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psnet.ahrq.gov/issue/bad-hospital-design-making-us-sicker
March 30, 2016 - Newspaper/Magazine Article
Bad hospital design is making us sicker.
Citation Text:
Bad hospital design is making us sicker. Khullar D. New York Times. February 22, 2017.
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psnet.ahrq.gov/issue/national-comparative-audit-blood-transfusion
March 17, 2011 - Government Resource
National Comparative Audit of Blood Transfusion.
Citation Text:
National Comparative Audit of Blood Transfusion. Royal College of Phyisicians; National Blood Service
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psnet.ahrq.gov/issue/your-new-medical-team-algorithms-and-physicians
July 20, 2016 - Newspaper/Magazine Article
Your new medical team: algorithms and physicians.
Citation Text:
Your new medical team: algorithms and physicians. Frakt A. New York Times. December 7, 2015.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
June 02, 2025 - Job Aid: 5 Whys and Fishbone Diagrams
Primary Care Practice Facilitator
Training Series
1
Job Aid: 5 Whys and Fishbone Diagrams
Overview
The 5 Whys and fishbone diagrams help practices identify obstacles to good performance and
what causes them. They can also be used to identify the factors contribut…
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www.ahrq.gov/pqmp/publications/1-0-journal-supplement.html
September 01, 2021 - PQMP 1.0 Journal Supplement
The Pediatric Quality Measures Program (PQMP) was launched in 2011 to increase the portfolio of evidence-based, consensus pediatric quality measures available to public and private purchasers of children's healthcare services. During the initial phase of PQMP, seven Centers of Excel…
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psnet.ahrq.gov/issue/center-diagnostic-excellence
July 09, 2019 - Multi-use Website
Center for Diagnostic Excellence.
Citation Text:
Center for Diagnostic Excellence. Armstrong Institute for Patient Safety and Quality
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psnet.ahrq.gov/issue/university-michigans-patient-safety-enhancement-program-psep
August 31, 2016 - Multi-use Website
University of Michigan's Patient Safety Enhancement Program (PSEP).
Citation Text:
University of Michigan's Patient Safety Enhancement Program (PSEP). University of Michigan
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www.ahrq.gov/cpi/about/nac/naa-snac.html
January 01, 2025 - Subcommittee of the National Advisory Council for the National Action Alliance to Advance Patient and Workforce Safety
The Department of Health and Human Services (HHS) hosted the HHS Convening to Advance Patient Safety in November 2022 as a voluntary learning community to advance patient and workforce safety. …
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psnet.ahrq.gov/issue/quality-and-safety-education-nurses-0
June 01, 2016 - Course Material/Curriculum
Quality and Safety Education for Nurses.
Citation Text:
Quality and Safety Education for Nurses. University of North Carolina at Chapel Hill School of Nursing.
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psnet.ahrq.gov/issue/strategic-alliance-error-reduction-california-healthcare-safer
July 01, 2022 - Multi-use Website
Strategic Alliance For Error Reduction in California Healthcare (SAFER).
Citation Text:
Strategic Alliance For Error Reduction in California Healthcare (SAFER). University of California Medical Centers at San Francisco; University of California Medical Centers at Davis.…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs.html
July 01, 2025 - Diagnostic Safety Issue Briefs
Starting in 2019, AHRQ supported the development of a series of papers on different diagnostic safety topics. The purpose of the papers was to develop, based on research conducted to date, more resources to improve diagnostic safety and quality, during a time when research to impr…
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psnet.ahrq.gov/issue/hospital-safety-grade
June 21, 2023 - Multi-use Website
Hospital Safety Grade.
Citation Text:
Hospital Safety Grade. Leapfrog Group
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November 15, 2…
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psnet.ahrq.gov/issue/graduate-programs-healthcare-quality-and-patient-safety
September 21, 2005 - Course Material/Curriculum
Graduate Programs in Healthcare Quality and Patient Safety.
Citation Text:
Graduate Programs in Healthcare Quality and Patient Safety. Center for Education in the Health Sciences, Northwestern University, Chicago, IL.
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www.ahrq.gov/patient-safety/settings/multiple/project-echo/index.html
December 01, 2023 - Project ECHO
Project ECHO (Extension for Community Healthcare Outcomes), developed by Sanjeev Arora, M.D. , at the University of New Mexico Health Sciences Center, is a collaborative model of medical education and care management that helps clinicians provide expert-level care to patients wherever they live. U…
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www.ahrq.gov/cahps/quality-improvement/reports-and-case-studies/Report_ICH-QI-Project.html
March 01, 2016 - Improving the Quality of In-Center Hemodialysis Care
From the inception of this project, CMS and AHRQ intended for the In-Center Hemodialysis Survey to serve facilities and networks as a tool for quality improvement. To that end, the CAHPS grantees organized an initiative to assess the survey’s value in helpin…
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psnet.ahrq.gov/issue/medication-related-harm
August 14, 2024 - Book/Report
Medication Related Harm.
Citation Text:
Medication Related Harm. Health Services Safety Investigations Body. 2024-2025
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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digital.ahrq.gov/principal-investigator/beebe-lora
January 01, 2023 - Beebe, Lora
Telephone Intervention-Problem Solving (TIPS) for schizophrenia spectrum disorders: responses of stable outpatients over nine months.
Citation
Beebe L, Smith KD, Oppizzi LM. Telephone Intervention-Problem Solving (TIPS) for schizophrenia spectrum disorders: respon…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/vitamin-d-calcium_disposition-comments.pdf
September 15, 2014 - “small but
statistically significant.”
8 Peer Reviewer 1 Executive Summary (Page 25) (Fractures, falls … Sanders et al reported an increased risk of
fractures and falls with an annual high dose of vitamin … F-43) but it is not
clear why it received this designation, since fractures
and falls are a focus in … would
have increased risk for cancer.
69 Peer Reviewer 5 Results P 201,Line 10 In the study on falls … Results for bone-related variables are divided into
“clinical outcomes” (rickets, fractures, falls,
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effectivehealthcare.ahrq.gov/products/instrumental-variable-methods/research
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psnet.ahrq.gov/node/33874/psn-pdf
February 01, 2019 - of these patient safety concerns, many studies have suggested the
United States health care system falls