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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Populat…
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psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan
July 28, 2014 - Commentary
Health care serial murder: a patient safety orphan.
Citation Text:
Kizer KW, Yorker BC. Health care serial murder: a patient safety orphan. Jt Comm J Qual Saf. 2010;36(4):186-191.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/issue/assessment-quality-and-impact-npsa-medication-safety-outputs-issued-nhs-england-and-wales
September 24, 2008 - Study
An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales.
Citation Text:
Lankshear A, Lowson K, Weingart SN. An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales. B…
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psnet.ahrq.gov/issue/implementing-national-strategy-patient-safety-lessons-national-health-service-england
March 02, 2011 - Commentary
Implementing a national strategy for patient safety: lessons from the National Health Service in England.
Citation Text:
Lewis RQ, Fletcher M. Implementing a national strategy for patient safety: lessons from the National Health Service in England. Qual Saf Health Care. 2005…
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www.ahrq.gov/talkingquality/resources/writing/tip3.html
May 01, 2015 - Tip 3. Make It Easy to Skim Your Health Care Quality Report
While some people will read a report from beginning to end, many do not move systematically through the information. By interviewing readers and watching what they do, researchers have found that some people flip through reports in search of useful i…
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psnet.ahrq.gov/issue/frequency-inappropriate-medical-exceptions-quality-measures
July 29, 2020 - Study
Frequency of inappropriate medical exceptions to quality measures.
Citation Text:
Persell SD, Dolan NC, Friesema EM, et al. Frequency of inappropriate medical exceptions to quality measures. Ann Intern Med. 2010;152(4):225-31. doi:10.7326/0003-4819-152-4-201002160-00007.
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psnet.ahrq.gov/issue/journal-reporting-medical-errors-wisdom-solomon-bravery-achilles-and-foolishness-pan
April 24, 2018 - Review
Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan.
Citation Text:
Murphy JG, Stee LA, McEvoy MT, et al. Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan. Ch…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
January 01, 2015 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D.
5
AHRQ’s Surveys on Patient Safety Culture™
(SOPS®) Program
Caren Ginsberg, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
6
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and sci…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf
December 01, 2020 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan
Workforce
Safety
Patricia McGaffigan, RN, MS, CPPS
pmcgaffigan@ihi.org; @Pmcgaffigan_IHI
mailto:pmcgaffigan@ihi.org
Why Workforce Safety Matters
Workforce safety is
essential for safe, high-
quality care and is
preconditional to …
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psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
March 11, 2015 - Book/Report
Classic
Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review.
Citation Text:
Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011.
Cop…
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digital.ahrq.gov/population/american-indian-or-alaska-native
January 01, 2023 - American Indian or Alaska Native
Outcomes and quality of care in rheumatoid arthritis with or without video telemedicine follow-up visits.
Citation
Ferucci ED, Day GM, Choromanski TL, Freeman SL. Outcomes and quality of care in rheumatoid arthritis with or without video teleme…
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digital.ahrq.gov/ahrq-funded-projects/improving-identification-and-coordination-mobility-interventions-icu-using
April 01, 2024 - Improving Identification And Coordination Of Mobility Interventions In The ICU Using Clinical Decision Support
Project Description
The ASSIST-ICU clinical decision support system (CDSS) holds promise for assisting intensive care unit (ICU) nurses and physical therapists to make…
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www.ahrq.gov/evidencenow/projects/urinary/index.html
April 01, 2025 - EvidenceNOW: Managing Urinary Incontinence
Problem Urinary Incontinence (UI) affects a large number of women. More than half of women over 20 years of age reported any urinary leakage. Overall, about 30% of older women in the U.S. report moderate to severe UI, which can increase depression and work disability. …
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psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2017
November 27, 2018 - Book/Report
America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017.
Citation Text:
America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. Oakbrook Terrace; IL: Joint Commission; 2017.
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psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-and-costs
January 29, 2015 - Commentary
Fostering transparency in outcomes, quality, safety, and costs.
Citation Text:
Austin M, McGlynn EA, Pronovost P. Fostering Transparency in Outcomes, Quality, Safety, and Costs. JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039.
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Format:
DOI …
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digital.ahrq.gov/type-care/tertiary-care
January 01, 2023 - Tertiary Care
ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization
Description
The study will develop, validate, implement, and assess the usability of a machine learning based clinical decision support tool designed to reduce laboratory testing overutilization…
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psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-discontinuation-opioid-pain-medicines-and-requires-label
March 12, 2010 - Government Resource
FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering.
Citation Text:
FDA identifies harm reported from sudden discontinuation of opioid pain medicines and …
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www.ahrq.gov/pqmp/implementation-qi/index.html
August 01, 2021 - PQMP Measure Implementation and Quality Improvement
The second phase of the Pediatric Quality Measures Program (PQMP 2.0) was designed to support and strengthen pediatric quality measurement and quality improvement based on learnings from quality improvement demonstration projects that implemented and evaluated…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs025943-snyder-final-report-2024.pdf
January 01, 2024 - An Evaluation of the Spread and Scale of PatientToc™ from Primary Care to Community Pharmacy Practice for the Collection of Patient-Reported Outcomes - Final Report
1
An Evaluation of the Spread and Scale of PatientToc™ from Primary Care to Community
Pharmacy Practice for the Collection of Patient-Reported Outco…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs028699-final-report-ming-2024.pdf
January 01, 2024 - Feasibility Study of a Mobile Digital Personal Health Record for Family- Centered Care Coordination for Children and Youth with Special Healthcare Needs - Final Report
FINAL 2-3-25 1
Title:
Feasibility Study of a Mobile Digital Personal Health Record for Family- Centered Care Coordination
for Children and …