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psnet.ahrq.gov/issue/comparison-and-interpretation-urinalysis-performed-nephrologist-versus-hospital-based
March 14, 2016 - Study
Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory.
Citation Text:
Tsai JJ, Yeun JY, Kumar VA, et al. Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laborato…
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www.ahrq.gov/ncepcr/reports/2025-annual-report/public-health.html
August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024
Public Health and Community Integration
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Table of Contents
AHRQ’s Investments in Primary Care Research for 2023 and 2024
Acknowledgements and Authors
Message from the Director of AHRQ’s National Center for Exc…
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www.ahrq.gov/news/newsroom/case-studies/201419.html
November 01, 2014 - Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety
Search All Impact Case Studies
November 2014
Peterson Regional Medical Center, a 125-bed rural hospital in Kerrville, TX, is using AHRQ's Comprehensive Unit-based Safety Program (CUSP) to eliminate central-line…
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psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care-unit-business
November 23, 2016 - Study
Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.
Citation Text:
Nowak JE, Brilli RJ, Lake MR, et al. Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business …
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psnet.ahrq.gov/issue/cold-debriefings-after-hospital-cardiac-arrest-international-pediatric-resuscitation-quality
August 26, 2020 - Study
Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative.
Citation Text:
Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality…
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digital.ahrq.gov/ahrq-funded-projects/examining-feasibility-and-effectiveness-mhealth-solution-designed-enhance
August 01, 2024 - Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain
Project Description
Improving patient engagement in physical therapy (PT) through remote therapeutic monit…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hicks-ls-et-al-2008
January 01, 2008 - Hicks LS et al. 2008 "Impact of computerized decision support on blood pressure management and control: a randomized controlled trial."
Reference
Hicks LS, Sequist TD, Ayanian JZ, et al. Impact of computerized decision support on blood pressure management and control: a randomized controlled trial. J …
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psnet.ahrq.gov/issue/case-safety-leadership-team-training-hospital-managers
August 31, 2011 - Study
A case for safety leadership team training of hospital managers.
Citation Text:
Singer SJ, Hayes J, Cooper JB, et al. A case for safety leadership team training of hospital managers. Health Care Manage Rev. 2011;36(2):188-200. doi:10.1097/HMR.0b013e318208cd1d.
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psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
May 21, 2019 - Commentary
Classic
The collapse of sensemaking in organizations: the Mann Gulch disaster.
Citation Text:
Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q. 2006;38(4):628-652. doi:10.2307/2393339.
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psnet.ahrq.gov/issue/evolving-curriculum-quality-improvement-and-patient-safety-undergraduate-and-graduate-medical
October 05, 2022 - Review
The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review.
Citation Text:
Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a …
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psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx
Spotlight
Uterine Artery Injury during Cesarean Delivery Leads to
Cardiac Arrests and Emergency Hysterectomy
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the ful…
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www.ahrq.gov/sites/default/files/2024-01/pliego-report.pdf
January 01, 2024 - Close-Out Report: Improving Resuscitation Team Response to Inpatient Critical Events by Simulation
Grant Number: U18 HS16634-01
Grant Period: 9-30-2006 to 10-1-2008
No-cost extension: 10-1-2008 to 9-30-2009
Reporting Period: Close-Out Report
Title of Project: Improving Resuscitation Team Response to Inpatient Cri…
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt2.html
May 01, 2018 - Trends:
From 2008 to 2012, among adults age 40 and over with diagnosed diabetes, improvements were
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/primary-care-research-conference-proceedings.pdf
January 01, 2023 - and
culture in clinical decision making
• What kind of workforce training and curricula lead to improvements … What workforce trainings/curricula lead to improvements in empathy and patient-centered clinical
decision
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www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
January 01, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
July Meeting Summary
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requ…
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www.ahrq.gov/sites/default/files/2024-01/burden-report.pdf
January 01, 2024 - observational
studies have alluded to the fact that prioritizing discharges first may not lead to improvements
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psnet.ahrq.gov/issue/advancing-safety-acute-pain-management
January 08, 2020 - Book/Report
Advancing the Safety of Acute Pain Management.
Citation Text:
Advancing the Safety of Acute Pain Management. Boston, MA: Institute for Healthcare Improvement; 2019.
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psnet.ahrq.gov/issue/diagnosis-era-digital-health-and-artificial-intelligence-workshop
September 26, 2023 - Meeting/Conference Proceedings
Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop.
Citation Text:
Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop.
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Google Scholar BibTeX EndNote X3 XML EndNote 7…
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psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed
May 04, 2016 - Grant Announcement
Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed).
Citation Text:
Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023
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psnet.ahrq.gov/issue/when-theres-harm-hospital-can-transparency-replace-deny-and-defend
April 02, 2014 - Meeting/Conference Proceedings
When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"?
Citation Text:
When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"? National Health Policy Forum. Washington, DC: George Washington University. March 11…