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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit2-concise-antibiogram-toolkit.html
October 01, 2016 - Toolkit 2. Using Nursing Home Antibiograms To Choose the Right Antibiotic (Concise Antibiogram Toolkit)
Toolkit Effectiveness
When an antibiogram was implemented in nursing homes, results suggested that it had an effect on antibiotic prescribing. For example, Ciprofloxacin was prescribed 15% of the time versu…
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psnet.ahrq.gov/issue/challenges-transparency-reporting-medical-errors
July 19, 2023 - Commentary
The challenges to transparency in reporting medical errors.
Citation Text:
Paterick ZR, Paterick BB, Waterhouse BE, et al. The Challenges to Transparency in Reporting Medical Errors. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181be2a88.
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psnet.ahrq.gov/issue/office-based-anesthesia
August 01, 2012 - Review
Office-based anesthesia.
Citation Text:
Kurrek MM, Twersky RS. Office-based anesthesia. Can J Anaesth. 2010;57(3):256-72. doi:10.1007/s12630-009-9238-z.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/methods/measures.html
August 01, 2018 - EvidenceNOW: Evaluation Measures
Evaluation Measures
EvidenceNOW cooperatives will collect practice-level data from participating primary care practices on the clinical quality measures that correspond to each of the ABCS of heart health. The EvidenceNOW evaluation measures were initially determined by AHRQ a…
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psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
March 24, 2021 - Study
Gossypiboma: tales of lost sponges and lessons learned.
Citation Text:
McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152.
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psnet.ahrq.gov/issue/patient-safety-movement-foundation
January 01, 2020 - Multi-use Website
Patient Safety Movement Foundation.
Citation Text:
Patient Safety Movement Foundation. 15642 Sand Canyon Ave. #51268, Irvine, CA 92619. 877-236-0279, info@psmf.org.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-actions.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Actions Based on Survey Results
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Table of Contents
Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
In…
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
December 01, 2017 - Operating Room Briefing and Debriefing Audit Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety …
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psnet.ahrq.gov/issue/improving-health-care-quality-and-safety-people-disabilities-interview-lisa-iezzoni
October 26, 2022 - Commentary
Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni.
Citation Text:
Iezzoni LI. Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Interview by Steven Berman. Jt Comm J Qual P…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary7.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Using Federal grants to build intellectual capital at the State level
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Table of Contents
Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Intr…
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psnet.ahrq.gov/issue/when-public-health-goes-wrong-toward-new-concept-public-health-error
September 02, 2020 - Commentary
When public health goes wrong: toward a new concept of public health error.
Citation Text:
Bavli I. When public health goes wrong: toward a new concept of public health error. J Law Med Ethics. 2023;51(2):385-402. doi:10.1017/jme.2023.67.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-236-section-6-tables-4-9.pdf
February 01, 2012 - CHIPRA 236: Section 6, Tables 4-9
Table 4. Comparison of Measure Calculations for Analyst 1 vs. Analyst 2
Analyst 1 2012 2013
Numerator Denominator
of eligible
children
Measure
Result (per
1,000
children)
Numerator Denominator
of eligible
children
Measure
Result
(per 1,000
members)
Child/…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T1-SBAR_UTI_Final.pdf
June 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
HAIs
Healthcare-
Associated
Infections
PREVENT
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
HAIs
Healthcare-
Associated
Infections
PREVENT
Date/Time _________________…
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www.ahrq.gov/news/newsroom/case-studies/201506.html
April 01, 2015 - Penn Medicine Chester County Hospital Implements AHRQ Toolkit to Reduce Readmissions
Search All Impact Case Studies
April 2015
Penn Medicine Chester County Hospital, a 257-bed complex in West Chester, Pennsylvania, part of the University of Pennsylvania Health System, was one of 10 hospitals involved in AHR…
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psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-2nd-ed
November 29, 2017 - Book/Report
Classic
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed.
Citation Text:
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. Langley GJ, Moen R, Nolan KM, et al. Ho…
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digital.ahrq.gov/ahrq-funded-projects/virtual-reality-point-care-increase-uptake-medications-opioid-use-disorder
September 30, 2023 - Virtual Reality at the Point of Care to Increase Uptake of Medications for Opioid Use Disorder (MOUD) in the Emergency Department
Project Description
Participating in an immersive virtual reality experience may increase willingness of emergency department patients with opioid u…
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psnet.ahrq.gov/issue/patient-safety-functions-state-medical-boards-united-states
April 13, 2022 - Commentary
Patient safety functions of state medical boards in the United States.
Citation Text:
Patient safety functions of state medical boards in the United States. Roy CG. Yale J Biol Med. 2021;94(1):165-173.
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesBergner2010.pdf
June 16, 2021 - Public-Private Partnership Creates Web-based System to Improve Rural Children's Access to Health Care Through a Medical Home
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digital.ahrq.gov/principal-investigator/manojlovich-milisa
January 01, 2023 - Manojlovich, Milisa
It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication technologies in hospitals.
Citation
Lafferty M, Harrod M, Krein S, Manojlovich M. It's like sending a message in a bottle: A qualitative study of the c…
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psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im-neurologist
April 27, 2022 - Newspaper/Magazine Article
A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist.
Citation Text:
A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist. Horowitz SH. Washington Post. October 4, 2020…