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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valueresourcelist.pdf
January 01, 2019 - Improving Value and Efficiency in Hospitals and Medical Offices: A Resource List for Users of the AHRQ SOPS Value and Efficiency Supplemental Items
Improving Value and Efficiency in Hospitals and
Medical Offices: A Resource List for Users of the
AHRQ SOPSTM Value and Efficiency Supplemental
Items
I. Purpose
Thi…
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www.ahrq.gov/data/apcd/envscan/context.html
June 01, 2017 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence
Project Context
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Table of Contents
All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evide…
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www.ahrq.gov/data/apcd/envscan/summary.html
June 01, 2017 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence
Executive Summary
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Table of Contents
All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evi…
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www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
December 01, 2017 - Transforming Hospitals
Designing for Safety and Quality
Transforming Hospitals: Designing for Safety and Quality , a video from the Agency for Healthcare Research and Quality (AHRQ), reviews the case for evidence-based hospital design and how it increases patient and staff satisfaction and safety, quality of …
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - The Forgotten Radiographic Read
Citation Text:
Coil CJ, Witt MD. The Forgotten Radiographic Read. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
April 24, 2018 - Written Signout: It Only Works If You Use The Right One
Citation Text:
Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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…
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psnet.ahrq.gov/node/49817/psn-pdf
January 01, 2018 - Slow Down: Right Drug, Wrong Formulation
January 1, 2018
Amato MG, Schiff G. Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
The Case
A 65-year-old man presented to his primary care clinic for follow-up after a recent hospitaliz…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024349-mcalearney-final-report-2017.pdf
January 01, 2017 - Portals in Inpatient Care: Evaluating the Usability, Use, and Patient Experience Associated With Patient Portal Technology at the Bedside - Final Report
Portals in inpatient care (PIC): Evaluating the usability, use an…
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psnet.ahrq.gov/node/49583/psn-pdf
April 01, 2009 - Eptifibatide Epilogue
April 1, 2009
Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/eptifibatide-epilogue
The Case
A 62-year-old man was admitted at 11:00 PM on a Saturday night with the provisional diagnosis of acute
coronary syndrome. Serial testing for mark…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
June 01, 2023 - A Guide to Leading Successful Perioperative TeamsAHRQ Safety Program for Improving Surgical Care and Recovery
Purpose of the tool: Assembling a multidisciplinary perioperative team is one of the first, and most critical, steps in your AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) journey. This do…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/amplify-impact-webinar.html
October 01, 2020 - Amplify Your Impact on Child Health Care Quality
Learning from the CHIPRA Quality Demonstration Grant Program
On February 11, 2016, AHRQ and CMS presented a free Webinar, "Amplify Your Impact on Child Health Quality: Learning from the CHIPRA Quality Demonstration Grant Program." The presentations featured hig…
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psnet.ahrq.gov/node/49856/psn-pdf
March 01, 2019 - Premature Extubation
March 1, 2019
Sagana R, Hyzy RC. Premature Extubation. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/premature-extubation
The Case
A 73-year-old woman with a history of carotid artery stenosis was admitted for an elective carotid
endarterectomy. The procedure was initially thought to …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements that support the use of electronic fetal monitoring (EFM). The key safety elements are presented within the framework of t…
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psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - Discharged with IV antibiotics: When issues arise, who
manages the complications?
February 26, 2020
Donnelley M, Gintjee TJ, Go J. Discharged with IV antibiotics: When issues arise, who manages the
complications? PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-…
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digital.ahrq.gov/program-overview/research-reports/2023-year-review/research-themes-and-findings
January 01, 2023 - Research Themes and Findings
The DHR program funds research that demonstrates how digital healthcare solutions can be designed and implemented to improve healthcare system performance and patient health outcomes. Our funded research focuses on advancing patient safety, care, and shared decis…
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psnet.ahrq.gov/web-mm/2-week-itch
June 16, 2019 - The 2-Week Itch
Citation Text:
Cohen MR. The 2-Week Itch. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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…
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psnet.ahrq.gov/node/49490/psn-pdf
September 01, 2005 - The Wrong Channel
September 1, 2005
Gosbee JW. The Wrong Channel . PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/wrong-channel
The Case
A 28-year-old woman in labor began receiving treatment with magnesium sulfate for preeclampsia. Initial
dosing started at 50 mL/hour using a multi-channel medication pump…
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effectivehealthcare.ahrq.gov/sites/default/files/eaagleston.pdf
May 29, 2025 - American Medical Association (AMA) App Challenge and AMA Idealab
INNOVATIONS CONFERENCE -- AMA
SPEAKERS: ROBERT HICKS,
BUSINESS PROCESS DEVELOPMENT DIRECTOR,
AMA
BRIAN EAGGLESTON,
PHYSICIAN OUTREACH AND RETENTION,
AMA
HICKS: I'm Bob Hicks. I'm business process development director …
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psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
June 15, 2024 - Discharge Planning and Transitions of Care
Citation Text:
Bajorek SA, McElroy V. Discharge Planning and Transitions of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/node/849592/psn-pdf
May 31, 2023 - Preventing Falls Through Patient and Family Engagement
to Create Customized Prevention Plans
May 31, 2023
https://psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-
customized-prevention
Summary
Patient falls in hospitals are common and debilitating adverse events that persis…