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www.ahrq.gov/talkingquality/measures/setting/long-term-care/nursing-home/measurement-sets.html
November 01, 2018 - Major Nursing Home Quality Measurement Sets
NQF-Endorsed Measures
The National Quality Forum (NQF) has endorsed a set of voluntary consensus standards for nursing home care. Measures reflecting these standards are among the information presented by most sponsors of nursing home reports, including the Center f…
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psnet.ahrq.gov/issue/errors-emr-under-recognized-hazard-ai-healthcare
November 06, 2024 - Commentary
Errors in the EMR: under-recognized hazard for AI in healthcare.
Citation Text:
Morreim EH. Errors in the EMR: under-recognized hazard for AI in healthcare. Hous J Health Law Policy. 2025;24:127-165.
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www.ahrq.gov/cahps/cahps-database/hcbs-database/participate.html
December 01, 2024 - Participating in the CAHPS Home and Community-Based Services Survey Database
All Medicaid agencies and managed care entities that administer this survey are invited to submit their results to the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey Database. This page explains the requirements and the st…
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psnet.ahrq.gov/issue/safeguarding-storage-drug-products
December 15, 2010 - Newspaper/Magazine Article
Safeguarding the storage of drug products.
Citation Text:
Safeguarding the storage of drug products. PA-PSRS Patient Saf Advis. 2010;7(2):46-51.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/index.html
April 01, 2023 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Building the Project Foundation: Gaining Leadership Supp…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/guide/index.html
June 01, 2017 - Designing and Delivering Whole-Person Transitional Care
The Hospital Guide to Reducing Medicaid Readmissions
Reducing readmissions is a national priority for payers, providers, and policymakers seeking to improve health care and lower costs. Readmissions are a significant issue among patients with…
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psnet.ahrq.gov/issue/hospitals-boost-patients-power-advisers
August 17, 2016 - Newspaper/Magazine Article
Hospitals boost patients' power as advisers.
Citation Text:
Hospitals boost patients' power as advisers. Landro L. Wall Street Journal. Aug. 8, 2007.
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psnet.ahrq.gov/issue/hospitals-own-errors
February 04, 2009 - Newspaper/Magazine Article
Hospitals own up to errors.
Citation Text:
Hospitals own up to errors. Landro L. Wall Street Journal. August 25, 2009:D1.
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psnet.ahrq.gov/issue/four-patients-say-cedars-sinai-did-not-tell-them-they-had-received-radiation-overdose
November 11, 2015 - Newspaper/Magazine Article
Four patients say Cedars-Sinai did not tell them they had received a radiation overdose.
Citation Text:
Four patients say Cedars-Sinai did not tell them they had received a radiation overdose. Zarembo A.
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psnet.ahrq.gov/issue/massachusetts-alliance-communication-and-resolution-following-medical-injury
May 03, 2023 - Multi-use Website
Massachusetts Alliance for Communication and Resolution Following Medical Injury.
Citation Text:
Massachusetts Alliance for Communication and Resolution Following Medical Injury. Betsy Lehman Center for Patient Safety.
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psnet.ahrq.gov/issue/managing-aftermath-iatrogenic-injury
January 02, 2008 - Commentary
Managing the aftermath of iatrogenic injury.
Citation Text:
Managing the aftermath of iatrogenic injury. Vincent C; Saunders A.
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www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/plymouth.html
March 01, 2021 - Building on Innovation to Become a Champion
Plymouth Family Physicians has always been on the cutting edge of primary care improvement. Since founding Plymouth Family Physicians in 1985, the husband-and-wife team of Dr. Mary Arenberg and Dr. George Schroeder have focused on quality improvement activities to pro…
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psnet.ahrq.gov/issue/revealing-their-medical-errors-why-three-doctors-went-public
November 10, 2010 - Newspaper/Magazine Article
Revealing their medical errors: why three doctors went public.
Citation Text:
Revealing their medical errors: why three doctors went public. O'Reilly KB.
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table3.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Table 3. Overview of participant responses to draft recommendations for key design features of consumer reporting systems
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Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executiv…
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psnet.ahrq.gov/issue/psychological-safety-healthcare-settings
June 01, 2017 - Special or Theme Issue
Psychological Safety in Healthcare Settings.
Citation Text:
Psychological Safety in Healthcare Settings. Int J Public Health. 2024;69.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/053-sample-script-iodophor.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Teaching Patients How To Decolonize With Iodophor:
Key Points & Sample Script
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Properly teaching patients the importance of preoperative decolonization and how to perform it …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-4.html
August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
Role of the Patient and Family in Telediagnosis
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Table of Contents
Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
Introduction
Evidence Base Supporting Te…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-ostomy.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Ostomy Care
Ostomy Care
Ostomy Basics
■ An ostomy is usually temporary and created as part of a staged surgical approach to divert
fecal matter, allow for resolution of inflammation, and to provide time for infant to grow and
stabilize.
■ Often has 2 parts: proximal o…
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/index.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix: The MATCH Work Plan
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Building t…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
June 02, 2025 - Job Aid: 5 Whys and Fishbone Diagrams
Primary Care Practice Facilitator
Training Series
1
Job Aid: 5 Whys and Fishbone Diagrams
Overview
The 5 Whys and fishbone diagrams help practices identify obstacles to good performance and
what causes them. They can also be used to identify the factors contribut…