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psnet.ahrq.gov/issue/implementing-peer-evaluation-handoffs-associations-experience-and-workload
February 19, 2013 - Study
Implementing peer evaluation of handoffs: associations with experience and workload.
Citation Text:
Arora V, Greenstein EA, Woodruff JN, et al. Implementing peer evaluation of handoffs: associations with experience and workload. J Hosp Med. 2013;8(3):132-6. doi:10.1002/jhm.2002. …
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psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
August 04, 2021 - Review
Neonatal near-miss audits: a systematic review and a call to action.
Citation Text:
Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/037-ss-bed-bathing-chg-cloths-protocol.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Pre-Op Surgical Decolonization Protocol for Staff: Bathing With 2 Percent Chlorhexidine No-Rinse Cloths
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
The following protocol details the process for performing skin decol…
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psnet.ahrq.gov/issue/implementation-standardized-postanesthesia-care-handoff-increases-information-transfer
February 03, 2011 - Study
Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration.
Citation Text:
Caruso TJ, Marquez JL, Wu DS, et al. Implementation of a standardized postanesthesia care handoff increases information transfer without i…
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psnet.ahrq.gov/issue/planning-and-implementing-systems-based-patient-safety-curriculum-medical-education
June 29, 2009 - Commentary
Planning and implementing a systems-based patient safety curriculum in medical education.
Citation Text:
Thompson DA, Cowan J, Holzmueller CG, et al. Planning and implementing a systems-based patient safety curriculum in medical education. Am J Med Qual. 2008;23(4):271-8. do…
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psnet.ahrq.gov/issue/systems-approach-suicide-prevention-strengthening-culture-practice-and-education
July 10, 2024 - Commentary
Systems approach to suicide prevention: strengthening culture, practice, and education.
Citation Text:
Pisani AR, Boudreaux ED. Systems approach to suicide prevention: strengthening culture, practice, and education. Focus (Am Psychiatr Publ). 2023;21(2):152-159. doi:10.1176/ap…
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psnet.ahrq.gov/issue/conversations-diagnostic-uncertainty-and-its-management-among-pediatric-acute-care-physicians
March 17, 2021 - Study
Conversations on diagnostic uncertainty and its management among pediatric acute care physicians.
Citation Text:
Patel SJ, Ipsaro A, Brady PW. Conversations on diagnostic uncertainty and its management among pediatric acute care physicians. Hosp Pediatr. 2022;12(3):317-324. doi:10.…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide03.html
October 01, 2014 - 3. 2008 PHS Clinical Practice Guideline Update: Treating Tobacco Use and Dependence (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Brief history and developmental process.
Previous Slide Contents Next Slide
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021322-sarkar-final-report-2015.pdf
January 01, 2015 - individual patients provided by teams and provide health-system level data that will prompt
changes to care processes … Board)
- Tracking of follow-up actions
from dashboard review
- Tracking of changes in health
care processes … issue such as patient
notifications and appointment scheduling, and (4) structured review of care processes … to
improve safety at the health system level to allow for changes in care processes.
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digital.ahrq.gov/policy
January 01, 2023 - Policy
1. Medicaid Eligibility, Enrollment Simplification, and Coordination under the Affordable Care Act: A Summary of CMS's August 17, 2011 Proposed Rule and Key Issues to Consider ( PDF , 2.07 MB )
Author(s) : The Kaiser Commission on Medicaid and the Uninsured Source : Focus on Health…
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digital.ahrq.gov/ahrq-funded-projects/automated-adverse-drug-event-detection-and-intervention/annual-summary/2008
January 01, 2008 - Automated Adverse Drug Event Detection and Intervention - 2008
Project Name
Automated Adverse Drug Event Detection and Intervention
Principal Investigator
Ferranti, Jeffrey
Organization
Duke University
Funding Mechanism
RFA: HS04-011: Transforming Health Care Qualit…
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www.ahrq.gov/nursing-home/resources/search.html?page=8
January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes
AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p008-2-ef.pdf
January 01, 2015 - Measure: Pediatric Lower Respiratory Infection (LRI) Readmission Measure
Measure: Pediatric Lower Respiratory
Infection (LRI) Readmission Measure
Measure Developer: Center of Excellence for Pediatric Quality Measurement (CEPQM)
Numerator Denominator Exclusions Data Source(s)
Hospitalizations at general
acute ca…
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www.ahrq.gov/es/nursing-home/resources/search.html?page=8
January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes
AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-hays-slides.pdf
October 01, 2017 - CAHPS® Moving Forward: Innovations in Tools and Research Webcast
Advancing the Science of Patient Experience
Assessment
Ron Hays, Ph.D.
University Of California – Los Angeles and RAND Health Program
www.ahrq.gov/cahps
CAHPS Family of Surveys
Facility Surveys
Hospital (HCAHPS)
In-Center Hemodialysis
Nursing Hom…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool-other.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 6 (continued)
Previous Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate" on t…
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psnet.ahrq.gov/node/33569/psn-pdf
June 15, 2024 - Readmissions and Adverse Events After Discharge
June 15, 2024
Readmissions and Adverse Events After Discharge. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
t…
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www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/north-carolina.html
March 01, 2021 - EvidenceNOW: North Carolina Cooperative
EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure to help smaller primary care practices improve the heart health of their …
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-other.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 6 (continued)
Previous Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate" on t…
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psnet.ahrq.gov/web-mm/amphotericin-toxicity
April 01, 2014 - Amphotericin Toxicity
Citation Text:
Nagel J, Nguyen E. Amphotericin Toxicity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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