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psnet.ahrq.gov/issue/health-care-industry-needs-be-more-honest-about-medical-errors
February 06, 2019 - Newspaper/Magazine Article
The health care industry needs to be more honest about medical errors.
Citation Text:
The health care industry needs to be more honest about medical errors. Sutcliffe K. Time Magazine. November 5, 2019.
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www.ahrq.gov/talkingquality/resources/podcasts-webinars.html
December 01, 2022 - Presentations on Health Care Quality Reporting Topics
Plug-In & Multimedia Help
Podcasts
How Social Media Can Draw Visitors to a Quality Report
Barbara Lambiaso and Lauren Piccolo from Massachusetts Health Quality Partners (MHQP) talk about how MHQP uses social media to promote awareness and use of comp…
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www.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
January 01, 2023 - Major Physician Measurement Sets
Because physician-level measurement sets were introduced relatively recently—and some are still in development—they have not yet been widely implemented by report card sponsors. The measure sets listed here have been endorsed, in whole or in part, by the National Quality Forum …
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psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse
February 17, 2021 - Newspaper/Magazine Article
Ensuring critical instruments and devices are appropriate for reuse.
Citation Text:
Ensuring critical instruments and devices are appropriate for reuse. Quick Safety. February 14, 2022;(64):1-3.
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psnet.ahrq.gov/issue/relationships-among-teams-culture-safety-and-cost-outcomes
January 30, 2019 - Commentary
Relationships among teams, culture, safety, and cost outcomes.
Citation Text:
Brewer BB. Relationships among teams, culture, safety, and cost outcomes. West J Nurs Res. 2006;28(6):641-53.
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psnet.ahrq.gov/issue/case-investing-patient-safety-canada
October 05, 2021 - Book/Report
The Case for Investing in Patient Safety in Canada.
Citation Text:
The Case for Investing in Patient Safety in Canada. RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017.
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psnet.ahrq.gov/issue/radiology-reporting-where-does-radiologists-duty-end
April 03, 2005 - Commentary
Radiology reporting—where does the radiologist's duty end?
Citation Text:
Radiology reporting—where does the radiologist's duty end? Garvey CJ; Connolly S.
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psnet.ahrq.gov/issue/farewell-cancer-never-was
April 12, 2011 - Commentary
Farewell to a cancer that never was.
Citation Text:
Lyon J. Farewell to a Cancer That Never Was. JAMA. 2017;317(18):1824-1825. doi:10.1001/jama.2017.3969.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially-harmful-dispensing
June 30, 2021 - Webinar
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors.
Citation Text:
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. Institute for Safe Medication Practices. October 26, …
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.2. Heights Hospital
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Ca…
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psnet.ahrq.gov/issue/how-safe-are-compounded-drugs
May 20, 2020 - Newspaper/Magazine Article
How safe are compounded drugs?
Citation Text:
How safe are compounded drugs? Beyzarov E. Drug Topics. September 18, 2006.
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psnet.ahrq.gov/issue/nhtsa-fatigue-ems-project
December 21, 2011 - Special or Theme Issue
NHTSA Fatigue in EMS Project.
Citation Text:
NHTSA Fatigue in EMS Project. Patterson PD, ed. Prehosp Emerg Care. 2018;22(suppl 1):1-118.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-6.pdf
June 02, 2025 - Measure 1, Section 2, Attachment 6
SNAC Submission Form Measure 1: Accurate ADHD Diagnosis
Section 2: Detailed Measure Specifications
Attachment 6: Claims Data Specification Example
DRAFT Measure #1: Accurate Diagnosis of ADHD
Attention Deficit Hyperactivity Disorder (ADHD)
A. DESCRIPTION
Percentage of …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-factsheet.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Did You Know?
· Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for developing ventilator-associated pneumonia (VAP).
· In 2012, Luetz’s review article focusing on 14 stu…
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psnet.ahrq.gov/issue/actively-caring-safety-overcoming-bystander-apathy
December 03, 2014 - Newspaper/Magazine Article
Actively caring for safety: overcoming bystander apathy.
Citation Text:
Actively caring for safety: overcoming bystander apathy. ISMP Medication Safety Alert! Acute Care Edition. November 20, 2008:13:1-3.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/pdsa-worksheet.docx
March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix D. PDSA Worksheet
The purpose of this worksheet is to develop, document, and test small changes, through the use of the Plan-Do-Study-Act (PDSA) cycle, that lead to impr…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.2. Suntown Hospital
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Ca…
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psnet.ahrq.gov/issue/point-care-medication-error-prevention-best-practices-action
December 24, 2007 - Newspaper/Magazine Article
Point-of-care medication error prevention: best practices in action.
Citation Text:
Point-of-care medication error prevention: best practices in action. Swenson D. Patient Safety Qual Heathc. May/June 2007.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/bath-basin-faqs.docx
March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Frequently Asked Questions (FAQ) on
Bath Basin Use in Long-Term Care Facilities
Disclaimer: FAQ answers are based on a combination of scientific evidence and clinical experience …
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psnet.ahrq.gov/issue/bias-er-doctors-suffer-same-cognitive-distortions-rest-us
March 01, 2017 - Newspaper/Magazine Article
Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us.
Citation Text:
Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. Lewis M. Nautilus. February 9, 2017.
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