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psnet.ahrq.gov/node/35466/psn-pdf
November 09, 2005 - Abbott Diabetes Care blood glucose meters.
November 9, 2005
https://psnet.ahrq.gov/issue/abbott-diabetes-care-blood-glucose-meters
This announcement alerts patients and practitioners to a problem with glucose meters made by Abbott
Diabetes Care. The meters have a measurement setting that, if inadvertently switched,…
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psnet.ahrq.gov/node/37152/psn-pdf
September 05, 2007 - Why pay for mistakes?
September 5, 2007
https://psnet.ahrq.gov/issue/why-pay-mistakes
Recently, CMS ruled that Medicare will no longer cover certain preventable errors. In this op-ed piece, the
author discusses why this new rule will drive hospitals to implement safety measures.
https://psnet.ahrq.gov/issue/why-pa…
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/blues-project-list-refined
January 01, 2023 - BLUES project list of refined metrics
Description
A list of clinical outcome and process measures chosen for an AHRQ study examining diabetes.
Document Source
The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/mrsa-screening_research.pdf
June 01, 2013 - researcher to address
multiple research needs by manipulating one or more variables and controlling and measuring … This would mean measuring colonization upon
hospital admission, during hospitalization and at discharge … researcher to address multiple research needs by manipulating one or
more variables and controlling and measuring
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022336-farris-final-report-2017.pdf
January 01, 2017 - We will conduct two different
analyses towards this aim. (1) Measuring Change: We will track the number
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cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Summary.pdf
January 01, 2021 - CDS Connect Work Group October 2021 Summary
Clinical Decision Support (CDS) Connect Work Group (WG)
Meeting Summary
October 21, 2021
3:00-4:00 pm ET
Attendees: 39 people, including 3 phone dial-ins
Organization Attendees
AHRQ Sponsors Steve Bernstein, Edwin Lomotan, Mario Teran, James Swiger (4)
WG…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-safety-practices_research-protocol.pdf
November 09, 2011 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: November 9, 2011
Evidence-based Practice Center Systematic Review Protocol
Project Title: Critical Analysis of the Evidence for Patient Safety Practices
I. Background and Objectives fo…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.pdf
September 22, 2010 - Slide 1
Creating a Hybrid Database by
Adding a POA Modifier and
Numerical Laboratory Results to
Administrative Claims Data
Michael Pine, M.D., M.B.A.
Michael Pine and Associates, Inc.
mpine@consultmpa.com
Overview
Alternative databases for performance monitoring
Comparative performance of alternative
datab…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca9.jsp
July 01, 2014 - Understanding Drivers of Health Care Disparities and Developing Targeted Interventions
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Conta…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/value-efficiency-supplemental-item-english.pdf
March 01, 2023 - SOPS® Value and Efficiency Supplemental Item Set for the SOPS Medical Office Survey - English
SOPS® Value and Efficiency Supplemental Item
Set for the SOPS Medical Office Survey
Language: English
• Purpose: This supplemental item set was designed for use with the core SOPS® Medical Office
Survey to help medical…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1app.html
March 01, 2019 - Appendix: Profiles of the CHIPRA Quality Demonstration States’ Stakeholder Engagement Initiatives
Implementation Guide Number 1
This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Childr…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_VIA.pdf
June 02, 2025 - Attachment 6A.1 Description of the Chicago Pediatric Quality and Safety Consortium Hospitals
CPQSC: Institution Characteristics
Advocate – Oak
Lawn
Advocate – Park
Ridge
Lurie Children’s Prentice Mount Sinai Stroger
Type of Institution
Children’s
Hospital with
pediatric
residency program
and fell…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool D.4i 1
Selected Best Practices and Suggestions for Improvement
PSI 12: Perioperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT)
Why Focus on DVT/PE…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - Learning From Defects
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
Learning From Defects
1
Educat…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/DiagnosticSafety-flier.pdf
November 01, 2024 - Diagnostic Safety Research
1
Diagnostic Safety Research
at the Agency for Healthcare
Research and Quality
Diagnostic Error
Diagnostic error is a significant and underrecognized threat to patient safety.
Diagnostic errors are common, consequential, and costly and contribute to avoidable suffering and
prevent…
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psnet.ahrq.gov/node/35589/psn-pdf
June 17, 2010 - Health for life. Keys to safer hospitals.
June 17, 2010
Berwick DM. Health for life. 6 keys to safer hospitals. Newsweek. 2005;146(24):76-8.
https://psnet.ahrq.gov/issue/health-life-keys-safer-hospitals
Institute for Healthcare Improvement President Don Berwick summarizes the six improvement measures of
the 100K L…
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psnet.ahrq.gov/node/38458/psn-pdf
March 04, 2009 - In just a flash, simple surgery can turn deadly.
March 4, 2009
Landro L.
https://psnet.ahrq.gov/issue/just-flash-simple-surgery-can-turn-deadly
This newspaper article discusses increasing concerns over potential burn injuries in the hospital setting and
reports on efforts to raise awareness of the dangers and prom…
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psnet.ahrq.gov/node/38858/psn-pdf
August 12, 2009 - Quality and Safety Education.
August 12, 2009
Dolansky MA, Singh MK, eds. Qual Manag Health Care. 2009;18(3):149-227.
https://psnet.ahrq.gov/issue/quality-and-safety-education
This special issue covers topics related to implementing successful patient safety and quality educational
initiatives, such as curriculum …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pharma-nonpharma-ptsd-2022-update-app-g2-3.xlsx
January 01, 2022 - missing outcome data (ie, differential attrition) in each group RoB judgement 4.1) Was the method of measuring
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/osteoarthritis-knee-update_research-protocol.pdf
June 15, 2016 - Validation study of WOMAC: a health
status instrument for measuring clinically
important patient relevant