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psnet.ahrq.gov/issue/when-we-do-harm-doctor-confronts-medical-error
July 24, 2018 - Book/Report
When We Do Harm: A Doctor Confronts Medical Error.
Citation Text:
When We Do Harm: A Doctor Confronts Medical Error. Ofri D. Boston, MA: Beacon Press; 2020. ISBN 9780807037881.
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psnet.ahrq.gov/issue/patient-safety-intensive-care-unit
February 28, 2018 - Book/Report
Patient Safety in the Intensive Care Unit.
Citation Text:
Patient Safety in the Intensive Care Unit. Oak Brook, IL: Joint Commission Resources; 2010. ISBN: 9781599403144.
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psnet.ahrq.gov/issue/supporting-safe-equitable-care-during-covid-19-pandemic
March 02, 2022 - Newspaper/Magazine Article
Supporting safe, equitable care during the COVID-19 pandemic.
Citation Text:
Supporting safe, equitable care during the COVID-19 pandemic. Quick Safety. February 2021;57:1-3.
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psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes
December 16, 2020 - Newspaper/Magazine Article
Prevent administration of ear drops into the eyes.
Citation Text:
Prevent administration of ear drops into the eyes. ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3.
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psnet.ahrq.gov/issue/health-literacy-research-current-status-and-future-directions
October 07, 2015 - Special or Theme Issue
Health Literacy Research: Current Status and Future Directions.
Citation Text:
Health Literacy Research: Current Status and Future Directions. Paasche-Orlow MK, Wilson EAH, McCormack L, eds. J Health Comm. 2010;15(suppl 2):1-225.
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psnet.ahrq.gov/issue/patients-taking-their-own-medications-while-hospital
March 14, 2012 - Newspaper/Magazine Article
Patients taking their own medications while in the hospital.
Citation Text:
Patients taking their own medications while in the hospital. PA-PSRS Patient Saf Advis. June 2012;9:50-57.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-bayliss.pdf
June 02, 2025 - Models of High Value Care for Persons with Multiple Chronic Conditions: Slide Presentation
Models of High Value Care for Persons with
Multiple Chronic Conditions
Elizabeth A. Bayliss, MD, MSPH
Institute for Health Research, Kaiser Permanente Colorado
Lucy A. Savitz, PhD, MBA
Center for Health Research, Kaiser Perm…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-self-management.pdf
June 02, 2025 - Tobacco Use Self Management Tool
Tobacco Use Self
Management Tool
MANAGEMENT TOOL
Being tobacco free makes a difference!
Increased energy
Decreased chance of cancer and heart disease
Improved skin tone
Fewer signs of premature aging, like wrinkles
Better healing from illness and surgery
More money to s…
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www.ahrq.gov/cahps/surveys-guidance/oas/index.html
November 01, 2023 - CAHPS Outpatient and Ambulatory Surgery Survey
The CAHPS Outpatient and Ambulatory Surgery Survey (OAS CAHPS) asks adult patients about their experiences receiving care in Medicare-certified hospital outpatient surgery departments (HOPDs) and ambulatory surgery centers (ASCs). The survey asks about patients' ex…
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integrationacademy.ahrq.gov/news-and-events/news/rural-hospitals-battling-stay-alive-during-covid-19-pandemic
April 24, 2020 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Español
FAQs
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The Academy
Integrating Behavioral Health & Primary Care
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/098-ss-hair-removal-one-pager.docx
April 01, 2025 - Preoperative Hair Removal
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Preoperative hair removal is an evidence-based infection prevention strategy to target methicillin-resistant Staphylococcus aureus (MRSA) and surgical site infections (SSIs). The information below revi…
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psnet.ahrq.gov/issue/six-ways-lower-errors-and-unnecessary-surgeries-radiology-exams
February 10, 2021 - Newspaper/Magazine Article
Six ways to lower errors—and unnecessary surgeries—in radiology exams.
Citation Text:
Six ways to lower errors—and unnecessary surgeries—in radiology exams. Panner M. Forbes. August 12, 2019.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/098-hair-removal-one-pager.docx
April 01, 2025 - Preoperative Hair Removal
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Preoperative hair removal is an evidence-based infection prevention strategy to target methicillin-resistant Staphylococcus aureus (MRSA) and surgical site infections (SSIs). The information below revi…
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psnet.ahrq.gov/issue/2019-ama-prior-authorization-pa-physician-survey
October 18, 2023 - Book/Report
AMA Prior Authorization (PA) Physician Survey.
Citation Text:
AMA Prior Authorization (PA) Physician Survey. Chicago, IL: American Medical Association; March 2023.
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psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion-pumps
June 07, 2017 - Organizational Policy/Guidelines
ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps.
Citation Text:
ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. Horsham, PA: Institute for Safe Medication Practices; 2020.
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psnet.ahrq.gov/issue/dying-waitlist
September 04, 2019 - Newspaper/Magazine Article
Dying on the waitlist.
Citation Text:
Dying on the waitlist. Armstrong D. Allen M. ProPublica. February 18, 2021.
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psnet.ahrq.gov/issue/medwatch-e-list
September 29, 2010 - Government Resource
MedWatch E-list.
Citation Text:
MedWatch E-list. United States Food and Drug Administration; FDA.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool8_cop_handout.docx
November 01, 2015 - Tool 8: Conditions of Participation Handout
Tool 8: Conditions of Participation Handout
Purpose
In November 2015, the Centers for Medicare & Medicaid Services (CMS) issued a proposed revision to the Conditions of Participation (COPs). CMS specified new and unique elements that are particularly germane to reducing M…
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www.ahrq.gov/policymakers/chipra/cpcf-form4.html
December 01, 2013 - Candidate Measure Submission Form (CPCF)
CHIPRA Pediatric Quality Measures Program (PQMP)
The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved by the Office of Management and Budget (OMB) in accordance with the Paperwork Reduction Act. The OMB Control Num…
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psnet.ahrq.gov/issue/developing-adverse-event-reporting-system-using-administrative-data
September 23, 2009 - Study
Developing an adverse event reporting system using administrative data.
Citation Text:
Developing an adverse event reporting system using administrative data. Bahl V; Thompson MA; Commisky EL; Anderson S; Campbell DA Jr.
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