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psnet.ahrq.gov/node/39346/psn-pdf
March 10, 2010 - How-to Guide: Multidisciplinary Rounds.
March 10, 2010
Cambridge, MA: Institute for Healthcare Improvement; February 2010.
https://psnet.ahrq.gov/issue/how-guide-multidisciplinary-rounds
This manual offers practical advice on how to plan for and implement care team rounds that involve a
variety of health care prov…
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www.ahrq.gov/nursing-home/resources/qapi-introduction.html
March 01, 2021 - Introduction to QAPI in Nursing Homes
Resource: Introduction to QAPI in Nursing Homes
This video provides a brief overview of Quality Assurance Performance Improvement for nursing homes.
Source: Institute for Healthcare Improvement
Topic(s): Infection Control & Prevention; Safe Operations
Audience(s)…
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effectivehealthcare.ahrq.gov/sites/default/files/arthritis-horizon-scan-high-impact-1506.pdf
June 01, 2015 - Arthritis and Nontraumatic Joint Disease
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 01: Arthritis and Nontraumatic Joint
Disease
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither…
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/patient-survey-ok.html
March 01, 2021 - EvidenceNOW: Patient Survey
Oklahoma Cooperative
Resource: Patient Survey (PDF, 275 KB, 2 pages)
This survey was used by an EvidenceNOW Cooperative to understand patients' experiences with the ABCS in the practice.
Institution of origin: University of Oklahoma Health Sciences Center
Permissions: Use…
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - May I Have Another?—Medication Error
Citation Text:
Wolf MS. May I Have Another?—Medication Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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Google Scholar BibTeX EndNote X3 XML EndNote …
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - In Conversation with…Albert Wu, MD, MPH
May 1, 2011
Citation Text:
In Conversation with…Albert Wu, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
…
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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - SPOTLIGHT CASE
The Missing Abscess: Radiology Reads in the Digital Era
Citation Text:
Siegel EL. The Missing Abscess: Radiology Reads in the Digital Era. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - Pre-analytical pitfalls: Missing and mislabeled specimens
Citation Text:
Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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Format:
…
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psnet.ahrq.gov/node/74021/psn-pdf
October 25, 2021 - In Conversation With... Georgia Galanou Luchen, Pharm.
D.
October 25, 2021
In Conversation With.. Georgia Galanou Luchen, Pharm. D. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
Editor’s Note: Georgia Galanou Luchen, Pharm. D., is the Director of Member Rela…
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - Medication Reconciliation With a Twist (or Dare We Say, a
Patch?)
May 1, 2014
Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
Case Objectives
Appreciate that medication discrepanc…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-intro.pdf
December 01, 2022 - 2022 National Healthcare Quality and Disparities Report Introduction
e
2022
National
Healthcare
Quality and
Disparities
Report
Introduction
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated.
Suggested citation: 2022 National Heal…
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digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines
January 01, 2023 - Developing Evidence-Based, User-Centered Design and Implementation Guidelines to Improve Health Information Technology Usability
Project Final Report ( PDF , 283.3 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are respons…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023nhqdr-introduction-rev.pdf
December 07, 2023 - 2023 National Healthcare Quality and Disparities Report
2023
National Healthcare
Quality and Disparities
Report Introduction
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated.
Suggested citation: 2023 National Healthcare Quality and D…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
June 11, 2003 - A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences
71
A Nonpunitive, Computerized System for
Improved Reporting of Medical Occurrences
Dale A. Arroyo
Abstract
To improve the patient safety program at the Naval Hospital at Oak Harbor, the
facility instituted a new computerized s…
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - for the next 5-year initiative to work on that transition from UME to GME, and a selected group of institutional
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/database-guide-nw.html
March 01, 2021 - EvidenceNOW: Intervention Tracking Database Guide
Northwest Cooperative
Resource: Database Guide—Northwest Cooperative (PDF, 2.32 MB, 19 pages)
This intervention tracking database guide was distributed to an EvidenceNOW Cooperative's staff.
Institution of origin: Group Health Cooperative
Permissions…
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/consent-form-nc.html
March 01, 2021 - EvidenceNOW: Consent Form
North Carolina Cooperative
Resource: Consent Form—North Carolina Cooperative (PDF, 106 KB, 2 pages)
This document outlines expectations for the EvidenceNOW Cooperative's participants.
Institution of origin: University of North Carolina at Chapel Hill
Permissions: Used with…
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www.ahrq.gov/patient-safety/settings/hospital/candor/videos/planning.html
August 01, 2022 - Resolution Planning: Video
AHRQ Communication and Optimal Resolution Toolkit
Communication and Optimal Resolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm. This video demonstrates an e…
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psnet.ahrq.gov/node/40246/psn-pdf
February 23, 2011 - Global Patient Safety Alerts.
February 23, 2011
Canadian Patient Safety Institute; CPSI.
https://psnet.ahrq.gov/issue/global-patient-safety-alerts
This Web site provides access to incident reports with the aim of stimulating innovation and driving patient
safety improvement efforts.
https://psnet.ahrq.gov/issue/g…
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psnet.ahrq.gov/node/42428/psn-pdf
July 17, 2013 - Conversations with...Lucian Leape, MD.
July 17, 2013
Lundberg G. MedPage Today. July 5, 2013.
https://psnet.ahrq.gov/issue/conversations-withlucian-leape-md
This interview with Dr. Lucian Leape highlights progress in patient safety and areas that still need
improvement.
https://psnet.ahrq.gov/issue/conversations-…