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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3)
Guide to Patient and Family Engagement :: 1
Improving Discharge Outcomes with Patients and Families
Evidence for engaging patients
and families in discharge planning
Nearly 20 percent of patients experience an adverse
event within 30 days of discharge.1,2 Re…
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psnet.ahrq.gov/issue/three-laws-paperlessness
July 22, 2015 - Commentary
Three laws for paperlessness.
Citation Text:
Thimbleby H. Three laws for paperlessness. Digit Health. 2019;5:2055207619827722. doi:10.1177/2055207619827722.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
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psnet.ahrq.gov/issue/safety-issues-combined-gynecologic-and-plastic-surgical-procedures
January 06, 2018 - Review
Safety issues in combined gynecologic and plastic surgical procedures.
Citation Text:
Kryger ZB, Dumanian GA, Howard MA. Safety issues in combined gynecologic and plastic surgical procedures. Int J Gynaecol Obstet. 2007;99(3):257-63.
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meps.ahrq.gov/mepsweb/survey_comp/household.jsp
December 02, 2022 - Medical Expenditure Panel Survey Household Component Overview
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An official website of the Department of Health & Human Services
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www.ahrq.gov/news/newsroom/case-studies/202402.html
July 01, 2024 - Sierra Vista Hospital Uses AHRQ Toolkit To Slash Catheter Use and Eliminate Infections
Search All Impact Case Studies
July 2024
Sierra Vista Hospital, an 11-bed critical access hospital in Truth or Consequences, New Mexico, implemented practices from AHRQ’s Toolkit for Reducing Catheter-Associated Urinary …
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www.ahrq.gov/patient-safety/research-summaries/index.html
August 01, 2025 - Patient Safety Research Summaries
As the lead federal agency for advancing patient safety, AHRQ invests in research and implementation projects that bridge the gap between research and the delivery of safer patient care. AHRQ-Funded Patient Safety Project Highlights reflect the work of agency grantees and contr…
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digital.ahrq.gov/care-setting/long-term-care-facility
January 01, 2023 - Long-Term Care Facility
A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP)
Description
This conference convenes interdisciplinary experts from the United States and abroad to define priorities and goals for research…
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psnet.ahrq.gov/issue/creation-and-impact-dedicated-section-quality-and-patient-safety-clinical-academic-department
May 28, 2008 - Commentary
The creation and impact of a dedicated section on quality and patient safety in a clinical academic department.
Citation Text:
Boudreaux AM, Vetter TR. The Creation and Impact of a Dedicated Section on Quality and Patient Safety in a Clinical Academic Department. Academic Medi…
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psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - Commentary
Classic
Problem doctors: is there a system-level solution?
Citation Text:
Leape L, Fromson J. Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15.
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digital.ahrq.gov/care-setting/health-department
January 01, 2023 - Health Department
Advancing Population and Public Health Reporting and Outcomes With Vaccination Data Exchange (APPROVE)
Description
This study aimed to improve data exchange between public health and clinical care information systems, and across public health itself, to enhan…
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hcup-us.ahrq.gov/db/nation/nis/reports/NISVarianceReport_Notification.pdf
July 01, 2004 - Microsoft Word - NISVarianceReport_Notification.doc
DATE: July 1, 2004
TO: Users of the HCUP Nationwide Inpatient Sample (NIS)
and Kids’ Inpatient Database (KID)
SUBJECT: Corrections to instructions on how to calculate variances
(standard errors)
Page 1 of 2
Memorandum
We have recently uncove…
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psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics
October 10, 2018 - Commentary
The elusive and illusive quest for diagnostic safety metrics.
Citation Text:
Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2.
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psnet.ahrq.gov/issue/distracted-practice-concept-analysis
February 27, 2009 - Review
Distracted practice: a concept analysis.
Citation Text:
D'Esmond LK. Distracted Practice: A Concept Analysis. Nurs Forum. 2016;51(4):275-285. doi:10.1111/nuf.12153.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
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psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-chemotherapy-orders
March 04, 2015 - Commentary
Start using a checklist, PRONTO: recommendation for a standard review process for chemotherapy orders.
Citation Text:
Crandell BC, Bates JS, Grgic T. Start using a checklist, PRONTO: Recommendation for a standard review process for chemotherapy orders. J Oncol Pharm Pract. 201…
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psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
February 12, 2019 - Toolkit
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture.
Citation Text:
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …
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www.ahrq.gov/talkingquality/measures/setting/long-term-care/hospice.html
January 01, 2023 - Measuring the Quality of Hospice Care
Hospice care is a set of services that allow patients in the final phase of life to spend their last days at home or a home-like setting rather than in a hospital. It is for patients who have decided that they would rather have comfort care while they remain alive than cura…
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment-instructions.pdf
December 01, 2023 - How to Complete the Practice Self-Assessment Tool for Opioid Use in Older Adults
www.ahrq.gov
How to Complete the Practice Self-Assessment Tool for Opioid Use in Older Adults
The Practice Self-Assessment Tool for Opioid Use in Older Adults (Self-Assessment tool) is for
primary care practices that want to improve…
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psnet.ahrq.gov/issue/statewide-identification-adverse-events-using-retrospective-nurse-review-methods-and-outcomes
November 21, 2021 - Study
Statewide identification of adverse events using retrospective nurse review: methods and outcomes.
Citation Text:
Silver MP, Hougland P, Elder S, et al. Statewide identification of adverse events using retrospective nurse review: methods and outcomes. J Nurs Meas. 2007;15(3):220-…
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psnet.ahrq.gov/issue/patient-safety-and-end-life-care-common-issues-perspectives-and-strategies-improving-care
June 30, 2021 - Review
Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care.
Citation Text:
Dy SM. Patient Safety and End-of-Life Care: Common Issues, Perspectives, and Strategies for Improving Care. Am J Hosp Palliat Care. 2016;33(8):791-6. doi:10.1177/104…
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psnet.ahrq.gov/issue/evaluating-physician-performance-individualizing-care-pilot-study-tracking-contextual-errors
September 20, 2011 - Study
Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in medical decision making.
Citation Text:
Weiner SJ, Schwartz A, Yudkowsky R, et al. Evaluating physician performance at individualizing care: a pilot study tracking contextual err…