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psnet.ahrq.gov/issue/disclosing-harmful-pathology-errors-patients
May 18, 2022 - Commentary
Disclosing harmful pathology errors to patients.
Citation Text:
Dintzis SM, Gallagher TH. Disclosing harmful pathology errors to patients. Am J Clin Pathol. 2009;131(4):463-5. doi:10.1309/AJCPIO5SHDOD6URI.
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digital.ahrq.gov/sites/default/files/docs/page/Systems%20Analysis,%20Change%20and%20Implementation%20Theories%20Group%20Report%20Day%201.pdf
September 21, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Systems Analysis, Change and Implementation Theories Group Report Day 1
Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop
Monday, September 21, 2009 Systems Analysis, Change and
Implementa…
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psnet.ahrq.gov/issue/ambulance-personnel-perceptions-near-misses-and-adverse-events-pediatric-patients
July 16, 2008 - Study
Ambulance personnel perceptions of near misses and adverse events in pediatric patients.
Citation Text:
Cushman JT, Fairbanks RJ, O'Gara KG, et al. Ambulance personnel perceptions of near misses and adverse events in pediatric patients. Prehosp Emerg Care. 2010;14(4):477-84. doi:…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0351_05-10-2010.pdf
January 01, 2010 - Effective Health Care
Topic Number(s): 0265
Document Completion Date: 09-13-10
1
Results of Topic Selection Process & Next Steps
Cryptorchidism (undescended testicle) will go forward for refinement as a systematic review. The
scope of this topic, including populations, interventions, compara…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0519_02-27-2012.pdf
January 01, 2012 - Effective Health Care
Topic Number: 0437
Document Completion Date: 05-10-12
1
Results of Topic Selection Process & Next Steps
Heart failure hospital readmission prevention will go forward for refinement as an update to or
expansion of an existing comparative effectiveness or effectiveness revie…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0745-141009.pdf
September 03, 2014 - Topic 0610 CE of Treatments for Uterine Fibroids NSD FINAL
Comparative Effectiveness of Treatments for
Uterine Fibroids
Nominati…
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psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-started
June 26, 2024 - Book/Report
Simulation to Improve Patient Safety: Getting Started.
Citation Text:
Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. Publication No. 24-0055.
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psnet.ahrq.gov/issue/how-discuss-errors-and-adverse-events-cancer-patients
April 01, 2010 - Commentary
How to discuss errors and adverse events with cancer patients.
Citation Text:
Yardley I, Yardley SJ, Wu AW. How to discuss errors and adverse events with cancer patients. Curr Oncol Rep. 2010;12(4):253-60. doi:10.1007/s11912-010-0109-0.
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psnet.ahrq.gov/issue/obstetric-safety-and-quality
October 20, 2014 - Commentary
Obstetric safety and quality.
Citation Text:
Pettker CM, Grobman WA. Obstetric Safety and Quality. Obstet Gynecol. 2015;126(1):196-206. doi:10.1097/AOG.0000000000000918.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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www.ahrq.gov/hai/tools/surgery/how-to.html
July 01, 2020 - Missing Page
We are unable to locate the page you have requested on AHRQ.gov. The web address may be incorrect or the page may now be in AHRQ's Archive .
The following options may help you find what you are looking for:
Use the search box in the upper right corner
Go to the AHRQ Home Page
Search the …
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digital.ahrq.gov/using-electronic-health-records-measure-and-improve-quality-colonoscopy-procedures
January 01, 2023 - Using Electronic Health Records to Measure and Improve Quality for Colonoscopy Procedures
Your browser does not support inline frames. Please go to https://youtu.be/G4wF0DF1TXw to view the video. Principal Investigator: Judith Logan (Grant No. R18 HS017067) [7 min., 26 sec.] This story high…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-appd-final508.pdf
June 02, 2025 - The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | 28
Appendix D – Warm Handoff Plus Implementation Guidance
To help you plan and design your Warm Handoff Plus implement…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-appa-final508.pdf
June 02, 2025 - The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | 19
Appendix A – Be Prepared To Be Engaged Implementation Guidance
To help you plan and design your Be Prepared To Be E…
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www.uspreventiveservicestaskforce.org/apps/gradedef.jsp
July 01, 2012 - Grade Definitions
The U.S. Preventive Services Task Force (USPSTF) assigns one of five letter grades (A, B, C, D, or I). The USPSTF changed its grade
definitions based on a change in methods in May 2007 and again in July 2012, when it updated the definition of and suggestions for
practice for the gra…
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www.ahrq.gov/topics/depression.html
Topic: Depression
Depression is a serious medical illness. It's more than just a feeling of being sad or "blue" for a few days. If you are one of the more than 19 million teens and adults in the United States who have depression, the feelings do not go away. They persist and interfere with your everyday life. AHRQ h…
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www.ahrq.gov/data/infographics/heart-failure-hospital.html
July 01, 2023 - Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19
Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19 (PDF, 490 KB)
Key: API = Asian or Pacific Islander.
Note: Data for American Indians and Alaska Natives were not available. Racial gro…
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www.ahrq.gov/opioids/data/online-resources.html
October 01, 2024 - Online Resources
HCUP has developed a FastStats interactive tool and map for: Opioid Hospital Use. Neonatal Abstinence Syndrome. The FastStats tool allows you to explore and compare national or State statistics on a range of healthcare variables. Examine trends in opioid-related inpatient stays, emergency dep…
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-translate-data.pdf
December 26, 2018 - Translate Data Complete Checklist
1
TalkingQuality
Your Project Checklist:
Translate Data Into Information
This document contains checklists for the following sections of Translate Data Into Information:
• Showing Differences in Performance
• Describing Quality Measure
• Organizing Quality Measures
• C…
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psnet.ahrq.gov/web-mm/transfer-or-not-transfer
November 23, 2016 - SPOTLIGHT CASE
To Transfer or Not to Transfer
Citation Text:
Pines JM. To Transfer or Not to Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - Lost in Transition
February 1, 2006
Beach C. Lost in Transition. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/lost-transition
Case Objectives
Provide an overview of transitions in continuously operating industries
Review cognitive error
Describe the complex dynamics of transitions in emergency care
Pro…