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psnet.ahrq.gov/issue/has-pendulum-swung-too-far-impact-missed-abdominal-injuries-era-nonoperative-management
August 04, 2021 - Study
Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management.
Citation Text:
Fairfax LM, Christmas B, Deaugustinis M, et al. Has the pendulum swung too far? The impact of missed abdominal injuries in the era of nonoperative manage…
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psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution
November 16, 2022 - Study
Surgical management and outcomes of 165 colonoscopic perforations from a single institution.
Citation Text:
Iqbal CW, Cullinane DC, Schiller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg. 2008;143(7):701-6; discu…
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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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psnet.ahrq.gov/issue/limited-health-literacy-barrier-medication-reconciliation-ambulatory-care
March 24, 2010 - Study
Limited health literacy is a barrier to medication reconciliation in ambulatory care.
Citation Text:
Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
April 01, 2022 - CLABSI Learning From Defects Tool
Learn From Defects Tool Worksheet:
Central Line-Associated Bloodstream Infection (CLABSI)
This worksheet is designed to be used near the bedside and is the shortened version of the CLABSI Event Report Tool: Data for Event Analysis. This worksheet will help your team learn what happ…
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psnet.ahrq.gov/issue/frequency-expected-effects-obstacles-and-facilitators-disclosure-patient-safety-incidents
February 11, 2015 - Review
Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review.
Citation Text:
Ock M, Lim SY, Jo M-W, et al. Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A Systematic Re…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary4.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Improving service systems for youth with serious emotional disorders and their families
Previous Page Next Page
Table of Contents
Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Gr…
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psnet.ahrq.gov/issue/error-and-patient-safety-ethical-analysis-cases-occupational-and-physical-therapy-practice
July 14, 2010 - Commentary
Error and patient safety: ethical analysis of cases in occupational and physical therapy practice.
Citation Text:
Scheirton LS, Mu K, Lohman H, et al. Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Med Health Care Philos. 2…
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psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care
February 18, 2009 - Study
Is the test result correct? A questionnaire study of blood collection practices in primary health care.
Citation Text:
Söderberg J, Wallin O, Grankvist K, et al. Is the test result correct? A questionnaire study of blood collection practices in primary health care. J Eval Clin Pr…
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psnet.ahrq.gov/issue/effect-emergency-medicine-pharmacists-medication-error-reporting-emergency-department
July 26, 2011 - Study
Effect of emergency medicine pharmacists on medication-error reporting in an emergency department.
Citation Text:
Weant KA, Humphries RL, Hite K, et al. Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Am J Health Syst Pharm. 2010…
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psnet.ahrq.gov/issue/improvements-safety-patient-care-can-help-end-medical-malpractice-crisis-united-states
July 17, 2019 - Review
Improvements in the safety of patient care can help end the medical malpractice crisis in the United States.
Citation Text:
Dalton GD, Samaropoulos XF, Dalton AC. Improvements in the safety of patient care can help end the medical malpractice crisis in the United States. Health …
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psnet.ahrq.gov/issue/new-unintended-adverse-consequences-electronic-health-records
March 20, 2019 - Review
New unintended adverse consequences of electronic health records.
Citation Text:
Sittig DF, Wright A, Ash J, et al. New Unintended Adverse Consequences of Electronic Health Records. Yearb Med Inform. 2016;(1):7-12.
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Format:
Google Scholar PubMed BibTeX E…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/major-depressive-disorder-disposition-160504.pdf
December 08, 2015 - Disposition of Comments for CER 161 Major Depressive Disorder
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Nonpharmacological Versus Phamacological Treatments for Adult
Patients With Major Depressive Disorder
Draft review available for public comment from Jan…
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digital.ahrq.gov/sites/default/files/docs/page/2016-ahrq-hit-annual-report.pdf
January 01, 2016 - 2016 AHRQ Health Information Technology Portfolio Annual Report
AHRQ Health
Information
Technology
Annual Report 2016
AHRQ Health Information Technology Division’s
2016 Annual Report
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Ro…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025005-snyder-final-report-2019.pdf
January 01, 2019 - A lack of system integration between MTM
vendors and other pharmacy systems
interrupts pharmacist workflow
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
March 01, 2020 - Implementation
Themes/
Findings
Risk of Bias
(high, moderate,
low)
Comments
Polydorou
et al., 20179
Integration
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effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1512.pdf
December 01, 2015 - Obesity
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 10: Obesity
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No. HHSA…
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digital.ahrq.gov/sites/default/files/docs/behavior-change-qas-07172025.pdf
July 17, 2025 - AHRQ National Webinar on Empowering Patients to Change Behavior Using Digital Healthcare Tools – Questions and Answers
AHRQ National Webinar on Empowering Patients to Change
Behavior Using Digital Healthcare Tools –
Questions and Answers
July 17, 2025 …
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
2. How will we manage change?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure …
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
February 01, 2020 - Section 3: Are You Ready To Improve?
July 2015
Contents
3.A. Cultivating and Supporting QI Leaders
3.B. Organizing for Quality Improvement
3.C. Training Staff in QI Concepts and Techniques
3.D. Paying Attention to Customer Service
3.E. Recognizing and Rewarding Success
References
Download Se…