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www.ahrq.gov/pqmp/implementation-qi/roadmap/index.html
September 01, 2021 - Roadmap for Implementing Pediatric Quality Measures for Performance Improvement
This Roadmap serves as a guide for stakeholders planning to implement pediatric quality measures for performance improvement. It is intended for use by states, health plans, hospitals, and other providers embarking on a quality im…
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psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - Cultural Competence and Patient Safety
December 27, 2019
Brach C, Hall KK, Fitall E. Cultural Competence and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
Background
Culture can be defined as the “personal identification, language, thoughts, co…
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hcup-us.ahrq.gov/team/NationwideDUA.jsp
April 01, 2024 - Nationwide Data Use Agreement
An official website of the Department of Health & Human Services
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digital.ahrq.gov/ahrq-funded-projects/encoding-and-processing-patient-allergy-information-ehrs
January 01, 2024 - Encoding and Processing Patient Allergy Information in EHRs
Project Final Report ( PDF , 310.29 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/bundlingcps.pdf
March 01, 2014 - Bundling Clinical Preventive Services: A Review of Definitions and Concepts from the Literature
Bundling Clinical Preventive Services:
A Review of Definitions and Concepts
from the Literature
Prepared for:
Agency for Healthcare Research and Quality
U.S. Departme…
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www.ahrq.gov/sites/default/files/publications/files/coe-workshopissuebrief.pdf
January 11, 2017 - A Summary of the First Annual Workshop of AHRQ’s Comparative Health System Performance Initiative
A Summary of the First Annual
Workshop of AHRQ’s
Comparative Health System
Performance Initiative
Based on the workshop
discussions, a number of important
takeaways will inform future work
of the initiative:
•…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-r.pdf
April 14, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Reminder Systems for Immunizations and Preventive Services
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
6.R. Remind…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
January 01, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
July Meeting Summary
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requ…
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules
Citation Text:
Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-43
September 26, 2017 - Commentary
ISMP medication error report analysis.
Citation Text:
Cohen MR, Smetzer JL. Safer Connectors in the United Kingdom; Value of the Independent Double-Check; Medication Errors Column in 35th Year. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-191.
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effectivehealthcare.ahrq.gov/sites/default/files/methodsguide_prepublication-draft_20120523.pdf
August 10, 2017 - Home | AHRQ Effective Health Care Program
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psnet.ahrq.gov/issue/incorporating-health-information-technology-workflow-redesign-request-information-summary
September 29, 2017 - Book/Report
Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report.
Citation Text:
Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. Carayon P, Karsh B-T, Cartmill RS, et al.…
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psnet.ahrq.gov/issue/joint-commission-and-national-quality-forum-announce-2023-eisenberg-award-recipients
February 01, 2023 - Award Recipient
The Joint Commission and National Quality Forum Announce 2023 Eisenberg Award Recipients.
Citation Text:
The Joint Commission and National Quality Forum Announce 2023 Eisenberg Award Recipients. Oakbrook Terrace, IL: Joint Commission and National Quality Forum; February 1…
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effectivehealthcare.ahrq.gov/sites/default/files/methods-guide_prepublication-draft_03-2011.pdf
January 01, 2011 - Home | AHRQ Effective Health Care Program
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psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults
May 25, 2022 - Book/Report
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults.
Citation Text:
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcar…
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psnet.ahrq.gov/issue/tutorial-ahrq-sopsr-data-entry-and-analysis-tool
December 10, 2024 - Audiovisual Presentation
AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users.
Citation Text:
AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users. Rockville, MD: Agency for Healthcare Research and Quality. January 15, 2025.
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psnet.ahrq.gov/issue/organisational-failure-exploratory-study-steel-industry-and-medical-domain
June 02, 2010 - Book/Report
Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain.
Citation Text:
Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain. van Vuuren W. Eindhoven, NL; Eindhoven University of Technology: 1998. ISBN 9038605…
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psnet.ahrq.gov/issue/your-safety-our-hands-hospital
July 07, 2021 - Book/Report
Your Safety in our Hands in Hospital.
Citation Text:
Your Safety in our Hands in Hospital. Patient Safety Surveillance Unit. Department of Health, Perth: Western Australia.
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psnet.ahrq.gov/issue/2011-annual-benchmarking-report-malpractice-risks-emergency-medicine
July 18, 2018 - Book/Report
2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.
Citation Text:
2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine. Ruoff G, ed. Cambridge, MA: CRICO Strategies; 2012.
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Benzodiazepine%20Patient%20Handout.pdf
January 01, 2018 - linked to dementia and falls
HOW TO SAFELY REDUCE OR STOP A BZRA:
• Ask your health care provider to find