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psnet.ahrq.gov/node/73861/psn-pdf
September 22, 2021 - Bringing the clinical laboratory into the strategy to
advance diagnostic excellence.
September 22, 2021
Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance
diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/dx-2020-0119.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/46743/psn-pdf
January 17, 2018 - Improving Patient Care Through Safe Health IT.
January 17, 2018
Philadelphia, PA: Pew Charitable Trusts; December 2017.
https://psnet.ahrq.gov/issue/improving-patient-care-through-safe-health-it
The usability of health information technologies (IT) is a key component to their safe effective use. This
report introd…
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psnet.ahrq.gov/node/41493/psn-pdf
July 11, 2012 - Associations between internet-based patient ratings and
conventional surveys of patient experience in the English
NHS: an observational study.
July 11, 2012
Greaves F, Pape UJ, King D, et al. Associations between Internet-based patient ratings and conventional
surveys of patient experience in the English NHS: an o…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VIIE.pdf
August 25, 2014 - Table 1. Use of Validated Tool by Language
Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2
English 60.74% 58.52% 100.00% 100.00% 100.00% 100.00% 50.00% 62.50% 14.04% 7.02%
Non-English 66.67% 66.67% 100.00% 100.00% 50.00% 50.00% 50.00% 50.00% n/a n/a
All …
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psnet.ahrq.gov/node/38409/psn-pdf
May 21, 2009 - The state of the evidence for computerized provider order
entry: a systematic review and analysis of the quality of
the literature.
May 21, 2009
Weir C, Staggers N, Phansalkar S. The state of the evidence for computerized provider order entry: a
systematic review and analysis of the quality of the literature. Int …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIIE.pdf
August 25, 2014 - Table 1. Use of Validated Tool by Language
Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2 Reviewer 1 Reviewer 2
English 60.74% 58.52% 100.00% 100.00% 100.00% 100.00% 50.00% 62.50% 14.04% 7.02%
Non-English 66.67% 66.67% 100.00% 100.00% 50.00% 50.00% 50.00% 50.00% n/a n/a
All …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-conclusion.html
May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Conclusion
Previous Page
Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensive Unit-based Safety Program (CUSP)
Measurement…
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psnet.ahrq.gov/node/39647/psn-pdf
November 02, 2010 - Validation of hospital administrative dataset for adverse
event screening.
November 2, 2010
Verelst S, Jacques J, Van den Heede K, et al. Validation of Hospital Administrative Dataset for adverse
event screening. Qual Saf Health Care. 2010;19(5):e25. doi:10.1136/qshc.2009.034306.
https://psnet.ahrq.gov/issue/valid…
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psnet.ahrq.gov/node/60656/psn-pdf
July 08, 2020 - COVID-19: to be or not to be; that is the diagnostic
question.
July 8, 2020
Coleman JJ, Manavi K, Marson EJ, et al. COVID-19: to be or not to be; that is the diagnostic question.
Postgrad Med J. 2020;96(1137):392-398. doi:10.1136/postgradmedj-2020-137979.
https://psnet.ahrq.gov/issue/covid-19-be-or-not-be-diagnost…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-sample.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
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psnet.ahrq.gov/node/867395/psn-pdf
December 18, 2024 - AHRQ National Healthcare Safety Dashboard.
December 18, 2024
AHRQ National Healthcare Safety Dashboard. National Action Alliance for Patient and Workforce Safety.
https://psnet.ahrq.gov/issue/ahrq-national-healthcare-safety-dashboard
The AHRQ National Healthcare Safety Dashboard is one approach to tracking progress…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-section-6-tables-6-7.pdf
June 02, 2025 - Section 6, Tables 6 and 7
Table 6: Agreement and Kappa Statistics for Inter‐Rater Reliability at Three Sites
Site Measure Numerator/
Eligibility Criteria
Number of Records Reviewed N Agreed (%) Kappa Statistic
Hospital #1 Pain Numerator 3 100% 1.00
Pain Criterion 3 100% 1.00
Hospital #2 Pain Numerator …
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psnet.ahrq.gov/node/46810/psn-pdf
April 18, 2018 - Unintended doses in radiotherapy—over, under and
outside?
April 18, 2018
Eaton DJ, Byrne JP, Cosgrove VP, et al. Unintended doses in radiotherapy-over, under and outside? Br J
Radiol. 2018;91(1084):20170863. doi:10.1259/bjr.20170863.
https://psnet.ahrq.gov/issue/unintended-doses-radiotherapy-over-under-and-outside…
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www.ahrq.gov/topics/individuals-special-healthcare-needs.html
Individuals with Special Healthcare Needs
The AHRQ Policy on the Inclusion of Priority Populations in Research (NOT-HS-03-010) requires that priority populations be included in all AHRQ-supported research projects involving human subjects, unless a clear and compelling rationale and justification …
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psnet.ahrq.gov/node/838327/psn-pdf
October 12, 2022 - Diagnoses Without Names: Challenges for Medical Care,
Research, and Policy.
October 12, 2022
Lockshin MD, Crow MK, Barbhaiya M, eds. Springer Nature: Cham, Switzerland; 2022. ISBN
9783031049347.
https://psnet.ahrq.gov/issue/diagnoses-without-names-challenges-medical-care-research-and-policy
Clinicians…
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psnet.ahrq.gov/node/44854/psn-pdf
March 16, 2016 - Bring back the autopsy.
March 16, 2016
Jauhar S. New York Times. March 3, 2016.
https://psnet.ahrq.gov/issue/bring-back-autopsy
Performance of autopsies, previously considered an essential learning tool for clinicians, has decreased in
recent years due to insufficient funding to cover costs and lack of physician e…
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psnet.ahrq.gov/node/34752/psn-pdf
November 18, 2015 - Demanding Medical Excellence. Doctors and
Accountability in the Information Age.
November 18, 2015
Millenson ML. Chicago, IL: University of Chicago Press; 1999. ISBN: 9780226525884.
https://psnet.ahrq.gov/issue/demanding-medical-excellence-doctors-and-accountability-information-age
Millenson, a Pulitzer-nomin…
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psnet.ahrq.gov/node/45825/psn-pdf
March 25, 2017 - A patient safety dilemma: obesity in the surgical patient.
March 25, 2017
Goode V, Phillips E, DeGuzman P, et al. A Patient Safety Dilemma: Obesity in the Surgical Patient. AANA
J. 2016;84(6):404-412.
https://psnet.ahrq.gov/issue/patient-safety-dilemma-obesity-surgical-patient
Postoperative complications are key m…
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psnet.ahrq.gov/node/37587/psn-pdf
June 12, 2008 - Surgeons' non-technical skills in the operating room:
reliability testing of the NOTSS behavior rating system.
June 12, 2008
Yule S, Flin R, Maran N, et al. Surgeons' non-technical skills in the operating room: reliability testing of the
NOTSS behavior rating system. World J Surg. 2008;32(4):548-56. doi:10.1007/s00…
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digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open/citation/goldmine
January 01, 2023 - EHR audit logs: a new goldmine for health services research?
Citation
Adler-Milstein J, Adelman JS, Tai-Seale M, Patel VL, Dymek C. EHR audit logs: A new goldmine for health services research? J Biomed Inform. 2020 Jan;101:103343. doi: 10.1016/j.jbi.2019.103343. Epub 2019 Dec 7. PMID:
31821887.
…