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psnet.ahrq.gov/issue/venous-thromboembolism-after-trauma-never-event
January 12, 2022 - Study
Venous thromboembolism after trauma: a never event?
Citation Text:
Thorson CM, Ryan ML, Van Haren RM, et al. Venous thromboembolism after trauma: a never event?*. Crit Care Med. 2012;40(11):2967-73. doi:10.1097/CCM.0b013e31825bcb60.
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psnet.ahrq.gov/issue/evaluation-redesign-initiative-internal-medicine-residency
February 17, 2011 - Study
Evaluation of a redesign initiative in an internal-medicine residency.
Citation Text:
McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136.
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psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
July 15, 2015 - Commentary
Classic
Improving diagnosis in health care—the next imperative for patient safety.
Citation Text:
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/profiles/profile_song.pdf
August 09, 2025 - Understanding the Impacts of State Efforts to Increase Primary Care Spending
PI Name: Zirui Song, MD,
PhD
Grant Title: Evaluations of
Increasing State
Investments in Primary
Care: Effects on Health Care
Spending, Utilization, and
Quality
Organization Name:
Harvard Medical School
Gran…
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psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
January 17, 2018 - Commentary
Not thinking clearly? Play a game, seriously!
Citation Text:
Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867-1868. doi:10.1001/jama.2016.14174.
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www.ahrq.gov/news/newsroom/case-studies/201526.html
January 01, 2018 - Iowa’s Waverly Health Center Uses AHRQ Tools to Improve Patient Safety
Search All Impact Case Studies
September 2015
Waverly Health Center, a critical access hospital in Waverly, Iowa, has used three AHRQ resources to improve communication, teamwork, and leadership engagement as part of ongoing efforts to i…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/HIT/Development-HIT-Item-Set.html
July 01, 2022 - Development of the CAHPS Health Information Technology Item Set
Nearly all health care providers have incorporated various forms of health IT into their practices. The pace of change has been driven in large part by pressure from public and private purchasers to adopt technologies that promise to improve the qu…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
January 01, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi)
Optimizing
the Use of HIT
to Improve
Safety
Tejal Gandhi
Handwriting
16
Ways IT Can Improve Safety
• Prevent errors and adverse events
• Facilitating a more rapid response after an
…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/patrick-mccabe.pdf
June 02, 2025 - Consumer Decision Points: Using Online Reports to Gauge Quality of Physician Performance
1
Consumer Decision Points
Using Online Reports to Gauge Quality
of Physician Performance
Patrick McCabe, GYMR Public Relations
pmccabe@gymr.com
mailto:pmccabe@gymr.com
Aligning Forces for Quality
• Robert Wood Johnson Fou…
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www.ahrq.gov/talkingquality/resources/writing/tip3.html
May 01, 2015 - Tip 3. Make It Easy to Skim Your Health Care Quality Report
While some people will read a report from beginning to end, many do not move systematically through the information. By interviewing readers and watching what they do, researchers have found that some people flip through reports in search of useful i…
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www.ahrq.gov/talkingquality/translate/web/pathways/health-plans.html
October 01, 2015 - Let Consumers Select Health Plans or Providers To Compare
Most sponsors aim to provide information on all the health plans or providers in their market area. In some cases, the number of entities is large, especially when the report is for the Nation, a State, or a large region or locality.
Strategies for Nar…
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psnet.ahrq.gov/issue/healthy-work-environments-nurse-physician-communication-and-patients-outcomes
June 05, 2024 - Study
Healthy work environments, nurse-physician communication, and patients' outcomes.
Citation Text:
Manojlovich M, DeCicco B. Healthy work environments, nurse-physician communication, and patients' outcomes. Am J Crit Care. 2007;16(6):536-43.
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Patrick_McCabe.pdf
June 02, 2025 - Consumer Decision Points: Using Online Reports to Gauge Quality of Physician Performance
1
Consumer Decision Points
Using Online Reports to Gauge Quality
of Physician Performance
Patrick McCabe, GYMR Public Relations
pmccabe@gymr.com
mailto:pmccabe@gymr.com
Aligning Forces for Quality
• Robert Wood Johnson Fou…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelp-References.pdf
August 01, 2012 - National Collaborative for Innovation in Quality Measurement
Tobacco Use and Help
List of References
Campaign for Tobacco-Free Kids. 2012. Tobacco Overview.
http://www.tobaccofreekids.org/facts_issues/tobacco_101/ (April 2012).
Campaign for Tobacco-Free Kids. 2011. Health Harms from Smoking and Other Tobac…
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www.ahrq.gov/sites/default/files/2024-10/stone-report.pdf
January 01, 2024 - We chose NIC as the basis for measuring nursing demands
because of 1) its comprehensiveness based on
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
May 05, 2008 - The report also contains a table of milestones for measuring progress toward
meeting the Commission’
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
August 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Implications for Practice Improvement, Research, and Policy
Previous Page Next Page
Table of Contents
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Introduction
Uniqu…
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www.ahrq.gov/sites/default/files/wysiwyg/nqstoolkit2016.pdf
July 01, 2015 - National Quality Strategy Stakeholder Toolkit
NATIONAL QUALITY STRATEGY
STAKEHOLDER TOOLKIT
This toolkit can be used by organizations to showcase their
alignment and support of the National Quality Strategy
NATIONAL QUALITY STRATEGY STAKEHOLDER TOOLKIT MARCH 2016
1
INTRODUCTION
This Stakeholder Toolkit can …
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/ny14.pdf
March 20, 2012 - FAQs for Using Clinically Enhanced Claims Data to Guide Selection of Coronary Procedures
NYSDOH Updated FAQs March 20, 2012 Page 1
New York State Department of Health
Using Clinically Enhanced Claims Data to Guide Selection of Coronary Procedures
Frequently Asked Questions and Answers
1. What is th…
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - The University of Texas System Clinical Safety and
Effectiveness Course
February 1, 2011
Thomas EJ, Patterson JE, Martin S, et al. The University of Texas System Clinical Safety and
Effectiveness Course. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiv…