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psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
September 08, 2021 - Newspaper/Magazine Article
To improve health care, focus on fixing systems — not people.
Citation Text:
Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people. Harvard Business Review. July 12, 2024;
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psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-best-practice
September 30, 2020 - Newspaper/Magazine Article
Pharmacy-led medication reconciliation is best practice.
Citation Text:
Pharmacy-led medication reconciliation is best practice. Tanski MC. Pharmacy Times Health Systems edition. September 2023;12(5):34-35.
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psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
February 24, 2016 - Newspaper/Magazine Article
Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors.
Citation Text:
Government and industry fail to protect the public when they suggest "carefully following instructions" i…
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psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
May 02, 2018 - Newspaper/Magazine Article
Administration of concentrated potassium chloride for injection during a code: still deadly!
Citation Text:
Administration of concentrated potassium chloride for injection during a code: still deadly! ISMP Medication Safety Alert! Acute care edition. June …
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psnet.ahrq.gov/issue/evaluation-postoperative-handover-using-tool-assess-information-transfer-and-teamwork
April 30, 2014 - Study
Evaluation of postoperative handover using a tool to assess information transfer and teamwork.
Citation Text:
Evaluation of postoperative handover using a tool to assess information transfer and teamwork. Nagpal K, Abboudi M, Fischler L, et al. Ann Surg. 2011;253:831-837.
Co…
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psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
October 14, 2020 - Review
Emerging Classic
Incident learning in radiation oncology: a review.
Citation Text:
Ford E, Evans SB. Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119. doi:10.1002/mp.12800.
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www.ahrq.gov/news/newsroom/case-studies/201718.html
April 01, 2018 - Los Angeles County Health Center Uses CAHPS To Shorten Wait Times
Search All Impact Case Studies
April 2018
Feedback from patients on AHRQ's Consumer Assessment of Healthcare Providers and Systems Clinician & Group Survey (CG-CAHPS) told officials at San Fernando, CA-based Northeast Valley Health Corporat…
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www.ahrq.gov/sites/default/files/2024-07/jerant-report.pdf
January 01, 2024 - yet still clinically significant changes than other self-
rated health measures. (50-54) Participants indicate
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hcup-us.ahrq.gov/news/exhibit_booth/hcup_90_min_pres.jsp
December 01, 2022 - updated on a fiscal year basis (effective October 1)
Tools use specific file naming conventions to indicate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
March 12, 2008 - generic) secondary to med cost and availability
• Unfamiliarity with meds delays administration
Indicate
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digital.ahrq.gov/sites/default/files/docs/citation/europe-e-prescribing-report.pdf
February 01, 2011 - Electronic Prescribing in the United Kingdom and in the Netherlands
Electronic Prescribing in the United Kingdom
and in the Netherlands
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2025-hcbs-chartbook.pdf
January 01, 2025 - 2025 HCBS CAHPS Survey Database Chartbook
The Consumer Assessment of Healthcare
Providers and Systems (CAHPS®) Home
and Community-Based Services (HCBS)
Survey Database 2025 Chartbook
Authors:
Teresa Dodson, M.A.
Joshua Rubin
Jack Vallentine
Michael Corrothers
Naomi Yount, Ph.D.
Joann Sorra, Ph.D.
Dale Sh…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-fullreport.pdf
January 01, 2020 - These categories are not exclusive of one another,
so please indicate "Yes" to all that apply.
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - neurovascular exam and palpation of the limb’s compartment for the presence of tenseness which may indicate
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/nppv-respiratory-failure_disposition-comments.pdf
July 01, 2012 - Peer Reviewer 5 Abstract Indicate the total number of patients included overall and for each
subgroup … Consider reframing this
KQ to indicate that a primary analysis for patients with ACPE was
conducted
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/measuring-blood-pressure-future_research.pdf
August 01, 2012 - Stakeholders were asked to indicate their top five priority topics considering the following
dimensions … Stakeholders were asked to indicate their top five priority FRN topics according to the
pertinent EHC … Following this commentary period, we finalized
the list and asked stakeholders to electronically indicate … that compared SMBP with additional support against usual care, the findings of
the CER appeared to indicate
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-hospital-linkage-techdoc-rev.pdf
January 01, 2021 - studying health system components and their
attributes, only a handful explicitly identify systems and indicate … assigned a match score to each potential match in
order of the quality of the match (lower scores indicate … HEALTH SYSTEMS, 2021, HOSPITAL LINKAGE FILE, TECHNICAL DOCUMENTATION
7
indicate that these systems … Also, we take a fairly inclusive
approach, only requiring that one data source indicate a hospital is
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - SPOTLIGHT CASE
Engaging Seriously Ill Older Patients in Advance Care Planning
Citation Text:
Heyland DK. Engaging Seriously Ill Older Patients in Advance Care Planning. 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/liver-biopsy-proceed-caution
March 07, 2012 - Liver Biopsy: Proceed With Caution
Citation Text:
Rockey DC. Liver Biopsy: Proceed With Caution. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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meps.ahrq.gov/data_files/publications/st341/stat341.shtml
September 01, 2011 - STATISTICAL BRIEF #341:
Changes in Children's Use and Expenditures for Asthma Medications, United States, 1997-1998 to 2007-2008
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