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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-riverside-handoffs-webcast-bakdash.pdf
January 01, 2022 - Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Bakdash
AHRQ’s Surveys on Patient Safety Culture®
(SOPS®) Program
Jonathan Bakdash, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-1.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Introduction
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Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurement of Diagnostic Safety
Getting Ready for Measurement: O…
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psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings
January 18, 2023 - Study
Evaluating a handheld decision support device in pediatric intensive care settings.
Citation Text:
Evaluating a handheld decision support device in pediatric intensive care settings. Reynolds TL, DeLucia PR, Esquibel KA, et al. JAMIA Open. 2019;2:49-61.
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
May 01, 2023 - Tool: Two-Challenge Rule
The Two-Challenge Rule is another tool used to facilitate team members' speaking up. It was developed to manage conflict when team members’ perception of a situation differs. Human factor experts developed the rule to help airline captains prevent disasters when otherwise excellent deci…
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psnet.ahrq.gov/issue/cognitive-biases-internal-medicine-scoping-review
April 08, 2020 - Review
Cognitive biases in internal medicine: a scoping review.
Citation Text:
Loncharich MF, Robbins RC, Durning SJ, et al. Cognitive biases in internal medicine: a scoping review. Diagnosis (Berl). 2023;10(3):205-214. doi:10.1515/dx-2022-0120.
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psnet.ahrq.gov/issue/perceived-disability-based-discrimination-health-care-children-medical-complexity
November 16, 2022 - Study
Perceived disability-based discrimination in health care for children with medical complexity.
Citation Text:
Ames SG, Delaney RK, Houtrow AJ, et al. Perceived disability-based discrimination in health care for children with medical complexity. Pediatrics. 2023;152(1):e2022060975. …
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psnet.ahrq.gov/issue/reducing-administrative-harm-medicine-clinicians-and-administrators-together
February 23, 2022 - Commentary
Reducing administrative harm in medicine - clinicians and administrators together.
Citation Text:
O’Donnell WJ. Reducing administrative harm in medicine - clinicians and administrators together. N Engl J Med. 2022;386(25):2429-2432. doi:10.1056/nejmms2202174.
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psnet.ahrq.gov/issue/learning-samples-one-or-fewer
December 21, 2017 - Review
Classic
Learning from samples of one or fewer.
Citation Text:
Learning from samples of one or fewer. March JG, Sproull LS, Tamuz M. Org Sci.1991;2:1-13. (reprinted in: Qual Saf Health Care 2003;12:465-472.)
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psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and
July 02, 2019 - Commentary
Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model.
Citation Text:
Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Am J H…
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psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors
April 12, 2023 - Study
Characteristics associated with postdischarge medication errors.
Citation Text:
Mixon A, Myers AP, Leak CL, et al. Characteristics associated with postdischarge medication errors. Mayo Clin Proc. 2014;89(8):1042-51. doi:10.1016/j.mayocp.2014.04.023.
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psnet.ahrq.gov/issue/what-did-doctor-say-health-literacy-and-recall-medical-instructions
December 21, 2014 - Study
What did the doctor say? Health literacy and recall of medical instructions.
Citation Text:
McCarthy D, Waite KR, Curtis LM, et al. What did the doctor say? Health literacy and recall of medical instructions. Med Care. 2012;50(4):277-82. doi:10.1097/MLR.0b013e318241e8e1.
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www.ahrq.gov/policymakers/chipra/cpcf-form9.html
December 01, 2013 - Candidate Measure Submission Form (CPCF)
CHIPRA Pediatric Quality Measures Program (PQMP)
The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved by the Office of Management and Budget (OMB) in accordance with the Paperwork Reduction Act. The OMB Control Num…
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psnet.ahrq.gov/issue/some-unintended-effects-teamwork-healthcare
July 02, 2008 - Study
Some unintended effects of teamwork in healthcare.
Citation Text:
Finn R, Learmonth M, Reedy P. Some unintended effects of teamwork in healthcare. Soc Sci Med. 2010;70(8):1148-54. doi:10.1016/j.socscimed.2009.12.025.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking2.html
September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Fundamental Concepts for Understanding Probability
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Table of Contents
Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Fundamental Concepts for Understanding Probability
Probabi…
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www.ahrq.gov/ncepcr/tools/confid-report/foreword.html
February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
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Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Introduction
Part One: Physician Feedback Report Fundamentals
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psnet.ahrq.gov/issue/broselow-tape-effective-medication-dosing-instrument-review-literature
April 09, 2009 - Review
The Broselow tape as an effective medication dosing instrument: a review of the literature.
Citation Text:
Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review of the literature. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/measurespec-code-tables.pdf
June 05, 2025 - Transcranial Doppler Ultrasonography Screening among Children with Sickle Cell Anemia
1
Transcranial Doppler Ultrasonography Screening among
Children with Sickle Cell Anemia
Description
The percentage of children ages 2 through 15 years old with sickle cell anemia (SCA; hemoglobin [Hb]
SS or HbSβ0-thalas…
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www.ahrq.gov/talkingquality/translate/presentation.html
April 01, 2016 - Why Does the Presentation of Health Care Quality Scores Matter?
Most people have trouble understanding complex information.
Only a small fraction of Americans can easily read complex tables or understand the words typically used in medicine and health. The 2003 National Assessment of Adult Literacy found that…
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psnet.ahrq.gov/issue/full-work-analysis-resident-work-hours
June 06, 2018 - Study
Full work analysis of resident work hours.
Citation Text:
Dassinger MS, Eubanks JW, Langham MR. Full work analysis of resident work hours. J Surg Res. 2008;147(2):178-81. doi:10.1016/j.jss.2008.03.010.
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psnet.ahrq.gov/issue/implementation-computerized-physician-order-entry-seven-countries
April 05, 2017 - Study
Implementation of computerized physician order entry in seven countries.
Citation Text:
Aarts J, Koppel R. Implementation of computerized physician order entry in seven countries. Health Aff (Millwood). 2009;28(2):404-414. doi:10.1377/hlthaff.28.2.404.
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