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psnet.ahrq.gov/issue/clinical-review-checklists-translating-evidence-practice
April 08, 2009 - Review
Clinical review: Checklists—translating evidence into practice.
Citation Text:
Winters BD, Gurses AP, Lehmann H, et al. Clinical review: checklists - translating evidence into practice. Crit Care. 2009;13(6):210. doi:10.1186/cc7792.
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www.ahrq.gov/policymakers/chipra/overview/background/appendix-a4.html
December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
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psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
March 27, 2019 - Toolkit
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions.
Citation Text:
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-hl.html
September 01, 2015 - Chartbook on Women's Health Care
Healthy Living: Infant Mortality
Previous Page Next Page
Table of Contents
Chartbook on Women's Health Care
Acknowledgments
Women's Health Care
Key Findings of the 2014 QDR
2014 Chartbooks
Access to Health Care
Affordability
Communication and Care Coo…
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psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
June 20, 2014 - Toolkit
Re-Engineered Discharge (RED) Toolkit.
Citation Text:
Re-Engineered Discharge (RED) Toolkit. Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084.
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psnet.ahrq.gov/issue/apologies-and-medical-error
November 16, 2022 - Commentary
Apologies and medical error.
Citation Text:
Robbennolt JK. Apologies and medical error. Clin Orthop Relat Res. 2009;467(2):376-82. doi:10.1007/s11999-008-0580-1.
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psnet.ahrq.gov/issue/listen-carefully-risk-error-spoken-medication-orders
November 16, 2022 - Study
Listen carefully: the risk of error in spoken medication orders.
Citation Text:
Lambert BL, Dickey LW, Fisher WM, et al. Listen carefully: the risk of error in spoken medication orders. Soc Sci Med. 2010;70(10):1599-608. doi:10.1016/j.socscimed.2010.01.042.
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psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss
December 07, 2016 - Newspaper/Magazine Article
Medically Induced Trauma Support Services (MITSS).
Citation Text:
Medically Induced Trauma Support Services (MITSS). Tobin WN. Patient Safety Quality Healthcare. May/June 2013.
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psnet.ahrq.gov/issue/patient-safety-and-medical-liability-current-status-and-agenda-future
January 01, 2015 - Review
Patient safety and medical liability: current status and an agenda for the future.
Citation Text:
Abuhamad A, Grobman WA. Patient safety and medical liability: current status and an agenda for the future. Obstet Gynecol. 2010;116(3):570-7. doi:10.1097/AOG.0b013e3181eeb785.
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psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head
June 21, 2023 - Audiovisual
More hospitals move to confront medical errors head on.
Citation Text:
More hospitals move to confront medical errors head on. Gorenstein D. Tradeoffs. November 16, 2023.
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psnet.ahrq.gov/issue/path-safe-and-reliable-healthcare
August 20, 2018 - Commentary
The path to safe and reliable healthcare.
Citation Text:
Leonard MW, Frankel A. The path to safe and reliable healthcare. Patient Educ Couns. 2010;80(3). doi:10.1016/j.pec.2010.07.001.
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 1. Background
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter 3. Descript…
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psnet.ahrq.gov/issue/bundaberg-and-beyond-duty-disclose-adverse-events-patients
January 12, 2022 - Commentary
Bundaberg and beyond: duty to disclose adverse events to patients.
Citation Text:
Madden B, Cockburn T. Bundaberg and beyond: duty to disclose adverse events to patients. J Law Med. 2007;14(4):501-27.
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psnet.ahrq.gov/issue/common-formats-allow-uniform-collection-and-reporting-patient-safety-data-patient-safety
May 20, 2009 - Commentary
Common formats allow uniform collection and reporting of patient safety data by patient safety organizations.
Citation Text:
Clancy CM. Common Formats Allow Uniform Collection and Reporting of Patient Safety Data by Patient Safety Organizations. Am J Med Qual. 2009;25(1):73-…
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psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patient-safety
July 11, 2018 - Commentary
Nurses and patients: natural partners to advance patient safety
Citation Text:
Ricciardi R, Shofer M. Nurses and Patients: Natural Partners to Advance Patient Safety. J Nurs Care Qual. 2019;34(1):1-3. doi:10.1097/NCQ.0000000000000377.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
May 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
MEDICAL CARE REFERRAL FORM
USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM AND INFECTION MAY BE SUSPECTED, AND IS BEING
REFERRED TO A MEDICAL CARE PROVIDER, INCLUDING TRANSFER TO AN EMERGENCY DEPARTMENT OR HOSPIT…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix B
Detailed Review Timeline
Event Type:
Individuals Interviewed:
NAME
TITLE/ROLE
Nurse #1
Charge nurse
Nurse #2
RN
CNA X
Nursing tech
Manager MS
Manager
Pertinent Interview Findings
There was only one certifi…
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psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
January 24, 2024 - Newspaper/Magazine Article
Preventing medical errors: how to proceed with caution.
Citation Text:
Shaw G. Preventing Medical Errors. The Hearing Journal. 2014;67(7). doi:10.1097/01.hj.0000452244.07451.64.
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www.ahrq.gov/cahps/surveys-guidance/helpful-resources/analysis/index.html
July 01, 2025 - Analyzing CAHPS Survey Data
Users of CAHPS surveys may take a few different approaches to analyzing their data to generate results that can be reported to healthcare providers, administrators, and consumers. The CAHPS team supports users in conducting their analyses of the closed-ended surveys by developing and…
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www.ahrq.gov/patient-safety/news-events/psaw-2021/index.html
July 01, 2022 - Patient Safety Awareness Week
AHRQ and colleagues from the U.S. Department of Health and Human Services, the Health Resources and Services Administration, the Institute for Healthcare Improvement, and the entire patient safety community are collaborating to observe Patient Safety Awareness Week. While AHRQ's …