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psnet.ahrq.gov/issue/dtap-tdap-mix-ups-now-affecting-hundreds-patients
June 10, 2018 - Newspaper/Magazine Article
DTaP–Tdap mix-ups now affecting hundreds of patients.
Citation Text:
DTaP–Tdap mix-ups now affecting hundreds of patients. ISMP Medication Safety Alert! Acute Care Edition. July 1, 2010;15:1-2.
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psnet.ahrq.gov/issue/distributing-cognition-icu-handoffs-conform-grices-maxims
May 09, 2015 - Image/Poster
Distributing Cognition: ICU Handoffs Conform to Grice's Maxims.
Citation Text:
Distributing Cognition: ICU Handoffs Conform to Grice's Maxims. Brandwijk M; Nemeth C; O'Conner M; Kahana M; Cook RI
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www.ahrq.gov/policymakers/chipra/overview/background/background.html
December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d8_pdi_projectevaluation.pdf
June 02, 2025 - Project Evaluation and Debriefing
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.8
Project Evaluation and Debriefing
What is the purpose of this tool? The purpose of the project evaluation is to:
• Identify factors that contributed to the team’s s…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d5_pdi_gapanalysis.pdf
June 02, 2025 - Gap Analysis
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool D.5 i
Gap Analysis
What is the purpose of this tool? The purpose of the gap analysis is to provide project teams
with a format in which to do the following:
• Compare the best practices with…
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digital.ahrq.gov/research-method/observational-study
January 01, 2025 - Observational Study
External validation and update of the pediatric asthma risk score as a passive digital marker for childhood asthma using integrated electronic health records.
Citation
Owora AH, Jiang B, Shah Y, Gaston B, Boustani M. External validation and update of the p…
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digital.ahrq.gov/population/individuals-disabilities
January 01, 2024 - Individuals with Disabilities
School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services (STARS) for Children with Special Health Care Needs Living in Rural and Underserved Communities - Final Report
Citation
Marcin J. School-Based Tele-Physiatry Assist…
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psnet.ahrq.gov/issue/situ-simulation-tool-longitudinally-identify-and-track-latent-safety-threats-structured
June 08, 2022 - Study
In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study.
Citation Text:
Jafri FN, Yang CJ, Kumar A, et al. In situ simulation as a tool to longitud…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/utstateataglance.pdf
March 01, 2012 - Utah State at a Glance
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www.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
February 01, 2023 - Major Hospital Quality Measurement Sets
The list of valid and reliable indicators of inpatient quality of care continues to grow and evolve as measures are refined, introduced, and retired. The National Quality Forum has endorsed nearly 200 measures in the inpatient setting , many of which are used for public …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g1_pdi_availablecomprehensiveqiguides.pdf
June 02, 2025 - Available Comprehensive Quality Improvement Guides
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool G.1
Available Comprehensive Quality Improvement Guides
What is the purpose of this tool? This tool provides information on other quality improvement
gui…
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psnet.ahrq.gov/issue/simulation-based-assessment-management-critical-events-board-certified-anesthesiologists
February 19, 2010 - Study
Simulation-based assessment of the management of critical events by board-certified anesthesiologists.
Citation Text:
Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Anesthesiology. 201…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 02, 2025 - Introduction to the Quality Indicators Best Practices Tool
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.4
Introduction to the Quality Indicators Best Practices Tool
What is the purpose of this tool? The purpose of this tool is to provide:
• Detailed descr…
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www.ahrq.gov/news/newsletters/e-newsletter/952.html
April 01, 2025 - AHRQ Celebrates National Public Health Week
Issue Number
952
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
April 8, 2025
AHRQ Stats: Rates of Ventilator-Associated Pneumonia The rate of ventilator-associated pneumonia during inpatient stays increased by 20.…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight02.html
May 01, 2013 - Moreover, its six domains align with the American Academy of Pediatrics and the Maternal and Child Health … Pediatrics 1992; 90(3):419-423.
[2] Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/node/44487/psn-pdf
September 23, 2015 - Patient safety and quality improvement: terminology.
September 23, 2015
Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev.
2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology
To Err Is…
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www.ahrq.gov/pqmp/measures/pediatric-respiratory-infection-readmissions.html
August 01, 2021 - Pediatric 30-Day Lower Respiratory Infection Readmission Measure
Measure Domain: Management of Acute Conditions
Measure Sub-Domain: Hospital Readmissions
PQMP COE: CEPQM
Associated NQF # and Name: 2414, Pediatric Lower Respiratory Infection Readmission Measure
Products:
Fact Sheet (PDF, 668 KB)
…
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www.ahrq.gov/pqmp/measures/picu-baseline-nutrition.html
August 01, 2021 - Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission
Measure Domain: Management of Acute Conditions
Measure Sub-Domain: Pediatric Intensive Care Unit (PICU)
PQMP COE: PMCOE
Associated NQF # and Name: None.
Products :
Fact…
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psnet.ahrq.gov/node/43984/psn-pdf
November 16, 2015 - Improving resident handoffs for children transitioning
from the intensive care unit.
November 16, 2015
Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the
intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2014-0067.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/50373/psn-pdf
September 25, 2019 - 2019 update on medical overuse: a review.
September 25, 2019
Morgan DJ, Dhruva SS, Coon ER, et al. 2019 update on medical overuse: a review. JAMA Intern Med.
2019;179(11):1568. doi:10.1001/jamainternmed.2019.3842.
https://psnet.ahrq.gov/issue/2019-update-medical-overuse-review
Medical overuse has been described as…