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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-7.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
A-7. Measure 4: Clinician recall of referral to a local agency
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Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
Executive Summary
Introduction
Potential Measure Developme…
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psnet.ahrq.gov/issue/safety-culture-patient-safety-and-quality-care-outcomes-literature-review
October 24, 2018 - Review
Safety culture, patient safety, and quality of care outcomes: a literature review.
Citation Text:
Lee SE, Scott LD, Dahinten S, et al. Safety Culture, Patient Safety, and Quality of Care Outcomes: A Literature Review. West J Nurs Res. 2019;41(2):279-304. doi:10.1177/01939459177474…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Appendix 3-A. Suggested Slides for Module 3
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Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in …
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psnet.ahrq.gov/issue/surgical-site-infections-colon-surgery-patient-procedure-hospital-and-surgeon
February 19, 2020 - Study
Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon.
Citation Text:
Hübner M, Diana M, Zanetti G, et al. Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. Arch Surg. 2011;146(11):…
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psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice-centers-disease
December 21, 2022 - Press Release/Announcement
Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention.
Citation Text:
Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control …
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psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder
January 02, 2017 - Commentary
Communication about harm reduction with patients who have opioid use disorder.
Citation Text:
Hawk M, Jawa R, Kay ES. Communication about harm reduction with patients who have opioid use disorder. JAMA. 2025;333(2):163-164. doi:10.1001/jama.2024.21307.
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psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
May 11, 2014 - Study
Implementation of standardized dosing units for I.V. medications.
Citation Text:
Jung B, Couldry R, Wilkinson S, et al. Implementation of standardized dosing units for i.v. medications. Am J Health Syst Pharm. 2014;71(24):2153-8. doi:10.2146/ajhp140046.
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psnet.ahrq.gov/issue/case-study-research-view-complexity-science
January 03, 2017 - Commentary
Case study research: the view from complexity science.
Citation Text:
Anderson RA, Crabtree B, Steele DJ, et al. Case study research: the view from complexity science. Qual Health Res. 2005;15(5):669-85.
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psnet.ahrq.gov/issue/opioid-medication-discontinuation-and-risk-adverse-opioid-related-health-care-events
November 16, 2022 - Study
Classic
Opioid medication discontinuation and risk of adverse opioid-related health care events.
Citation Text:
Mark TL, Parish W. Opioid medication discontinuation and risk of adverse opioid-related health care events. J Subst Abuse Treat. 2019;103:58-63.…
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psnet.ahrq.gov/issue/all-clear-preparing-it-downtime
November 16, 2022 - Commentary
All CLEAR? Preparing for IT downtime.
Citation Text:
Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546.
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DOI Google Scholar PubMed BibTeX EndNote X…
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psnet.ahrq.gov/issue/elephant-patient-safety-what-you-see-depends-how-you-look
June 22, 2022 - Commentary
Classic
The elephant of patient safety: what you see depends on how you look.
Citation Text:
Shojania KG. The elephant of patient safety: what you see depends on how you look. Jt Comm J Qual Patient Saf. 2010;36(9):399-401.
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psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events
September 23, 2020 - Study
An improvement approach to integrate teaching teams in the reporting of safety events.
Citation Text:
Dunbar AE, Cupit M, Vath RJ, et al. An Improvement Approach to Integrate Teaching Teams in the Reporting of Safety Events. Pediatrics. 2017;139(2). doi:10.1542/peds.2015-3807.
Co…
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hcup-us.ahrq.gov/db/vars/hosp_nrd/nrdnote.jsp
August 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NRD Notes
An official website of the Department of Health & Human Services
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Careers
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Espanol
FAQs…
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psnet.ahrq.gov/issue/reconceptualizing-patient-safety-beyond-harm-insights-mixed-methods-qualitative-inquiry
April 19, 2023 - Study
Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry.
Citation Text:
Jeffs L, Kuluski K, Flintoft V, et al. Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. J Nurs Care Qual. 2024;39(3):226-2…
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psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary-0
October 23, 2019 - Book/Report
AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017.
Citation Text:
AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. Rockville, MD: Agency for Healthc…
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www.ahrq.gov/news/newsroom/case-studies/201904.html
June 01, 2019 - TeamSTEPPS® Helps St. Louis Hospital Keep C-Section Rate Low
Search All Impact Case Studies
June 2019
Staff at SSM Health St. Mary's Hospital in St. Louis used AHRQ’s TeamSTEPPS training to improve their teamwork and communication, helping them to reduce the Cesarean section (C-section) rate for low-risk,…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/fibromyalgia_research-protocol.pdf
April 03, 2014 - Typical treatments may be less effective31 or not feasible in this
group of individuals and treatments … • Women and men
• Individuals with coexisting mental health conditions
• Individuals with high fibromyalgia … )
• Individuals with longer duration of fibromyalgia symptoms
Question 2:
What are the harms of … • Women and men
• Individuals with coexisting mental health conditions
• Individuals with high fibromyalgia … )
• Individuals with longer duration of fibromyalgia symptoms
The subgroups in key questions
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digital.ahrq.gov/2018-year-review/research-summary/improves-care-patients
January 01, 2018 - Since usability is key to ensuring that health technology meets the needs of the individuals who use … s research concluded that patient-facing technology must be redesigned or enhanced to better allow individuals … with disabilities to fully engage with technology and demonstrated the importance of partnering with individuals
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/disparities-quality-improvement_executive.pdf
August 01, 2012 - Inclusion and exclusion criteria
Category Criteria
Population Individuals receiving health care in … A minimum sample size of 50 individuals per study and intervention group or subgroup. … • The intervention was more effective in White and Black individuals
relative to those of other or … speaking English as their primary language and
individuals speaking a language other than English. … with limited health literacy (55.7 percent vs. 30 percent) but
not among individuals with adequate
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psnet.ahrq.gov/issue/health-it-hazard-manager
August 01, 2012 - October 6, 2016
Findings and Lessons From the Improving Management of Individuals With … August 13, 2014
Findings and Lessons From the Improving Management of Individuals With