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  1. psnet.ahrq.gov/issue/interventions-improve-employee-health-and-well-being-within-health-care-organizations
    April 11, 2009 - Review Interventions to improve employee health and well-being within health care organizations: a systematic review. Citation Text: Williams SP, Malik HT, Nicolay CR, et al. Interventions to improve employee health and well-being within health care organizations: A systematic review. J …
  2. psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff
    July 10, 2008 - Study Handoffs causing patient harm: a survey of medical and surgical house staff. Citation Text: Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. Copy Citation Format:…
  3. www.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
    January 01, 2023 - Making Adjustments to Health Care Quality Scores One of the most thorny topics in quality measurement is the adjustment of scores across different plans or providers to account for differences in the characteristics of their patients or themselves. This page reviews key issues related to adjustments to scores…
  4. psnet.ahrq.gov/issue/improved-pain-resolution-hospitalized-patients-through-targeting-pain-mismanagement-medical
    March 24, 2019 - Study Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. Citation Text: Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage.…
  5. www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-c.html
    October 01, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Appendix C. Methodological References Cited by Grantees Previous Page   Table of Contents Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Background A Practical…
  6. psnet.ahrq.gov/issue/patient-safety-external-beam-radiotherapy-guidelines-risk-assessment-and-analysis-adverse
    March 15, 2017 - Study Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project. Citation Text: Malicki J, Bly R, Bulot M, et al. Patient safety in external beam radiotherapy - guidelines on risk asses…
  7. psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understand-adverse-medical-events
    November 15, 2023 - Journal Article Combined SNA and LDA methods to understand adverse medical events Citation Text: Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. Copy Citation Form…
  8. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix D CANDOR Tool PROCESS QUESTIONS TO REVIEW Y/N CONTRIBUTING OR CAUSAL FACTOR Y/N FINDINGS / COMMENTS COMMUNICATION Did all caregivers have access to all pertinent information needed to make the best decisions for the patient? (e.g.,…
  9. psnet.ahrq.gov/issue/effect-resident-duty-hour-restriction-trauma-center-outcomes-teaching-hospitals-state
    September 12, 2016 - Study The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. Citation Text: Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the st…
  10. psnet.ahrq.gov/issue/understanding-attitudes-hospital-pharmacists-reporting-medication-incidents-qualitative-study
    September 04, 2016 - Study Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Citation Text: Williams SD, Phipps D, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Res Social Adm…
  11. psnet.ahrq.gov/issue/national-trends-hospitalizations-opioid-poisonings-among-children-and-adolescents-1997-2012
    January 16, 2019 - Study National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012. Citation Text: Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;1…
  12. psnet.ahrq.gov/issue/misleading-one-detail-preventable-mode-diagnostic-error
    February 10, 2016 - Study Misleading one detail: a preventable mode of diagnostic error? Citation Text: Arzy S, Brezis M, Khoury S, et al. Misleading one detail: a preventable mode of diagnostic error? J Eval Clin Pract. 2009;15(5):804-6. doi:10.1111/j.1365-2753.2008.01098.x. Copy Citation Format: …
  13. psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-evidence-based-approach
    July 07, 2021 - Study Reducing near miss medication events using an evidence-based approach. Citation Text: Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630. Copy Citation Format: DOI…
  14. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-5.pdf
    June 02, 2025 - Measure 1, Section 2, Attachment 5 DET Quality Analysis Criteria Lurie_Bobb Lutheran_Gupta Stroger_Garcia FAQ Guidance Document a. All cells should be filled out, even if “N/A” a I would recommend that the site complete all fields in the "Element", "Question", and "Measure" tabs a n/a b. EHR Data source appli…
  15. Heart Health NOW (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-brochure-nc.pdf
    January 01, 2003 - Heart Health NOW This is our time! Are you ready? Heart Health NOW! Advancing heart health in N.C. primary care Heart Health NOW! is the N.C. Cooperative of EvidenceNOW —a program funded by the Agency for Healthcare Research and Quality Your practice will partner with us by: • Establishing an EHR connection…
  16. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-4.pdf
    June 02, 2025 - Section 2, Attachment 4 DET Quality Analysis Criteria Lurie_Bobb Lutheran_Gupta Stroger_Garcia FAQ Guidance Document a. All cells should be filled out, even if “N/A” a I would recommend that the site complete all fields in the "Element", "Question", and "Measure" tabs a n/a b. EHR Data source application (Doe…
  17. psnet.ahrq.gov/issue/no-harm-found-when-nurse-anesthetists-work-without-supervision-physicians
    August 04, 2021 - Study No harm found when nurse anesthetists work without supervision by physicians. Citation Text: Dulisse B, Cromwell J. No harm found when nurse anesthetists work without supervision by physicians. Health Aff (Millwood). 2010;29(8):1469-1475. doi:10.1377/hlthaff.2008.0966. Copy Citat…
  18. psnet.ahrq.gov/issue/struggling-invent-high-reliability-organizations-health-care-settings-insights-field
    October 02, 2019 - Study Struggling to invent high-reliability organizations in health care settings: insights from the field. Citation Text: Dixon NM, Shofer M. Struggling to invent high-reliability organizations in health care settings: Insights from the field. Health Serv Res. 2006;41(4 Pt 2):1618-32.…
  19. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html
    June 01, 2017 - Management Practices for Sustainability Module 5: Visual Management Slide 1: Management Practices for Sustainability Module 5: Visual Management Management Practices for Sustainability Module 5: Visual Management Slide 2: A Frontline Management System To Promote Safety Standard Work Image: This imag…
  20. psnet.ahrq.gov/issue/meaningful-use-stage-2-e-prescribing-threshold-and-adverse-drug-events-medicare-part-d
    July 05, 2017 - Study Meaningful Use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population with diabetes. Citation Text: Powers C, Gabriel MH, Encinosa W, et al. Meaningful use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population w…