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psnet.ahrq.gov/issue/policy-and-future-adverse-event-detection-using-information-technology
August 31, 2011 - Commentary
Policy and the future of adverse event detection using information technology.
Citation Text:
Bates DW, Evans S, Murff HJ, et al. Policy and the future of adverse event detection using information technology. J Am Med Inform Assoc. 2003;10(2):226-8.
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psnet.ahrq.gov/issue/call-excellence
May 20, 2009 - Commentary
A call to excellence.
Citation Text:
Clancy CM, Scully T. A call to excellence. Health Aff (Millwood). 2003;22(2):113-5.
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psnet.ahrq.gov/issue/medication-therapy-management-programs-forming-new-cornerstone-quality-and-safety-medicare
January 06, 2017 - Commentary
Medication therapy management programs: forming a new cornerstone for quality and safety in Medicare.
Citation Text:
Smith SR, Clancy CM. Medication therapy management programs: forming a new cornerstone for quality and safety in medicare. Am J Med Qual. 2006;21(4):276-9.
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psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals-study
January 04, 2017 - Book/Report
HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. Denver, CO; Health Grades Inc; 2007.
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psnet.ahrq.gov/issue/intensive-care-unit-patient-safety-and-agency-healthcare-research-and-quality
May 20, 2009 - Commentary
The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality.
Citation Text:
Clancy CM. The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. Am J Med Qual. 2006;21(5):348-51.
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psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
August 04, 2021 - Commentary
The science of safety improvement: learning while doing.
Citation Text:
Clancy CM, Berwick DM. The science of safety improvement: learning while doing. Ann Intern Med. 2011;154(10):699-701. doi:10.7326/0003-4819-154-10-201105170-00013.
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psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
January 06, 2017 - Study
High-risk, high-alert medication management practices in a regional state psychiatric facility.
Citation Text:
McKee J, Cleary S. High-Risk, High-Alert Medication Management Practices in a Regional State Psychiatric Facility. Hosp Pharm. 2007;42(4):323-330. doi:10.1310/hpj4204-323.…
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psnet.ahrq.gov/issue/spikes-demand-coronavirus-patients-are-creating-shortages-asthma-drugs-and-sedatives
May 11, 2016 - Newspaper/Magazine Article
Spikes in demand from coronavirus patients are creating shortages of asthma drugs and sedatives for ventilator patients.
Citation Text:
Spikes in demand from coronavirus patients are creating shortages of asthma drugs and sedatives for ventilator patients. Rowl…
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psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
December 12, 2012 - Commentary
Improving care transitions: current practice and future opportunities for pharmacists.
Citation Text:
Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi…
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psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health-records-support-medication-reconciliation
August 08, 2014 - Book/Report
Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation.
Citation Text:
Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Heal…
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2011
November 02, 2012 - Book/Report
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.
Citation Text:
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011. Oakbrook Terrace, IL: The Joint Commission; September 2011.
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psnet.ahrq.gov/issue/learning-malpractice-claims-about-negligent-adverse-events-primary-care-united-states
April 07, 2011 - Study
Learning from malpractice claims about negligent, adverse events in primary care in the United States.
Citation Text:
Phillips RL, Bartholomew LA, Dovey S, et al. Learning from malpractice claims about negligent, adverse events in primary care in the United States. Qual Saf Healt…
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psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy
August 07, 2013 - Commentary
Human factors and systems engineering approach to patient safety for radiotherapy.
Citation Text:
Human factors and systems engineering approach to patient safety for radiotherapy. Rivera AJ, Karsh B-T. Int J Radiat Oncol Biol Phys. 2008;71:S174-S177.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/aspirin-narrative.pdf
December 31, 2018 - Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic Measure Narrative
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
Measure Narrative
Description
Percentage of patients 18 years of age and older who were discharged alive for acute myocardial
infarction (AMI)…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/tobacco-narrative.pdf
December 31, 2018 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Measure Narrative
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Measure Narrative
Description
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times…
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psnet.ahrq.gov/issue/establishing-culture-patient-safety-role-education
August 23, 2017 - Commentary
Establishing a culture for patient safety - the role of education.
Citation Text:
Milligan FJ. Establishing a culture for patient safety - the role of education. Nurse Educ Today. 2007;27(2):95-102.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/fig1.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Figure 1. Numeric Scoring for Evaluation Criteria
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Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introducti…
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psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
June 30, 2011 - Commentary
Mortality as a measure of quality: implications for palliative and end-of-life care.
Citation Text:
Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care. JAMA. 2007;298(7):802-804.
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psnet.ahrq.gov/issue/2024-national-impact-assessment-centers-medicare-medicaid-services-cms-quality-measures
November 23, 2015 - Book/Report
2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report.
Citation Text:
2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. Baltimore, MD: US Department of Health …
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psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition
May 13, 2009 - Book/Report
Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition.
Citation Text:
Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 978…