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psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death
November 25, 2009 - Multi-use Website
National Confidential Enquiry into Patient Outcome and Death.
Citation Text:
National Confidential Enquiry into Patient Outcome and Death. National Confidential Enquiry into Patient Outcome and Death; NCEPOD
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psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences
June 05, 2018 - Newspaper/Magazine Article
Unverified patient-reported error: a false alarm can have real consequences.
Citation Text:
Unverified patient-reported error: a false alarm can have real consequences. ISMP Medication Safety Alert! Acute care edition. November 20, 2014;19:1-3.
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psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery
November 19, 2014 - Commentary
The normalization of deviance in healthcare delivery.
Citation Text:
Banja J. The normalization of deviance in healthcare delivery. Bus Horiz. 2010;53(2):139.
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psnet.ahrq.gov/issue/why-hospitals-still-make-serious-medical-errors-and-how-they-are-trying-reduce-them
October 04, 2023 - Newspaper/Magazine Article
Why hospitals still make serious medical errors—and how they are trying to reduce them.
Citation Text:
Why hospitals still make serious medical errors—and how they are trying to reduce them. Landro L. Wall Street Journal. March 12, 2023.
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psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success
August 20, 2018 - Book/Report
Leading a Culture of Safety: a Blueprint for Success.
Citation Text:
Leading a Culture of Safety: a Blueprint for Success. Chicago, IL: American College of Healthcare Executives, National Patient Safety Foundation's Lucian Leape Institute; 2017.
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psnet.ahrq.gov/issue/diffusion-innovations-5th-ed
January 27, 2021 - Book/Report
Classic
Diffusion of Innovations. 5th ed.
Citation Text:
Diffusion of Innovations. 5th ed. Rogers EM. New York NY: Free Press; 2005.
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psnet.ahrq.gov/issue/piece-my-mind-snakes-dock
March 15, 2016 - Commentary
A piece of my mind. Snakes on a dock.
Citation Text:
Detsky AS. Snakes on a Dock. JAMA. 2016;316(10):1043-4. doi:10.1001/jama.2016.5179.
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psnet.ahrq.gov/issue/when-i-follow-i-dont-give
May 15, 2024 - Newspaper/Magazine Article
When I follow up, I don't give up.
Citation Text:
Roy PJ. When I follow up, I don't give up. Medical economics. 2006;83(15):68-9.
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www.ahrq.gov/talkingquality/distribute/media/decide-medium.html
September 01, 2019 - How To Decide on a Medium for a Health Care Quality Report
How do you figure out which medium is right for your reporting project? If at all possible, try to base this decision on research with your audience. For example, you could ask them how they get information now and how they would like to get it. Then yo…
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hcup-us.ahrq.gov/tech_assist/centdist/ResponsibilitiesDataPurchaser.pdf
June 22, 2022 - Responsibilities of the Data Purchaser
Responsibilities of the Data Purchaser
All users of HCUP data must agree to the terms of the HCUP Data Use Agreement (DUA). Being the data
purchaser carries additional responsibilities to which you must agree.
In order to facilitate your data request, please confirm your unde…
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digital.ahrq.gov/location/usa-ca-san-francisco
January 01, 2023 - USA, CA, San Francisco
Engaging Diverse Patients in Health Information Technology Use
Description
This is a questionnaire designed to be completed by individuals with chronic care needs in patient homes. The tool includes questions to assess the current state of patient portal…
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psnet.ahrq.gov/issue/err-human-quality-and-safety-issues-spine-care
August 04, 2021 - Commentary
To err is human: quality and safety issues in spine care.
Citation Text:
Wong DA, Watters WC. To err is human: quality and safety issues in spine care. Spine (Phila Pa 1976). 2007;32(11 Suppl):S2-8.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sca-key-drive-diagram.pdf
June 02, 2025 - Sickle Cell Anemia Preventive Care Key Driver Diagram
Establish contact and messaging system with SCA
patients, families, providers, and health plans.
Customizable messaging types depending on patient
preference.
Develop care coordinator programs for SCA. Community
outreach to homes of noncompliant patients to as…
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www.ahrq.gov/cahps/surveys-guidance/surgical/about/Development-of-the-CAHPS-Surgical-Care-Survey.html
February 01, 2018 - Development of the CAHPS Surgical Care Survey
The development of the Surgical Care Survey was sponsored by the American College of Surgeons (ACS) and the Surgical Quality Alliance (SQA), which was created by ACS in 2005 to coordinate and unify over twenty surgical and anesthesia specialty societies. Developing …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/patient-prep-card.pdf
June 02, 2025 - Microsoft Word - Be Prepared_PrepCard_V5.docx
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
Be Prepared
Fill in this card and bring it to your vi…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/patient-note-sheet.pdf
June 02, 2025 - Write it Down Join Your Team! Patient Note Sheet
Write it down - Join your team!
What do I need to do next?
What medicine do I need to take?
How do I take my medicine?
What tests do I need?
What are my test results?
What did the doctor tell me?
Acrobat Accessibility Report
Accessibilit…
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psnet.ahrq.gov/issue/womans-laborious-search-uncovered-probable-cause-her-searing-abdominal-pain-getting-doctor
March 07, 2007 - Newspaper/Magazine Article
A woman’s laborious search uncovered the probable cause of her searing abdominal pain. Getting a doctor to help was much harder.
Citation Text:
A woman’s laborious search uncovered the probable cause of her searing abdominal pain. Getting a doctor to help was m…
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psnet.ahrq.gov/issue/preventing-diagnostic-errors-primary-care
July 02, 2014 - Commentary
Preventing diagnostic errors in primary care.
Citation Text:
Ely JW, Graber ML. Preventing Diagnostic Errors in Primary Care. Am Fam Physician. 2016;94(6):426-32.
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psnet.ahrq.gov/issue/hospital-drug-errors-far-uncommon
February 11, 2015 - Newspaper/Magazine Article
Hospital drug errors far from uncommon.
Citation Text:
Hospital drug errors far from uncommon. Lin R-G II; Watanabe T.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/dale_shaller_intro.pdf
March 17, 2015 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans
Excelling on CAHPS: Lessons from
Top-Performing Medicaid and CHIP
Health Plans
A Webcast Presented by the AHRQ CAHPS User Network
March 17, 2015
1:00 – 2:00 pm EDT
www.cahps.ahrq.gov
CAHPS Webcast Series
• Consumer Assessment …