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psnet.ahrq.gov/issue/implementing-strategies-prevent-home-medication-administration-errors-children-medical
March 14, 2022 - Commentary
Implementing strategies to prevent home medication administration errors in children with medical complexity.
Citation Text:
Shaikh U, Kim JM, Yin SH. Implementing strategies to prevent home medication administration errors in children with medical complexity. Clin Pediatr (Ph…
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psnet.ahrq.gov/issue/preventing-home-medication-administration-errors
March 03, 2019 - Organizational Policy/Guidelines
Preventing home medication administration errors.
Citation Text:
Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics. 2021;148(6):e2021054666. doi:10.1542/peds.2021-054666.
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psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
December 03, 2018 - Commentary
Classic
Organizational culture as a source of high reliability.
Citation Text:
Weick KE. Organizational Culture as a Source of High Reliability. Calif Manage Rev. 2012;29(2):112-127. doi:10.2307/41165243.
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www.ahrq.gov/pqmp/implementation-qi/index.html
August 01, 2021 - PQMP Measure Implementation and Quality Improvement
The second phase of the Pediatric Quality Measures Program (PQMP 2.0) was designed to support and strengthen pediatric quality measurement and quality improvement based on learnings from quality improvement demonstration projects that implemented and evaluated…
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psnet.ahrq.gov/issue/how-deliver-safer-and-effective-patient-care-tips-team-leaders-and-educators
April 24, 2018 - Commentary
How to deliver safer and effective patient care: tips for team leaders and educators.
Citation Text:
Shah BJ. How to Deliver Safer and Effective Patient Care: Tips for Team Leaders and Educators. Gastroenterology. 2019;156(4):852-855. doi:10.1053/j.gastro.2019.02.017.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pdf
June 02, 2025 - Improvement Methods Overview
Pediatric Toolkit for Using the AHRQ Quality Indicators
How to Improve Hospital Quality and Safety
Tool D.1 Slide 1
• Use these PowerPoint slides for any presentations
for which they may be useful.
• These slides may be useful earlier on in the process
than during implementation; fe…
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psnet.ahrq.gov/issue/development-high-value-care-culture-survey-modified-delphi-process-and-psychometric
December 22, 2018 - Study
Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation.
Citation Text:
Gupta R, Moriates C, Harrison JD, et al. Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation. BMJ Qual Saf. 2017…
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psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
July 01, 2017 - Commentary
The limits of checklists: handoff and narrative thinking.
Citation Text:
Hilligoss B, Moffatt-Bruce SD. The limits of checklists: handoff and narrative thinking. BMJ Qual Saf. 2014;23(7):528-33. doi:10.1136/bmjqs-2013-002705.
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www.ahrq.gov/talkingquality/measures/setting/long-term-care/hospice.html
January 01, 2023 - Measuring the Quality of Hospice Care
Hospice care is a set of services that allow patients in the final phase of life to spend their last days at home or a home-like setting rather than in a hospital. It is for patients who have decided that they would rather have comfort care while they remain alive than cura…
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psnet.ahrq.gov/issue/inability-providers-predict-unplanned-readmissions
December 05, 2007 - Study
Inability of providers to predict unplanned readmissions.
Citation Text:
Allaudeen N, Schnipper JL, Orav J, et al. Inability of providers to predict unplanned readmissions. J Gen Intern Med. 2011;26(7):771-6. doi:10.1007/s11606-011-1663-3.
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psnet.ahrq.gov/issue/investigation-occupational-subgroups-respect-patient-safety-culture
March 06, 2024 - Study
An investigation of occupational subgroups with respect to patient safety culture.
Citation Text:
Phipps DL, Ashcroft DM. An investigation of occupational subgroups with respect to patient safety culture. Saf Sci. 2012;50(5). doi:10.1016/j.ssci.2011.12.016.
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psnet.ahrq.gov/issue/development-pharmacy-safety-climate-questionnaire-principal-components-analysis
April 06, 2011 - Study
Development of the pharmacy safety climate questionnaire: a principal components analysis.
Citation Text:
Ashcroft DM, Parker D. Development of the pharmacy safety climate questionnaire: a principal components analysis. Qual Saf Health Care. 2009;18(1):28-31. doi:10.1136/qshc.200…
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psnet.ahrq.gov/issue/patient-monitoring-alarms-icu-and-operating-room
May 26, 2021 - Review
Patient monitoring alarms in the ICU and in the operating room.
Citation Text:
Schmid F, Goepfert MS, Reuter DA. Patient monitoring alarms in the ICU and in the operating room. Crit Care. 2013;17(2):216. doi:10.1186/cc12525.
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psnet.ahrq.gov/issue/acute-care-patients-discuss-patient-role-patient-safety
October 12, 2011 - Study
Acute care patients discuss the patient role in patient safety.
Citation Text:
Rathert C, Huddleston N, Pak Y. Acute care patients discuss the patient role in patient safety. Health Care Manage Rev. 2011;36(2):134-144. doi:10.1097/HMR.0b013e318208cd31.
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psnet.ahrq.gov/issue/model-building-standardized-hand-protocol
September 22, 2010 - Commentary
A model for building a standardized hand-off protocol.
Citation Text:
Arora V, Johnson J. A model for building a standardized hand-off protocol. Jt Comm J Qual Saf. 2006;32(11):646-655.
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psnet.ahrq.gov/issue/how-use-article-about-quality-improvement
August 03, 2010 - Commentary
How to use an article about quality improvement.
Citation Text:
Fan E, Laupacis A, Pronovost P, et al. How to use an article about quality improvement. JAMA. 2010;304(20):2279-87. doi:10.1001/jama.2010.1692.
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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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psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
February 27, 2014 - Study
Preventing patient harms through systems of care.
Citation Text:
Pronovost P, Bo-Linn GW. Preventing patient harms through systems of care. JAMA. 2012;308(8):769-70. doi:10.1001/jama.2012.9537.
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psnet.ahrq.gov/issue/healthy-work-environments-nurse-physician-communication-and-patients-outcomes
June 05, 2024 - Study
Healthy work environments, nurse-physician communication, and patients' outcomes.
Citation Text:
Manojlovich M, DeCicco B. Healthy work environments, nurse-physician communication, and patients' outcomes. Am J Crit Care. 2007;16(6):536-43.
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psnet.ahrq.gov/issue/patient-safety-trauma-maximal-impact-management-errors-level-i-trauma-center
February 19, 2020 - Study
Patient safety in trauma: maximal impact management errors at a level I trauma center.
Citation Text:
Ivatury RR, Guilford K, Malhotra AK, et al. Patient safety in trauma: maximal impact management errors at a level I trauma center. J Trauma. 2008;64(2):265-270; discussion 270-27…