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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-a.pdf
June 02, 2025 - Section 7A
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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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www.ahrq.gov/ncepcr/tools/obesity/obpcp-ack.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Acknowledgements
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Table of Contents
Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Acknowledgements
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Foreword
Oregon Rural Practice-based Resea…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight07.pdf
February 01, 2014 - Supplement to Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
Supplement to Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
February 2014
Evaluati…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight07.html
February 01, 2014 - Supplement to Evaluation Highlight No. 7
How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
February 2014
Evaluation Highlight No. 7 is the seventh in a series of reports that present descriptive and analytic findings from the national evaluation of the …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pptx
June 02, 2025 - PowerPoint Presentation
Use these PowerPoint slides for any presentations for which they may be useful.
These slides may be useful earlier on in the process than during implementation; feel free to use them at any point in your QI process.
Modify as needed to suit your hospital – you may wish to delete sections of sl…
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psnet.ahrq.gov/issue/patient-safety-and-quality-surgery
August 26, 2011 - Commentary
Patient safety and quality in surgery.
Citation Text:
McCafferty MH, Polk HC. Patient safety and quality in surgery. Surg Clin North Am. 2007;87(4):867-81, vii.
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psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-prevention-intravenous
December 22, 2021 - Special or Theme Issue
Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation.
Citation Text:
Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. Al…
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psnet.ahrq.gov/issue/disclosing-adverse-events-patients
September 23, 2020 - Commentary
Disclosing adverse events to patients.
Citation Text:
Cantor MD, Barach P, Derse A, et al. Disclosing adverse events to patients. Jt Comm J Qual Patient Saf. 2005;31(1):5-12.
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psnet.ahrq.gov/issue/plan-quality-improve-patient-safety-point-care
February 01, 2017 - Review
Plan for quality to improve patient safety at the point of care.
Citation Text:
Ehrmeyer SS. Plan for Quality to Improve Patient Safety at the Point of Care. Ann Saudi Med. 2011;31(4). doi:10.4103/0256-4947.83203.
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psnet.ahrq.gov/issue/how-columbia-ignored-women-undermined-prosecutors-and-protected-predator-more-20-years
May 31, 2023 - Newspaper/Magazine Article
How Columbia ignored women, undermined prosecutors and protected a predator for more than 20 years.
Citation Text:
How Columbia ignored women, undermined prosecutors and protected a predator for more than 20 years. Fortis B, Bell L. Pro Publica. September 12, 2…
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psnet.ahrq.gov/issue/antiretroviral-medication-errors-national-medication-error-database
January 06, 2017 - Study
Antiretroviral medication errors in a national medication error database.
Citation Text:
Gray J, Hicks RW, Hutchings C. Antiretroviral medication errors in a national medication error database. AIDS Patient Care STDS. 2005;19(12):803-12.
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psnet.ahrq.gov/issue/weighing-medication-safety
September 24, 2010 - Commentary
Weighing in on medication safety.
Citation Text:
Paparella S. Weighing in on medication safety. J Emerg Nurs. 2009;35(6):553-555. doi:10.1016/j.jen.2009.07.003.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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psnet.ahrq.gov/issue/interruptive-communication-patterns-intensive-care-unit-ward-round
December 22, 2010 - Study
Interruptive communication patterns in the intensive care unit ward round.
Citation Text:
Alvarez G, Coiera E. Interruptive communication patterns in the intensive care unit ward round. Int J Med Inform. 2005;74(10):791-6.
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psnet.ahrq.gov/issue/are-you-listeningare-you-really-listening
December 04, 2016 - Commentary
Are you listening...Are you really listening?
Citation Text:
Denham CR, Dingman J, Foley M, et al. Are You Listening…Are You Really Listening? J Patient Saf. 2008;4(3):148-161. doi:10.1097/pts.0b013e318184db52.
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psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
April 23, 2014 - Commentary
How a series of errors led to recurrent hypoglycemia.
Citation Text:
Singh R. How a series of errors led to recurrent hypoglycemia. J Fam Pract. 2006;55(6):489-97.
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psnet.ahrq.gov/issue/covid-19-reminder-reason
October 24, 2018 - Commentary
COVID-19 — a reminder to reason
Citation Text:
Zagury-Orly I, Schwartzstein RM. COVID-19 — A Reminder to Reason. N Engl J Med. 2020;383(3):e12. doi:10.1056/nejmp2009405.
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psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-us-hospitals
December 12, 2014 - Commentary
Implementation of patient safety initiatives in US hospitals.
Citation Text:
McFadden KL, Stock GN, Gowen CR. Implementation of patient safety initiatives in US hospitals. Int J Oper Prod Manag. 2006;26(3):326-347. doi:10.1108/01443570610651052.
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psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-dashboards-board-level
February 22, 2010 - Newspaper/Magazine Article
Reducing harm to patients. Using patient safety dashboards at the board level.
Citation Text:
Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level. Healthcare executive. 2007;22(6):62, 64-5.
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psnet.ahrq.gov/issue/disclosing-unanticipated-outcomes-patients-art-and-practice
July 14, 2010 - Commentary
Disclosing unanticipated outcomes to patients: the art and practice.
Citation Text:
Disclosing unanticipated outcomes to patients: the art and practice. Gallagher TH; Denham CR; Leape LL; Amori G; Levinson W.
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