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psnet.ahrq.gov/issue/disparities-after-discharge-association-limited-english-proficiency-and-postdischarge-patient
October 14, 2020 - Study
Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues.
Citation Text:
Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient…
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psnet.ahrq.gov/issue/reducing-medication-errors-adults-hospital-settings
March 09, 2022 - Review
Reducing medication errors for adults in hospital settings.
Citation Text:
Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings. Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2.
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psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-risks
July 20, 2022 - Study
Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention.
Citation Text:
McVey L, Alvarado N, Healey F, et al. Talking about falls: a qualitative exploration of spok…
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psnet.ahrq.gov/issue/changes-burnout-and-satisfaction-work-life-integration-physicians-over-first-2-years-covid-19
June 01, 2022 - Study
Changes in burnout and satisfaction with work-life integration in physicians over the first 2 years of the COVID-19 pandemic.
Citation Text:
Shanafelt TD, West CP, Dyrbye LN, et al. Changes in burnout and satisfaction with work-life integration in physicians over the first 2 years …
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
December 01, 2017 - Briefing and Debriefing Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010. 1 Usi…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2024.xlsx
January 01, 2024 - Device or Medical/Surgical Supply including Health Information Technology Dashboard
Introduction
Introduction-Device or Medical/Surgical Supply including Health Information Technology
The tables in this workbook present data on Device or Medical/Surgical Supply including Health Information Technology (HIT) reports …
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psnet.ahrq.gov/issue/severe-illness-getting-noticed-sooner-signs-kids-developing-illness-recognition-tool-connect
September 23, 2020 - Study
Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital.
Citation Text:
Gilleland J, Bayfield D, Bayliss A, et al. Severe illness getting noticed sooner – SIGNS-for-Kids: developing an illness recognition tool to c…
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.html
March 01, 2019 - State at a Glance: South Carolina
Learn more about the CHIPRA quality demonstration projects being implemented in South Carolina.
South Carolina is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 2: How are States and evaluators measuring medical homeness in the C…
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/fl.html
March 01, 2019 - State at a Glance: Florida
Learn more about the CHIPRA quality demonstration projects being implemented in Florida.
Florida is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 2 : How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonst…
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psnet.ahrq.gov/issue/adverse-outcomes-polypharmacy-older-people-systematic-review-reviews
May 29, 2019 - Review
Classic
Adverse outcomes of polypharmacy in older people: systematic review of reviews.
Citation Text:
Davies LE, Spiers G, Kingston A, et al. Adverse outcomes of polypharmacy in older people: systematic review of reviews. J Am Med Dir Assoc. 2020;21(2):1…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-tubes.pdf
April 02, 2025 - NICU Family Information Packet, Appendix B, Feeding Tubes
Feeding Tubes
Types of Devices
■ Nasogastric (NG) tube: non-weighted, polyurethane tube for use more than 10 days.
■ Gastrostomy tube: tube protrudes from anterior abdominal wall; most common initial
gastrostomy device.
■ Button/skin-level gastrostomy: …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
December 01, 2017 - On-Time Quality Improvement Program: On-Time Pressure Ulcer Prevention
Menu of Implementation Strategies
The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choose to integrate the pressure ulcer prevention reports into clinical practice. A menu …
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psnet.ahrq.gov/issue/patient-safety-culture-space-social-struggle-understanding-infection-prevention-practice-and
November 30, 2022 - Study
Patient safety culture as a space of social struggle: understanding infection prevention practice and patient safety culture within hospital isolation settings - a qualitative study.
Citation Text:
Hunt J, Gammon J, Williams S, et al. Patient safety culture as a space of social str…
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psnet.ahrq.gov/issue/associations-person-related-environment-related-and-communication-related-factors-medication
January 19, 2022 - Study
Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit.
Citation Text:
Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and comm…
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psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
July 15, 2020 - Study
The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.
Citation Text:
Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical e…
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psnet.ahrq.gov/issue/what-contributes-diagnostic-error-or-delay-qualitative-exploration-across-diverse-acute-care
March 16, 2022 - Study
What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States.
Citation Text:
Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care se…
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psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores
November 16, 2022 - Study
Impact of repeated reimbursement penalties on hospital total quality scores.
Citation Text:
Brewer A, Hughes MC, Patel KN. Impact of repeated reimbursement penalties on hospital total quality scores. J Patient Saf. 2024;20(3):198-201. doi:10.1097/pts.0000000000001199.
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digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-cancer-survivorship-care-through-survivorlink/annual-summary/2010
January 01, 2010 - Improving Pediatric Cancer Survivorship Care Through SurvivorLink - 2010
Project Name
Improving Pediatric Cancer Survivorship Care Through SurvivorLink
Principal Investigator
Mertens, Ann
Organization
Emory University
Funding Mechanism
RFA: HS08-002: Ambulatory Safe…
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hcup-us.ahrq.gov/reports/methods/Comparison_Report_NIS61997Final.pdf
August 09, 2000 - Most of the difference can be explained by the underreporting of managed care patients
in the MedPAR … The largest factor is that the MedPAR data exclude most discharges for
enrollees in managed care programs … The MedPAR under-reports Medicare managed care claims by slightly over 10 percent. … This discrepancy could be explained, in part, by the undercount of managed care enrollees from
the MedPAR … One difference noted earlier is the absence of most managed care discharges
from the MedPAR data.
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-orders-entered-using-cpoe-quick-reference-guide.pdf
February 01, 2009 - Managed care penetration and other factors
affecting computerized physician order entry in
the ambulatory