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www.ahrq.gov/news/newsroom/case-studies/201515.html
January 01, 2018 - Sutter Center for Integrated Care Using AHRQ Guide in Patient Materials
Search All Impact Case Studies
June 2015
Sutter Health's Center for Integrated Care (SCIC), a division of Sutter Health, is using the AHRQ publication, Taking Care of Myself: A Guide for When I Leave the Hospital , to help patients rec…
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psnet.ahrq.gov/issue/clinician-mindfulness-and-patient-safety
November 10, 2010 - Commentary
Clinician mindfulness and patient safety.
Citation Text:
Sibinga EMS, Wu AW. Clinician Mindfulness and Patient Safety. JAMA. 2010;304(22). doi:10.1001/jama.2010.1817.
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psnet.ahrq.gov/issue/using-patient-safety-science-explore-strategies-improving-safety-intravenous-medication
June 02, 2021 - Commentary
Using patient safety science to explore strategies for improving safety in intravenous medication administration.
Citation Text:
Using patient safety science to explore strategies for improving safety in intravenous medication administration. Franklin M. Journal of the A…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/commitment-poster-spanish.docx
September 01, 2022 - Commitment Poster (Spanish)
NOS COMPROMETEMOS A RECETARLE ANTIBIÓTICOS ÚNICAMENTE CUANDO LE VAN A SERVIR
Los antibióticos solamente combaten las infecciones ocasionadas por bacterias.
Tomar antibióticos cuando no los necesita NO lo hará sentirse mejor. Seguirá sintiéndose enfermo y el antibiótico puede causarle salpu…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-one-pager.pdf
September 01, 2022 - Communicating With Patients and Families About Antibiotic Decisions
Communicating With Patients and Families
About Antibiotic Decisions
Patients want to feel
HEARD1-3
• Say: “What I am hearing you say is [repeat the main
concerns].”
• Sit at eye level with the patient.
• Nod your head to…
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psnet.ahrq.gov/issue/sunday-story-when-hospitals-dont-say-sorry
June 21, 2023 - Audiovisual Presentation
The Sunday story: when hospitals don't say sorry.
Citation Text:
The Sunday story: when hospitals don't say sorry. Rascoe A, Gorenstein D. National Public Radio. January 21, 2024.
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psnet.ahrq.gov/issue/review-fdas-approach-medical-product-shortages
June 22, 2011 - Book/Report
A Review of FDA’s Approach to Medical Product Shortages.
Citation Text:
A Review of FDA’s Approach to Medical Product Shortages. Silver Spring, MD: US Food and Drug Administration; October 31, 2011.
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psnet.ahrq.gov/issue/electronic-data-collection-using-medwatchplus-portal-and-rational-questionnaire
July 03, 2013 - Government Resource
Electronic data collection using MedWatchPlus portal and rational questionnaire.
Citation Text:
Electronic data collection using MedWatchPlus portal and rational questionnaire. Shuren J. Federal Register. October 23, 2008;73:63153-63157.
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psnet.ahrq.gov/issue/art-apology-when-and-how-seek-forgiveness
May 17, 2023 - Commentary
The art of apology: when and how to seek forgiveness.
Citation Text:
The art of apology: when and how to seek forgiveness. Roberts RG. Fam Pract Manag. 2007;14(7):44-49.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action
What Can Leaders Achieve by Prioritizing Diagnostic Safety?
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Table of Contents
Leadership To Improve Diagnosis: A Call to Action
Diagnostic Safety as a Challenge for Healthcare Leadership
Why Are Leaders Essential to Diagno…
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psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths
May 27, 2020 - Newspaper/Magazine Article
‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths.
Citation Text:
‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths. Andrews M. Kaiser News Network. May 19, 2020.
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psnet.ahrq.gov/issue/medicare-study-finds-teaching-hospitals-have-higher-risk-complications-findings-disputed
June 01, 2016 - Newspaper/Magazine Article
Medicare study finds teaching hospitals have higher risk of complications; findings disputed.
Citation Text:
Medicare study finds teaching hospitals have higher risk of complications; findings disputed. Rau J. Washington Post. February 12, 2012:A03.
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psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
January 14, 2019 - Newspaper/Magazine Article
Safety of anesthetic and perioperative medication practices.
Citation Text:
Safety of anesthetic and perioperative medication practices. Meyer TA. Anesthesiology News. October 31, 2022.
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psnet.ahrq.gov/issue/nutrition-support-safety
July 10, 2024 - Special or Theme Issue
Nutrition Support Safety.
Citation Text:
Nutrition Support Safety. Nutr Clin Pract. 2023;38(6):1181-1415.
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psnet.ahrq.gov/issue/global-state-patient-safety-2023
April 06, 2016 - Book/Report
Global State of Patient Safety 2023.
Citation Text:
Global State of Patient Safety 2023. Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023.
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psnet.ahrq.gov/issue/patient-safety-dialysis-facility
May 27, 2015 - Commentary
Patient safety in the dialysis facility.
Citation Text:
Kliger AS. Patient safety in the dialysis facility. Blood Purif. 2006;24(1):19-21.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.2. Heights Hospital
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Ca…
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psnet.ahrq.gov/issue/ismp-medication-safety-intensive
February 05, 2025 - International Meeting/Conference
ISMP Medication Safety Intensive.
Citation Text:
ISMP Medication Safety Intensive. Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern).
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0238-table1.pdf
June 17, 2014 - Evidence Supporting the Importance of Availability of Care for Children Needing Treatment or Counseling Services
Table 1: Evidence Supporting the Importance of Availability of Care for Children Needing Treatment or
Counseling Services
Type of
evidence
Key findings
Level of
evidence
(USPSTF
ranking*)
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-6.pdf
June 02, 2025 - Measure 1, Section 2, Attachment 6
SNAC Submission Form Measure 1: Accurate ADHD Diagnosis
Section 2: Detailed Measure Specifications
Attachment 6: Claims Data Specification Example
DRAFT Measure #1: Accurate Diagnosis of ADHD
Attention Deficit Hyperactivity Disorder (ADHD)
A. DESCRIPTION
Percentage of …