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psnet.ahrq.gov/issue/detecting-medication-administration-errors
August 17, 2022 - Commentary
Detecting medication administration errors.
Citation Text:
Durham ML, Jankiewicz A. Detecting Medication Administration Errors. J Patient Saf. 2019;15(3):181-183. doi:10.1097/PTS.0000000000000384.
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digital.ahrq.gov/2020-year-review/research-summary/it-is-not-just-sci-fi-using-artificial-intelligence-identify-kidney-disease
January 01, 2020 - It’s Not Just for Sci-Fi: Using Artificial Intelligence to Identify Kidney Disease
Successful development and implementation of an artificial intelligence-driven clinical decision support system for detection and treatment of acute kidney injury in the emergency department may improve the quality of kidney care an…
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digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
January 01, 2020 - Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program
Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with a pharmacist to monitor patient medications during the transition may improve care co…
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psnet.ahrq.gov/issue/patient-perceptions-missed-nursing-care
September 27, 2017 - Study
Patient perceptions of missed nursing care.
Citation Text:
Kalisch BJ, McLaughlin M, Dabney BW. Patient perceptions of missed nursing care. Jt Comm J Qual Patient Saf. 2012;38(4):161-7.
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digital.ahrq.gov/research-method/case-control-study
January 01, 2023 - Case Control Study
Prediction of GutCheck NEC and its relation to severity of illness and measures of deterioration in necrotizing enterocolitis.
Citation
Gephart SM, Fleiner M, Msowoya A, Rothers J. Prediction of GutCheck NEC and its relation to severity of illness and measur…
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digital.ahrq.gov/type-care/surgery
January 01, 2023 - Surgery
Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery
Description
This research will develop and evaluate the Perioperative Optimization of Senior Health (myPOSH) mobile application that supports ca…
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-hl.html
September 01, 2015 - Chartbook on Women's Health Care
Healthy Living: Infant Mortality
Previous Page Next Page
Table of Contents
Chartbook on Women's Health Care
Acknowledgments
Women's Health Care
Key Findings of the 2014 QDR
2014 Chartbooks
Access to Health Care
Affordability
Communication and Care Coo…
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psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system
September 30, 2020 - Study
Utility of an online medication-error-reporting system.
Citation Text:
Savage SW, Schneider PJ, Pedersen CA. Utility of an online medication-error-reporting system. Am J Health Syst Pharm. 2005;62(21):2265-70.
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psnet.ahrq.gov/issue/using-preprinted-medication-order-forms-improve-safety-investigational-drug-use
April 24, 2024 - Commentary
Using preprinted medication order forms to improve the safety of investigational drug use.
Citation Text:
Tamer H, Shehab N. Using preprinted medication order forms to improve the safety of investigational drug use. Am J Health Syst Pharm. 2006;63(11):1022, 1025-1026, 1028. …
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psnet.ahrq.gov/issue/reducing-surgical-complications
January 03, 2018 - Commentary
Reducing surgical complications.
Citation Text:
Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5.
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psnet.ahrq.gov/issue/south-carolina-medication-error-bill-dangerously-target
October 14, 2015 - Newspaper/Magazine Article
South Carolina medication error bill is dangerously off target.
Citation Text:
South Carolina medication error bill is dangerously off target. ISMP Medication Safety Alert! Acute Care Edition. April 9, 2015;20:1,4.
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www.ahrq.gov/cahps/surveys-guidance/helpful-resources/analysis/index.html
July 01, 2025 - Analyzing CAHPS Survey Data
Users of CAHPS surveys may take a few different approaches to analyzing their data to generate results that can be reported to healthcare providers, administrators, and consumers. The CAHPS team supports users in conducting their analyses of the closed-ended surveys by developing and…
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psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
April 01, 2024 - Multi-use Website
The National Healthcare System Action Alliance for Patient and Workforce Safety.
Citation Text:
The National Healthcare System Action Alliance for Patient and Workforce Safety. US Department of Health and Human Services.
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digital.ahrq.gov/principal-investigator/samore-matthew
January 01, 2023 - Samore, Matthew
Understanding adoption of a personal health record in rural health care clinics: revealing barriers and facilitators of adoption including attributions about potential patient portal users and self-reported characteristics of early adopting users.
Citation
Butl…
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www.ahrq.gov/news/newsroom/case-studies/201715.html
March 01, 2018 - Southern California Health Center Uses AHRQ Surveys for Patient Feedback and Improvements
Search All Impact Case Studies
March 2018
AltaMed Health Services, a Federally Qualified Community Health Center providing care to 300,000 Southern California residents, uses AHRQ's Consumer Assessment of Healthcare Pr…
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psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
January 27, 2016 - Book/Report
Classic
Respectful Management of Serious Clinical Adverse Events. Second Edition.
Citation Text:
Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…
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www.ahrq.gov/prevention/guidelines/archive.html
July 01, 2018 - Clinical Practice Guidelines Archive
The National Guideline Clearinghouse™ taken down on July 16, 2018, because federal funding though AHRQ was no longer available to support them. Please visit AHRQ's Guidelines and Measures (GAM) microsite to find information about its legacy guidelines and measures cleari…
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psnet.ahrq.gov/issue/healthgrades-sixth-annual-patient-safety-american-hospitals-study
October 25, 2013 - Book/Report
HealthGrades Sixth Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Sixth Annual Patient Safety in American Hospitals Study. Golden, CO: HealthGrades, Inc.; April 2009.
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psnet.ahrq.gov/issue/potential-inaccuracy-electronically-transmitted-medication-history-information-used
December 15, 2021 - Press Release/Announcement
Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation.
Citation Text:
Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation. Nati…
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psnet.ahrq.gov/issue/piece-my-mind-im-sorry
November 22, 2017 - Commentary
A piece of my mind. I'm sorry.
Citation Text:
Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507.
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