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psnet.ahrq.gov/issue/wrong-body-part-wrong-patient-surgeries-continue-despite-new-procedures
May 19, 2010 - Newspaper/Magazine Article
Wrong body part, wrong patient surgeries continue despite new procedures.
Citation Text:
Wrong body part, wrong patient surgeries continue despite new procedures. Rojas-Burke J.
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psnet.ahrq.gov/issue/use-dimensional-analysis-reduce-medication-errors
August 06, 2014 - Study
Use of dimensional analysis to reduce medication errors.
Citation Text:
Use of dimensional analysis to reduce medication errors. Greenfield S; Whelan B; Cohn E.
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psnet.ahrq.gov/issue/safe-handover-psychiatry-it-time-set-standards
October 08, 2014 - Newspaper/Magazine Article
Safe handover in psychiatry: is it time to set standards?
Citation Text:
Safe handover in psychiatry: is it time to set standards? Gulati G.
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www.ahrq.gov/teamstepps-program/evidence-base/primary.html
May 01, 2023 - TeamSTEPPS Research/Evidence Base: Primary Care
Abu, O., & Ní Riain, A. (2012). Implementation of the primary care strategy 2005: a study of the experiences of team work among members of primary care teams in County Wexford in 2011. Irish Medical Journal 105(2), 60-61. Select to access the abstract .
Adam,…
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www.ahrq.gov/news/newsroom/case-studies/cquips0605.html
October 01, 2014 - AHRQ's Patient Safety Culture Survey Targets Improvement at Cincinnati Children's Hospital
Search All Impact Case Studies
February 2006
During 2005, Cincinnati Children's Hospital Medical Center began using AHRQ's Hospital Survey on Patient Safety Culture . Jane Dresselhaus, RN, MSN, the hospital's Senior …
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psnet.ahrq.gov/issue/top-10-medical-technology-hazards-2020-announced
May 01, 2019 - Newspaper/Magazine Article
Top 10 medical technology hazards of 2020 announced.
Citation Text:
Top 10 medical technology hazards of 2020 announced. Cheney C. HealthLeaders Media. October 8, 2019.
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psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care
July 20, 2021 - Webinar
Patient, Medical, and Legal Perspectives of Unsafe Care.
Citation Text:
Patient, Medical, and Legal Perspectives of Unsafe Care. Patient Safety Movement. October 29, 2021.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/ehrformatfaq.pdf
September 01, 2014 - Children's EHR Format: Frequently Asked Questions
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
Health IT
1. What is the children’s electronic health record (EHR) Format? The Format is a set of requirements that
contains child-specific items (or items of special import…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-FEC-5.pdf
June 02, 2025 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: FEC-5
Completed by:
Page 1 1/4/2011
MEASURE SUMMARY
CHIPRA Core Set Candidate Measures
A. Control #: FEC-5
B. Measure Name: HEDIS CAHPS 4.0 – Subset of Composite Measures for Children with Chronic
Conditions
C. Measure Definition
a. …
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www.ahrq.gov/talkingquality/measures/setting/health-plan/measurement-sets.html
December 01, 2022 - Major Health Plan Quality Measurement Sets
You can use two well-established health plan measurement sets as the basis for collecting data and preparing comparative information for your audience:
Healthcare Effectiveness Data and Information Set (HEDIS)
CAHPS Health Plan Survey (CAHPS stands for Consumer A…
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psnet.ahrq.gov/issue/symposium-patient-safety-collaboration-communication-and-physician-leadership
April 19, 2011 - Special or Theme Issue
Symposium: Patient Safety: Collaboration, Communication, and Physician Leadership.
Citation Text:
Symposium: Patient Safety: Collaboration, Communication, and Physician Leadership. Herndon JH, ed. Clin Orthop Relat Res. 2015;473:1544-1551;1566-1597;1600-1608;1612-1…
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psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care
July 17, 2017 - Newspaper/Magazine Article
Creating a culture of accountability promotes safe medical care.
Citation Text:
Creating a culture of accountability promotes safe medical care. Canadian Medical Protective Association; CMPA.
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psnet.ahrq.gov/issue/maternity-pre-arrival-instructions-999-call-handlers
February 16, 2022 - Book/Report
Maternity Pre-arrival Instructions by 999 Call Handlers.
Citation Text:
Maternity Pre-arrival Instructions by 999 Call Handlers. Farnborough, UK: Healthcare Safety Investigation Branch; February 2022.
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psnet.ahrq.gov/issue/leadership-and-vision-culture-safety
May 27, 2021 - Commentary
Leadership and vision for a culture of safety.
Citation Text:
Leadership and vision for a culture of safety. Gandhi TK. NEJM Catalyst. February 8, 2018.
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psnet.ahrq.gov/issue/unity-mistakes-phenomenological-interpretation-medical-work
June 26, 2019 - Book/Report
Classic
Unity of Mistakes: A Phenomenological Interpretation of Medical Work.
Citation Text:
Unity of Mistakes: A Phenomenological Interpretation of Medical Work. Paget MA. Philadelphia: Temple University Press; 2004.
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www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/overview.html
July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit
Overview
Previous Page Next Page
Table of Contents
Pediatric Asthma Emergency Department Use Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
Asthma affects approximately 1 in…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-one-pager.pdf
September 01, 2022 - Streptococcal Pharyngitis
Diagnosis
• Group A streptococcus (strep) causes 5–15 percent of acute pharyngitis in adults and 20–30 percent of
acute pharyngitis in children older than 5 years.1 Strep pharyngitis is uncommon in children younger
than 3 years.2
• The Centor Criteria2 can be used to estimate the l…
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psnet.ahrq.gov/issue/disclosure-medical-errors-involving-gametes-and-embryos
April 22, 2020 - Commentary
Disclosure of medical errors involving gametes and embryos.
Citation Text:
Disclosure of medical errors involving gametes and embryos. Ethics Committee of the American Society for Reproductive Medicine. Fertil Steril. 2016;106:59-63.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-10.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.10. Experiential Training and Project Activities
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
…
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psnet.ahrq.gov/issue/preventing-infection-misuse-vials
September 11, 2023 - Sentinel Event Alerts
Preventing infection from the misuse of vials.
Citation Text:
Preventing infection from the misuse of vials. Sentinel Event Alert. 2014;June 16(52):1-6.
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