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www.ahrq.gov/talkingquality/assess/what-you-evaluate/process.html
November 01, 2018 - Evaluating the Process of Creating and Promoting a Quality Report
An evaluation of the process you went through to develop, release, and promote your report can help you identify which aspects worked well. Just as important, you can learn which ones did not work as well and what could or should be done differen…
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www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/east-asheville.html
March 01, 2021 - Implementing Evidence-based Heart Health Care in Asheville
East Asheville (NC) Family Health Care is a two-provider primary care practice in this North Carolina retirement mecca. Like many of America's small- and mid-size practices, East Asheville's clinicians are on the front lines of the rapid pace of change …
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psnet.ahrq.gov/issue/patient-safety-break-silence
October 19, 2022 - Commentary
Patient safety: break the silence.
Citation Text:
Johnson HL, Kimsey D. Patient safety: break the silence. AORN J. 2012;95(5):591-601. doi:10.1016/j.aorn.2012.03.002.
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www.ahrq.gov/ncepcr/index.html
National Center for Excellence in Primary Care Research
Research Initiatives
AHRQ initiatives to improve primary care research and care delivery
Tools and Resources
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www.ahrq.gov/topics/antimicrobial-stewardship.html
Antimicrobial Stewardship
Antimicrobial stewardship programs are coordinated programs within a health care setting that promote the appropriate use of antimicrobials, thereby improving patient outcomes, reducing antibiotic resistance, and decreasing the spread of infections caused by antibiotic-re…
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psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage
August 01, 2012 - Toolkit
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage.
Citation Text:
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage. Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/042-ss-training-preop-nasal-iodophor.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Preoperative Surgical Decolonization
Staff Training: Nasal Decolonization in the Preoperative Area
Nasal Iodophor
(10 Percent Povidone-Iodine)
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, …
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digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research/tailoring-visits-using-person-specific-patient-reported-outcomes
January 01, 2019 - Tailoring Visits Using Person-Specific Patient-Reported Outcomes to Improve Care for People with HIV
By identifying and addressing PROs that matter most to patients, this research has the potential to maximize clinic time spent with patients with HIV and chronic conditions to tailor and improve their care.
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digital.ahrq.gov/2019-year-review/research-summary/using-smartphone-location-data-care-coordination
January 01, 2019 - Using Smartphone Location Data for Care Coordination
A smartphone app that uses location data to notify PCPs when a patient arrives in the hospital or ER is a simple, potentially scalable approach to improve care coordination after a hospital visit.
Principal Investigator: Liss, David T. Orga…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-mahler.html
June 01, 2024 - Maximizing Safety, Value, and Patient Preferences for Treating Chest Pain
Simon A. Mahler, M.D. Professor and Vice chair of Research Wake Forest University School of Medicine Department of Emergency Medicine Simon A. Mahler, M.D. “We need to attend to… patients in a way that is both safe and patient-centered.”…
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psnet.ahrq.gov/issue/former-pharmacist-indicted-manslaughter-after-med-error
October 17, 2018 - Newspaper/Magazine Article
Former pharmacist indicted for manslaughter after med error.
Citation Text:
Former pharmacist indicted for manslaughter after med error. Paul R. Drug Topics. September 17, 2007.
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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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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/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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psnet.ahrq.gov/issue/suicidal-patient-slips-through-cracks
November 26, 2013 - Image/Poster
Suicidal patient slips through the cracks.
Citation Text:
Suicidal patient slips through the cracks. Oakbrook Terrace, IL: Joint Commission: October 2019.
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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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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action
What Can Leaders Achieve by Prioritizing Diagnostic Safety?
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Table of Contents
Leadership To Improve Diagnosis: A Call to Action
Diagnostic Safety as a Challenge for Healthcare Leadership
Why Are Leaders Essential to Diagno…
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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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psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
March 17, 2011 - Book/Report
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England
Citation Text:
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Cousins D. Croydon, UK: Accidents again…
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psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-create-culture
August 29, 2017 - Book/Report
Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture.
Citation Text:
Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. Krause TR, Hidley J. Hoboken, NJ: Wiley; 2008. ISBN: 9780470225394.…