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psnet.ahrq.gov/issue/patient-safety-trauma-maximal-impact-management-errors-level-i-trauma-center
February 19, 2020 - Study
Patient safety in trauma: maximal impact management errors at a level I trauma center.
Citation Text:
Ivatury RR, Guilford K, Malhotra AK, et al. Patient safety in trauma: maximal impact management errors at a level I trauma center. J Trauma. 2008;64(2):265-270; discussion 270-27…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-5-table-4.pdf
January 01, 2011 - Section 5, Table 4
Table 4: Evidence Supporting Appropriate Emergency Department Fever Management for Children
with Sickle Cell Disease
Type of
evidence
Key findings Level of
evidence
(USPSTF
ranking*)
Citation(s)
Clinical
guidelines
All children with SCD who have fever greater
than 38.5 degrees Cels…
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digital.ahrq.gov/program-overview/research-stories/identifying-patients-high-need-during-care-transitions-improve-care-and-meet-social-needs
January 01, 2023 - Identifying Patients with High Need During Care Transitions to Improve Care and Meet Social Needs
Theme:
Engaging and Empowering Patients and Caregivers
Subtheme:
Improving Care During Patient Transitions
Using health information exchange to identify high-need patients during care transiti…
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digital.ahrq.gov/health-care-theme/learning-health-system
January 01, 2023 - Learning Health System
Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Description
This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary…
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digital.ahrq.gov/program-overview/research-stories/patient-facing-app-improve-care-transitions-hospital-home
January 01, 2023 - A Patient-Facing App to Improve Care Transitions from Hospital to Home
Theme:
Engaging and Empowering Patients and Caregivers
Subtheme:
Using Digital Healthcare Tools in Chronic Disease Self-Management
A patient-facing app simplifying the information patients and caregivers receive has the…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sfmeasures.pdf
June 02, 2025 - IMPLEMENT California Asthma QI Collaborative
IMPLEMENT California Asthma QI Collaborative
11
REQUIRED MEASURES numbered 1 - 4
Measures 1 – 4 are for children/adolescents between the ages of 3-21
# Measure name Definition for Data Collection; Excl…
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digital.ahrq.gov/research-method/benefit-assessment
January 01, 2023 - Benefit Assessment
Clinical Decision Support System Satisfaction Survey
Description
This is a questionnaire designed to be completed by clinical and office staff in a pediatric setting. The tool includes questions to assess staff attitudes and assessment of a clinical decision…
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psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across-perioperative-pathway
August 07, 2013 - Study
Failures in communication through documents and documentation across the perioperative pathway.
Citation Text:
Braaf S, Riley R, Manias E. Failures in communication through documents and documentation across the perioperative pathway. J Clin Nurs. 2015;24(13-14):1874-1884. doi:10.1…
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psnet.ahrq.gov/issue/measuring-nursing-error-psychometrics-misscare-and-practice-and-professional-issues-items
October 17, 2012 - Study
Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items.
Citation Text:
Castner J, Dean-Baar S. Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. J Nurs Manag. 2014;22(3):421-437.
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…
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psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management-tertiary-pediatric
January 22, 2016 - Review
The introduction of computerized physician order entry and change management in a tertiary pediatric hospital.
Citation Text:
Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Pe…
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psnet.ahrq.gov/issue/problem-5-whys
July 19, 2023 - Commentary
The problem with the '5 whys.'
Citation Text:
Card AJ. The problem with '5 whys'. BMJ Qual Saf. 2017;26(8):671-677. doi:10.1136/bmjqs-2016-005849.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/issue/rate-causes-and-reporting-medication-errors-jordan-nurses-perspectives
April 15, 2020 - Study
Rate, causes and reporting of medication errors in Jordan: nurses' perspectives.
Citation Text:
MRAYYAN MAJDT, SHISHANI KAWKAB, AL-FAOURI IBRAHIM. Rate, causes and reporting of medication errors in Jordan: nurses? perspectives. J Nurs Manag. 2007;15(6). doi:10.1111/j.1365-2834.20…
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psnet.ahrq.gov/issue/what-has-change-management-industry-got-do-improving-patient-safety
April 01, 2010 - Commentary
What has change management in industry got to do with improving patient safety?
Citation Text:
Noble DJ, Lemer C, Stanton E. What has change management in industry got to do with improving patient safety? Postgrad Med J. 2011;87(1027):345-348. doi:10.1136/pgmj.2010.097923.
…
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psnet.ahrq.gov/issue/safe-use-cellular-telephones-hospitals-fundamental-principles-and-case-studies
August 04, 2021 - Commentary
Safe use of cellular telephones in hospitals: fundamental principles and case studies.
Citation Text:
Cohen T, Ellis WS, Morrissey JJ, et al. Safe use of cellular telephones in hospitals: fundamental principles and case studies. J Healthc Inf Manag. 2005;19(4):38-48.
Copy …
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-flyer-va.pdf
June 02, 2025 - RecruitmentFlyer_FAQs_VA
Frequently Asked Questions
1. Why should my practice participate in the Heart of Virginia Healthcare (HVH) initiative?
Your practice will receive personalized coaching on optimizing your practice model and culture; helping you
improve cardiovascular care for your patients. Improving func…
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psnet.ahrq.gov/issue/just-culture-its-more-policy
July 05, 2017 - Study
Just culture: it's more than policy.
Citation Text:
Paradiso L, Sweeney N. Just culture: It's more than policy. Nurs Manage. 2019;50(6):38-45. doi:10.1097/01.NUMA.0000558482.07815.ae.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …
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psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool
June 02, 2021 - Newspaper/Magazine Article
High-reliability and the I-PASS communication tool.
Citation Text:
Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5.
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Format:
DOI Goo…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb10pcptxt.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B10: Primary Care Provider Fax Report and Orders (Text Description)
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter…
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psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center
December 05, 2013 - Study
Analysis of laboratory critical value reporting at a large academic medical center.
Citation Text:
Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;125(5):758-64.
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For…
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digital.ahrq.gov/sites/default/files/docs/resource/Timeline_at_a_glance_high_level_snapshot_on_the_progress.pdf
June 17, 2005 - use MED
VPN tunnel
Complete
Complete
Initial call
in
process
of being
schedule
d
Memphis
Managed