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www.ahrq.gov/ncepcr/tools/case-studies/overview.html
August 01, 2014 - Case Studies of Exemplary Primary Care Practice Facilitation Training Programs
Overview
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Table of Contents
Case Studies of Exemplary Primary Care Practice Facilitation Training Programs
Overview
Training Program Summary: HealthTeamWorks’ Coach University
Training Program…
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psnet.ahrq.gov/issue/radiologic-errors-and-malpractice-blurry-distinction
October 23, 2018 - Review
Radiologic errors and malpractice: a blurry distinction.
Citation Text:
Berlin L. Radiologic errors and malpractice: a blurry distinction. AJR Am J Roentgenol. 2007;189(3):517-22.
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psnet.ahrq.gov/issue/legacy-black-physician-reckons-racism-medicine
March 20, 2024 - Book/Report
Legacy: a Black Physician Reckons with Racism in Medicine.
Citation Text:
Legacy: a Black Physician Reckons with Racism in Medicine. Blackstock U. New York, NY: Viking; 2024. ISBN: 9780593491287.
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www.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
January 01, 2023 - Major Physician Measurement Sets
Because physician-level measurement sets were introduced relatively recently—and some are still in development—they have not yet been widely implemented by report card sponsors. The measure sets listed here have been endorsed, in whole or in part, by the National Quality Forum …
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psnet.ahrq.gov/issue/relationships-among-teams-culture-safety-and-cost-outcomes
January 30, 2019 - Commentary
Relationships among teams, culture, safety, and cost outcomes.
Citation Text:
Brewer BB. Relationships among teams, culture, safety, and cost outcomes. West J Nurs Res. 2006;28(6):641-53.
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psnet.ahrq.gov/issue/medical-error-malpractice-and-complications-moral-geography
August 20, 2018 - Commentary
Medical error, malpractice and complications: a moral geography.
Citation Text:
Zientek DM. Medical error, malpractice and complications: a moral geography. HEC Forum. 2010;22(2):145-57. doi:10.1007/s10730-010-9130-9.
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psnet.ahrq.gov/issue/radiology-reporting-where-does-radiologists-duty-end
April 03, 2005 - Commentary
Radiology reporting—where does the radiologist's duty end?
Citation Text:
Radiology reporting—where does the radiologist's duty end? Garvey CJ; Connolly S.
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psnet.ahrq.gov/issue/small-effort-big-payoffautomated-maximum-dose-alerts-hard-stops
June 10, 2018 - Newspaper/Magazine Article
Small effort, big payoff...automated maximum dose alerts with hard stops.
Citation Text:
Small effort, big payoff...automated maximum dose alerts with hard stops. ISMP Medication Safety Alert! Acute care edition! September 19, 2013;18:1-4.
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psnet.ahrq.gov/issue/survey-shows-recession-has-weakened-patient-safety-net
June 10, 2018 - Newspaper/Magazine Article
Survey shows recession has weakened patient safety net.
Citation Text:
Survey shows recession has weakened patient safety net. ISMP Medication Safety Alert! Acute care edition! January 14, 2010;15:1-4.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.2. Grand Hospital Center
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital…
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psnet.ahrq.gov/issue/how-safe-are-compounded-drugs
May 20, 2020 - Newspaper/Magazine Article
How safe are compounded drugs?
Citation Text:
How safe are compounded drugs? Beyzarov E. Drug Topics. September 18, 2006.
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/premortem-slides.html
December 01, 2017 - Sustainability and the Premortem Tool: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Sustainability
Sustainability and the Premortem Tool
Slide 2: Learning Objectives
After this session, you will be able to–
List benefits of a premortem exercise from…
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psnet.ahrq.gov/issue/ismp-medication-safety-intensive
February 05, 2025 - International Meeting/Conference
ISMP Medication Safety Intensive.
Citation Text:
ISMP Medication Safety Intensive. Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern).
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psnet.ahrq.gov/issue/half-hospitals-conn-del-hit-medicares-safety-penalties
December 12, 2018 - Newspaper/Magazine Article
Half of hospitals in Conn., Del. hit by Medicare's safety penalties.
Citation Text:
Half of hospitals in Conn., Del. hit by Medicare's safety penalties. Rau J. Kaiser Health News. January 5, 2018.
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psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-laser-safety
July 16, 2018 - Commentary
Implementing AORN recommended practices for laser safety.
Citation Text:
Castelluccio D, Nurses A of OR. Implementing AORN Recommended Practices for Laser Safety. AORN J. 2012;95(5):612-24; quiz 625-7. doi:10.1016/j.aorn.2012.03.001.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-ix.pdf
June 02, 2025 - Attachment 9.1: Table 1. Questions About the Measure's Use at Different Levels of Aggregation for Quality Reporting
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-ed-kdd.pdf
March 10, 2021 - PQMP Asthma ED Visit Quality Metric Key Driver Diagram
PQMP Asthma ED Visit Quality Metric Key Driver Diagram
Authors: Keith Robinson, MD, FAAP; Christine Pellegrino, MS; Judy Shaw, EdD, MPH, RN, FAAP Updated 3/10/2021
SMART Aim:
Key Drivers Secondary Drivers Examples of Interventions
Reduce the # of ED
visits/…
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-status-report-2007
June 01, 2004 - Commentary
Disclosing medical errors to patients: a status report in 2007.
Citation Text:
Levinson W, Gallagher TH. Disclosing medical errors to patients: a status report in 2007. CMAJ. 2007;177(3):265-7.
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psnet.ahrq.gov/issue/study-clinicians-copy-and-paste-about-half-text-ehr-progress-notes
July 13, 2022 - Newspaper/Magazine Article
Study: clinicians copy and paste about half of text in EHR progress notes.
Citation Text:
Study: clinicians copy and paste about half of text in EHR progress notes. Landi H. Healthcare Innovation. October 2, 2017.
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex518.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Exhibit 5-18. Measure 18: Rate of patients that were ready to improve a targeted behavior
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Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was the Clinica…