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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T6-Sample_Vignettes_Phase_3_final.doc
June 02, 2025 - Comprehensive Antibiogram Toolkit: Phase 3
Sample Vignettes
The following series of vignettes are similar to cases that a prescribing clinician may be presented with in a nursing home. Work through the vignettes and discussion questions—first without referring to the antibiogram and then by referring to the antibiogra…
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psnet.ahrq.gov/issue/we-meant-no-harm-yet-we-made-mistake-why-not-apologize-it-students-view
May 25, 2016 - Commentary
We meant no harm, yet we made a mistake; why not apologize for it? A student's view.
Citation Text:
Sanford DE, Fleming DA. We meant no harm, yet we made a mistake; why not apologize for it? A student's view. HEC Forum. 2010;22(2):159-69. doi:10.1007/s10730-010-9131-8.
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psnet.ahrq.gov/issue/drug-shortages-complex-health-care-crisis
September 12, 2016 - Review
Drug shortages: a complex health care crisis.
Citation Text:
Fox ER, Sweet B, Jensen V. Drug shortages: a complex health care crisis. Mayo Clin Proc. 2014;89(3):361-73. doi:10.1016/j.mayocp.2013.11.014.
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psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
August 04, 2021 - Commentary
Classic
Continuous improvement as an ideal in health care.
Citation Text:
Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56.
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www.ahrq.gov/ncepcr/funding/index.html
May 01, 2025 - Research Funding Opportunities for Primary Care Research at AHRQ
In addition to primary care-specific funding opportunities, AHRQ supports primary care research through funding opportunities related to digital healthcare, patient safety, multiple chronic conditions, and many more topics integral to primary care…
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www.ahrq.gov/news/newsroom/case-studies/201526.html
January 01, 2018 - Iowa’s Waverly Health Center Uses AHRQ Tools to Improve Patient Safety
Search All Impact Case Studies
September 2015
Waverly Health Center, a critical access hospital in Waverly, Iowa, has used three AHRQ resources to improve communication, teamwork, and leadership engagement as part of ongoing efforts to i…
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psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study
April 19, 2017 - Government Resource
Quality and Safety Between Ward and Board: a Biography of Artefacts Study.
Citation Text:
Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals…
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psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-leaders
August 24, 2022 - Toolkit
Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders.
Citation Text:
Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023.
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digital.ahrq.gov/sites/default/files/docs/page/adhd_dx_assessment_final_1.pdf
June 16, 2021 - Pediatric Documentation Templates
ADHD Diagnosis & Assessment Template
Executive Summary
The Partners Pediatric Attention Deficit and Hyperactivity Disorder (ADHD) Diagnosis & Assessment
Template was designed to aid in the documentation of ADHD symptoms and adherence with clinical
guid…
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digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-documentation-templates/adhd-diagnosis-and-assessment
January 01, 2023 - ADHD Diagnosis and Assessment Template
Executive Summary
The Partners Pediatric Attention Deficit and Hyperactivity Disorder (ADHD) Diagnosis & Assessment Template was designed to aid in the documentation of ADHD symptoms and adherence with clinical guidelines in the assessment and managem…
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psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
April 06, 2016 - Book/Report
Systems Analysis of Critical Incidents: the London Protocol.
Citation Text:
Systems Analysis of Critical Incidents: the London Protocol. Taylor-Adams S, Vincent C. London, UK: NIHR North West London Patient Safety Research Collaboration, Imperial College London; 2024.
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meps.ahrq.gov/data_stats/nursing_home_questionnaires.jsp
January 01, 1996 - Medical Expenditure Panel Survey Nursing Home Component Questionnaires
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psnet.ahrq.gov/issue/error-medicine
November 02, 2014 - Commentary
Classic
Error in medicine.
Citation Text:
Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
September 29, 2017 - Book/Report
Classic
Identification and Prioritization of Health IT Patient Safety Measures.
Citation Text:
Identification and Prioritization of Health IT Patient Safety Measures. Washington, DC: National Quality Forum; February 2016.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/wetterneck-tb-lapin-ja
January 01, 2023 - Wetterneck TB, Lapin JA, Krueger DJ, et al. "Development of a primary care physician task list to evaluate clinic visit workflow."
Reference
Wetterneck TB, Lapin JA, Krueger DJ, et al. Development of a primary care physician task list to evaluate clinic visit workflow. BMJ Qual Saf 2012 Jan;21(1):47-5…
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psnet.ahrq.gov/issue/our-pharmacy-meeting-patients-needs-pharmacy-health-literacy-assessment-tool-users-guide
December 24, 2008 - Measurement Tool/Indicator
Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide.
Citation Text:
Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. Jacobson KL, Gazmararian JA, Kripalani S, et a…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hoch-i-et-al-2003
January 01, 2003 - Hoch I et al. 2003 "Countrywide computer alerts to community physicians improve potassium testing in patients receiving diuretics."
Reference
Hoch I, Heymann AD, Kurman I, et al. Countrywide computer alerts to community physicians improve potassium testing in patients receiving diuretics. J Am Med Inf…
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www.ahrq.gov/news/newsroom/case-studies/201706.html
May 01, 2017 - Pennsylvania Psychiatric Institute Slashes Readmission Rates with AHRQ-based Discharge Program
Search All Impact Case Studies
May 2017
The Pennsylvania Psychiatric Institute in Harrisburg reduced its 30-day readmission rate from 20 percent in 2013 to 10.4 percent in 2015 after implementing a discharge progr…
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psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
February 03, 2011 - Commentary
Aiming higher to enhance professionalism: beyond accreditation and certification.
Citation Text:
Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification. JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818.
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psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy
July 14, 2010 - Study
Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications.
Citation Text:
Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. Akins RB, Cole BR. J Patient …