achieve Improved Health and Health Care
About the National Quality Strategy
The National Quality Strategy is the first-ever national effort backed by legislation to align public- and
privat…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0237-table1.pdf
June 17, 2014 - Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid: Table 1
Table 1: Evidence Supporting the Importance of Availability of Care for Children Needing Specialty Care
Type of
evidence
Key findings
Level of
evidence
(USPSTF
ranking*)
Citation(s)
Clinical
Gui…
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www.ahrq.gov/news/blog/ahrqviews/ahrq-pcori-collaborate.html
February 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ and the Patient-Centered Outcomes Research Institute Collaborate to Train a New Generation of Learning Health System Scientists
FEB
3
2023
By
Robert Otto Valdez, Ph.D., M.H.S.A.
and Nakela L. Cook, M.D., M.P.H.
Robert Otto Va…
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www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apb.html
August 01, 2022 - Implementation Guide for the CANDOR Process: Appendix B
Team Roles and Responsibilities
Role
Responsibilities
Suggested Background or
Experience for Staff Roles
I. CANDOR Implementation Team
CANDOR Implementation Team Leader
Organization-wide implementation of the CANDOR pr…
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-summ.html
October 01, 2015 - Chartbook for Hispanic Health Care
Priority Areas Identified by the U.S.-Mexico Border Commission: Summary & Definitions
Previous Page
Table of Contents
Chartbook for Hispanic Health Care
Acknowledgments
Health Care For Hispanics
National Quality Strategy Priorities: Patient Safety
Nation…
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www.ahrq.gov/funding/training-grants/trainover.html
October 01, 2020 - AHRQ Research Training and Career Development Opportunities: Overview
AHRQ supports a variety of pre- and postdoctoral research training grant opportunities, as well as mentored and independent career development grants. Information on the different kinds of grants the Agency offers is covered here.
Select to…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-mchugh.html
May 01, 2025 - Grantee Profile
Improving Heart Health in Manufacturing Communities
Megan McHugh, Ph.D. Professor of Emergency Medicine Feinberg School of Medicine Northwestern University “Manufacturing workers have historically earned higher wages than similar workers in other industries and are more likely to be offered …
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www.ahrq.gov/funding/grantee-profiles/grtprofile-vogelmeier.html
December 01, 2023 - Grantee Profile
Improving Guidelines for Nursing Home-Associated Viral Respiratory Infections
Amy Vogelsmeier, Ph.D., R.N., FAAN.
Associate Professor
Sinclair School of Nursing
University of Missouri–Colombia
Amy Vogelsmeier,
Ph.D., R.N., FAAN
“AHRQ as a funding agency has provided an imp…
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www.ahrq.gov/ncepcr/about/impact-stories/bridging-gaps.html
April 01, 2025 - Bridging Gaps and Uniting Partners to Improve Primary Care in the Commonwealth of Virginia
AHRQ Impact: The Agency for Healthcare Research and Quality’s (AHRQ’s) investment in Heart of Virginia Healthcare (a regional cooperative participating in the EvidenceNOW: Advancing Heart Health Initiative) l…
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psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
January 14, 2011 - Study
The value of inking breast cores to reduce specimen mix-up.
Citation Text:
Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XM…
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psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap
April 05, 2017 - Commentary
The SAGES FUSE program: bridging a patient safety gap.
Citation Text:
Fuchshuber PR, Robinson TN, Feldman LS, et al. The SAGES FUSE program: bridging a patient safety gap. Bull Am Coll Surg. 2014;99(9):18-27.
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Format:
Google Scholar PubMed BibTeX End…
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psnet.ahrq.gov/issue/how-we-cut-drug-errors
August 19, 2020 - Newspaper/Magazine Article
How we cut drug errors.
Citation Text:
Nicol N, Huminski L. How we cut drug errors. At one hospital, IT and changed culture saves lives. Modern healthcare. 2006;36(34):38.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote…
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psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care
July 19, 2017 - Commentary
An elusive balance — residents' work hours and the continuity of care.
Citation Text:
Okie S. An elusive balance--residents' work hours and the continuity of care. N Engl J Med. 2007;356(26):2665-2667.
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Format:
Google Scholar PubMed BibTeX EndNote …
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psnet.ahrq.gov/issue/associations-between-negative-patient-safety-climate-and-infection-prevention-practices
May 10, 2023 - Study
Associations between negative patient safety climate and infection prevention practices.
Citation Text:
Johnson CT, Hessels AJ. Associations between negative patient safety climate and infection prevention practices. Am J Infect Control. 2024;52(9):1102-1104. doi:10.1016/j.ajic.202…
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psnet.ahrq.gov/node/33620/psn-pdf
September 01, 2005 - In response to “Getting to the Root of the Matter” (June
2005)
September 1, 2005
Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
In response to "Getting to the R…
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psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes
September 15, 2009 - Review
A daily dose of communication to improve quality and safety outcomes.
Citation Text:
Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care. 2024;33(4):305-310. doi:10.4037/ajcc2024318.
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DOI Google Scholar B…
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psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
August 22, 2018 - Review
Trends in anesthesia-related liability and lessons learned.
Citation Text:
Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009.
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