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digital.ahrq.gov/methods
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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www.ahrq.gov/faqs/index.html?page=19
Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-id-success-story.pdf
April 01, 2015 - North Carolina IMPaCT: Catalyzing Primary Care Transformation in Idaho
North Carolina IMPaCT: Catalyzing Primary Care
Transformation in Idaho
A key goal of AHRQ’s IMPaCT grants is to learn
strategies for spreading successful primary care
transformation programs from State to State. Each IMPaCT
grantee State w…
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digital.ahrq.gov/sites/default/files/docs/page/patient-use-of-secure-messaging-quick-reference-guide.pdf
September 01, 2009 - Patient Use of Secure Messaging
Patient Use of Secure
Messaging
Monitoring the use of secure messaging by patients
over time is one way to measure the success of the
implementation of secure messaging functionality,
which may be made available through a patient
portal or a personal health record (PHR).
Category: P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
January 01, 2004 - Prologue—Volume 1—Five Years Later—Are We Any Safer?
1
Prologue
Five Years Later—Are We Any Safer?
Brent C. James
The Institute of Medicine (IOM) released To Err Is Human: Building a Safer
Health System,1 its seminal summary of preventable patient injuries suffered
within American hospitals, on November 29,…
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psnet.ahrq.gov/primer/handoffs
October 18, 2023 - Handoffs
Citation Text:
Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-scaled-scaling-acceptable-cds-approach-implementation-interoperable-cds-venous
July 31, 2025 - Evaluation of the SCALED (SCaling AcceptabLE cDs) Approach for the Implementation of Interoperable Clinical Decision Support for Venous Thromboembolism Prevention
Project Description
Publications
Research Story
A methodology for scaling patient-centered outcomes res…
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-cancer-screening-excellence-report-colonoscopy/annual-summary/2010
January 01, 2010 - Improving Quality In Cancer Screening: The Excellence Report For Colonoscopy - 2010
Project Name
Improving Quality in Cancer Screening: The Excellence Report for Colonoscopy
Principal Investigator
Logan, Judith
Organization
Oregon Health and Science University
Funding…
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psnet.ahrq.gov/node/42769/psn-pdf
November 27, 2013 - Sepsis: recognizing the next event.
November 27, 2013
Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6.
doi:10.1097/01.NURSE.0000434320.25397.53.
https://psnet.ahrq.gov/issue/sepsis-recognizing-next-event
This commentary describes the development and implementatio…
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psnet.ahrq.gov/web-mm/what-was-those-platelets
August 28, 2024 - Clinical Management of Suspected Platelet Bacterial Contamination It is important for clinicians to recognize
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - The Commentary The case presented above involves failure to recognize concerning fetal heart rate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/hret-preinterventionasst.xlsx
June 02, 2025 - Appointment” and “Care Partner Questions”
0
54 The team discusses with the care partner how to recognize
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - In analyzing how errors occur, frontline providers must recognize the scientific nature of medicine.
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psnet.ahrq.gov/node/37746/psn-pdf
May 14, 2008 - Reducing preventable medication safety events by
recognizing renal risk.
May 14, 2008
Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal
risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476.2f.
https://psnet.ahrq.gov/issue/red…
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psnet.ahrq.gov/node/42981/psn-pdf
March 19, 2014 - Recognizing and managing errors of cognitive
underspecification.
March 19, 2014
Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5.
doi:10.1097/PTS.0b013e3182a5f6e1.
https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
Inc…
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psnet.ahrq.gov/node/41595/psn-pdf
May 28, 2019 - Luer Connector Misconnections: Under-Recognized but
Potentially Dangerous Events.
May 28, 2019
Medical Product Safety Network. Silver Spring, MD; US Food and Drug Administration. November 19,
2008.
https://psnet.ahrq.gov/issue/luer-connector-misconnections-under-recognized-potentially-dangerous-events
This Web si…
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psnet.ahrq.gov/node/73617/psn-pdf
August 26, 2021 - Recognizing Unsafe Care: What It Is and How to Report It.
August 18, 2021
Patient Safety Foundation. August 26, 2021.
https://psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it
This webinar introduced medical error and harm as related concepts to identify unsafe care and enhance
response, engag…
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psnet.ahrq.gov/node/837813/psn-pdf
January 21, 2021 - Recognizing Excellence in Diagnosis.
January 21, 2021
The Leapfrog Group.
https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis
Examination of diagnostic failure and identification of reduction strategies require multidisciplinary expertise
to be successful. This collaborative initiative will initially dev…
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psnet.ahrq.gov/node/45021/psn-pdf
April 06, 2016 - Scandal as a sentinel event—recognizing hidden
cost–quality trade-offs.
April 6, 2016
Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med.
2016;374(11):1001-3. doi:10.1056/NEJMp1502629.
https://psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-t…
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psnet.ahrq.gov/node/43900/psn-pdf
February 11, 2015 - Once easily recognized, signs of measles now elude
young doctors.
February 11, 2015
Brown E, Lin RG II R, Xia R. Los Angeles Times. January 26, 2015.
https://psnet.ahrq.gov/issue/once-easily-recognized-signs-measles-now-elude-young-doctors
In light of the recent outbreak of measles in California, this newspaper ar…