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psnet.ahrq.gov/issue/adverse-events-0
September 20, 2011 - Multi-use Website
Adverse Events.
Citation Text:
Adverse Events. United States Office of the Inspector General: 2010-2023.
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psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition
April 30, 2008 - Toolkit
AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition.
Citation Text:
AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Brach C, ed. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Publication No. 15-0023-EF.
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psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
January 10, 2024 - Book/Report
Healthcare Simulation Dictionary, Third Edition.
Citation Text:
Healthcare Simulation Dictionary, Third Edition. Lioce L, Lopreiato J, Anderson M, et al, eds and the Terminology and Concepts Working Group. Rockville, MD: Agency for Healthcare Research and Quality; January 202…
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesMcConnochie2010.pdf
January 01, 2001 - Integrated Telemedicine System Demonstrates Reduction in Children’s Emergency Department Visits
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psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
September 07, 2016 - Book/Report
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices.
Citation Text:
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-3…
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psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints
October 12, 2022 - Book/Report
Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints.
Citation Text:
Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. Washington, DC: United States Government Accountability Office; N…
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psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts
June 15, 2016 - Book/Report
Roadmap to Health Care Safety for Massachusetts.
Citation Text:
Roadmap to Health Care Safety for Massachusetts. Massachusetts Healthcare Safety and Quality Consortium. Boston, MA: Betsy Lehman Center for Patient Safety; April 2023.
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psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals
May 20, 2020 - Book/Report
Incidence of Adverse Events in Indian Health Service Hospitals.
Citation Text:
Incidence of Adverse Events in Indian Health Service Hospitals. Office of the Inspector General: Washington DC; December 2020. OIG report OEI-06-17-00530.
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psnet.ahrq.gov/issue/corporate-responsibility-and-health-care-quality-resource-health-care-boards-directors
October 29, 2008 - Book/Report
Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors.
Citation Text:
Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. Callender AN, Hastings DA, Hemsley MC, et al. Washington DC: …
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psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
June 29, 2016 - Book/Report
Recent Evidence That Health IT Improves Patient Safety: Issue Brief.
Citation Text:
Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015.
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psnet.ahrq.gov/issue/physician-owned-specialty-hospitals-ability-manage-medical-emergencies
February 18, 2009 - Book/Report
Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies.
Citation Text:
Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies. Levinson DR. Washington DC: US Department of Health and Human Services, Office of Inspector General. …
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/tobacco-narrative.pdf
December 31, 2018 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Measure Narrative
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Measure Narrative
Description
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/aspirin-narrative.pdf
December 31, 2018 - Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic Measure Narrative
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
Measure Narrative
Description
Percentage of patients 18 years of age and older who were discharged alive for acute myocardial
infarction (AMI)…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
November 01, 2021 - AHRQ Multiple Chronic Conditions Research Summit: Speaker Biosketches
Melinda Abrams, MS
The Commonwealth Fund
Ms. Abrams, as Senior Vice President, oversees The Commonwealth Fund's Delivery System Reform and International Health Policy programs. Since coming to the Fund in 1997, Ms. Abrams has worked…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
January 01, 2003 - Clinical Inertia and Outpatient Medical Errors
293
Clinical Inertia and Outpatient Medical Errors
Patrick J. O’Connor, JoAnn M. Sperl-Hillen,
Paul E. Johnson, William A. Rush, George Biltz
Abstract
Clinical inertia is defined as lack of treatment intensification in a patient not at
evidence-based goals for …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/guidance-cg-cahps.pdf
April 01, 2021 - create a summary report that tells us about our patients’
experiences with our providers and medical offices … survey to create a report that tells us about our patients’ experiences with
our providers and medical offices
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/high-blood-pressure-adults-children-adolescents-screening-2003
April 01, 2003 - Share to Facebook
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archived
Evidence Summary
High Blood Pressure in Adults, Children, and Adolescents: Screening, 2003
April 01, 2003
Recommendations made by the USPSTF are independent of t…
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psnet.ahrq.gov/issue/quality-improvement-universal-protocol-use-office-based-gastrointestinal-procedure-units
November 16, 2022 - Commentary
Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units.
Citation Text:
Hardee LK. Quality improvement: universal protocol use in office-based gastrointestinal procedure units. Gastroenterol Nurs. 2012;35(6):380-2. doi:10.1097/SGA.0b013e3…
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psnet.ahrq.gov/node/34735/psn-pdf
June 16, 2014 - An Organisation with a Memory: Report of an Expert
Group on Learning from Adverse Events in the NHS
Chaired by the Chief Medical Officer.
June 16, 2014
Donaldson L. London, UK: The Stationery Office, 2000.
https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-
chaired-ch…
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psnet.ahrq.gov/node/60518/psn-pdf
May 27, 2020 - Infection Control Deficiencies Were Widespread and
Persistent in Nursing Homes Prior to COVID-19 Pandemic.
May 27, 2020
Washington, DC: United States Government Accountability Office; May 20, 2020. Publication GAO-20-
576R.
https://psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespre…