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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program
Longitudinal Evaluation of the Patient Safety and
Medical Liability Reform Demonstration Program
Planning Grants Final Evaluation Report
Longitudinal Evaluation of the Patient Safety and
Medical Liability Re…
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www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program
Longitudinal Evaluation of the Patient Safety and
Medical Liability Reform Demonstration Program
Planning Grants Final Evaluation Report
Longitudinal Evaluation of the Patient Safety and
Medical Liability Re…
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hcup-us.ahrq.gov/db/state/siddist/ReportforCD_%20IssueinMDSID2006-2009.pdf
January 01, 2009 - The Maryland HCUP State Inpatient Databases (SID) for 2006-2009 contain problems with the
coding of discharge disposition (DISPuniform). Transfers to other acute care hospitals are
misidentified as transfers to other health facilities.
The source-provided patient disposition codes for the following were erroneou…
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/NurseOnlyVisit.pdf
December 18, 2021 - Nurse Only Visit
Nurse Only Visit
N
ur
se
/P
ro
vi
de
r
P
at
ie
nt
Arrive and check
in at reception
View patient on
EHR schedule as
“arrived”
Greet and escort
patient to exam
room; log into
computer
Select patient from
schedule to open
encounter
Record chief
complai…
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psnet.ahrq.gov/node/42439/psn-pdf
November 23, 2016 - Guide to Patient and Family Engagement in Hospital
Quality and Safety.
November 23, 2016
Rockville, MD: Agency for Healthcare Research and Quality; June 2013.
https://psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
Studies have shown that a surprisingly large proportion of hosp…
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www.ahrq.gov/topics/childrenadolescents.html
January 01, 2011 - Topic: Children/Adolescents
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
CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
Cente…
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psnet.ahrq.gov/node/867600/psn-pdf
January 22, 2025 - Application of a digital quality measure for cancer
diagnosis in Epic Cosmos.
January 22, 2025
Zimolzak AJ, Khan SP, Singh H, et al. Application of a digital quality measure for cancer diagnosis in Epic
Cosmos. J Am Med Inform Assoc. 2025;32(1):227-229. doi:10.1093/jamia/ocae253.
https://psnet.ahrq.gov/issue/appli…
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psnet.ahrq.gov/node/48181/psn-pdf
August 07, 2019 - Managing the risks of direct oral anticoagulants.
August 7, 2019
Sentinel Event Alert. July 30, 2019;(61):1-5.
https://psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
Anticoagulant medications are known to be high-risk for adverse drug events. Although direct oral
anticoagulants (DOACs) require less…
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digital.ahrq.gov/organization/pajaro-valley-community-health
January 01, 2023 - Pajaro Valley Community Health
Community Chronic Care Network (CCCN) Online Publication and Education: User Needs Survey
Description
This is a questionnaire designed to be completed by clinical staff in an ambulatory setting. The tool includes questions to assess the usability…
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digital.ahrq.gov/location/usa-ca-watsonville
January 01, 2023 - USA, CA, Watsonville
Community Chronic Care Network (CCCN) Online Publication and Education: User Needs Survey
Description
This is a questionnaire designed to be completed by clinical staff in an ambulatory setting. The tool includes questions to assess the usability of diseas…
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www.ahrq.gov/talkingquality/distribute/promote/index.html
December 01, 2018 - Promote Your Health Care Quality Report to Consumers
For years, sponsors did little or nothing to promote their comparative quality reports to the public. Lack of promotion is a major contributor to the low level of public awareness of these reports. Surveys indicate that most consumers don’t know that qualit…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0309_05-03-2008.pdf
January 01, 2008 - Effective Health Care
Topic Number(s): 0082
Document Completion Date: 5-19-09
1
Results of Topic Selection Process & Next Steps
Management of patients with mild renal impairment will move forward to be refined as an effectiveness
review via the AHRQ Evidence-based Practice Center (EPC) Progr…
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digital.ahrq.gov/principal-investigator/williams-andrew
January 01, 2023 - Williams, Andrew
Factors affecting medication adherence trajectories for patients with heart failure.
Citation
Juarez DT, Williams AE, Chen C, et al. Factors affecting medication adherence trajectories for patients with heart failure. Am J Manag Care 2015 Mar 1;21(3):e197-205.…
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psnet.ahrq.gov/node/847048/psn-pdf
April 05, 2023 - Comparison of health care worker satisfaction before vs
after implementation of a communication and optimal
resolution program in acute care hospitals.
April 5, 2023
Friedson AI, Humphreys A, LeCraw F, et al. Comparison of health care worker satisfaction before vs after
implementation of a communication and optima…
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psnet.ahrq.gov/node/837500/psn-pdf
June 22, 2022 - Analysis of hospital-level readmission rates and variation
in adverse events among patients with pneumonia in the
United States.
June 22, 2022
Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in
adverse events among patients with pneumonia in the United States. JAM…
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hcup-us.ahrq.gov/reports/factsandfigures/2008/figures/2008_5_12b.jsp
January 01, 2008 - Exhibit 5.12 Most Emergency Department Visits for MH and SA Conditions
Distribution of Most Frequent Emergency Department (ED) All-listed MHSA Visits by Discharge Status, 2007
MHSA CONDITION
PERCENT DISTRIBUTION BY DISCHARGE STATUS
Inpatient Admission
Transfer to Other Facility
Other
Treat…
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psnet.ahrq.gov/node/46897/psn-pdf
October 13, 2018 - An assessment of the impact of just culture on quality
and safety in US hospitals.
October 13, 2018
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J
Med Qual. 2018;33(5):502-508. doi:10.1177/1062860618768057.
https://psnet.ahrq.gov/issue/assessment-impact-just-cul…
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psnet.ahrq.gov/node/45171/psn-pdf
August 01, 2016 - Weekly variation in health-care quality by day and time of
admission: a nationwide, registry-based, prospective
cohort study of acute stroke care.
August 1, 2016
Bray BD, Cloud GC, James MA, et al. Weekly variation in health-care quality by day and time of admission:
a nationwide, registry-based, prospective cohor…
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psnet.ahrq.gov/node/73490/psn-pdf
July 14, 2021 - Use of prescribing safety quality improvement reports in
UK general practices: a qualitative assessment.
July 14, 2021
Khan NF, Booth HP, Myles P, et al. Use of prescribing safety quality improvement reports in UK general
practices: a qualitative assessment. BMC Health Serv Res. 2021;21(1). doi:10.1186/s12913-021-0…