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digital.ahrq.gov/ahrq-funded-projects/quality-oral-health-care-through-health-information-technology
January 01, 2023 - Quality Oral Health Care through Health Information Technology
Project Final Report ( PDF , 437.36 KB)
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psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - Commentary
Classic
Problem doctors: is there a system-level solution?
Citation Text:
Leape L, Fromson J. Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15.
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/index-clinical-topics.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
Index of Clinical Topics
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Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of MRSA and SSI Prevention
MRSA Surveillance
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psnet.ahrq.gov/issue/keeping-patients-safe-transforming-work-environment-nurses
July 05, 2016 - Book/Report
Classic
Keeping Patients Safe: Transforming the Work Environment of Nurses.
Citation Text:
Keeping Patients Safe: Transforming the Work Environment of Nurses. Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Healt…
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www.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
July 01, 2025 - AHRQ Papers on Diagnostic Safety Topics
Diagnostic errors occur in all settings of care, contribute to about 10 percent of patient deaths, and are the primary reason for medical liability claims. As the lead Federal agency investing in research to improve diagnostic safety and reduce diagnostic error, AHRQ is c…
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psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
October 04, 2006 - Book/Report
Classic
Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care.
Citation Text:
Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care. Gerteis M, Edgman-Levitan S, Daley J, et al. San Francisco: Jossey-Ba…
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psnet.ahrq.gov/issue/crowding-emergency-department-challenges-care-children
October 19, 2022 - Organizational Policy/Guidelines
Crowding in the Emergency Department: Challenges for the Care of Children.
Citation Text:
Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10…
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
October 15, 2008 - Book/Report
Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections.
Citation Text:
Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices a…
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psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
May 05, 2010 - Study
Delayed or missed diagnosis of cervical spine injuries.
Citation Text:
Platzer P, Hauswirth N, Jaindl M, et al. Delayed or Missed Diagnosis of Cervical Spine Injuries. The Journal of Trauma: Injury, Infection, and Critical Care. 2006;61(1). doi:10.1097/01.ta.0000196673.58429.2a. …
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psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-geriatric-inpatients
February 04, 2018 - Study
Guided prescription of psychotropic medications for geriatric inpatients.
Citation Text:
Peterson JF, Kuperman GJ, Shek C, et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med. 2005;165(7):802-7.
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psnet.ahrq.gov/issue/systematic-approaches-adverse-events-obstetrics-part-1-part-2
May 18, 2022 - Commentary
Systematic approaches to adverse events in obstetrics, Part 1 & Part 2.
Citation Text:
Pettker CM. Systematic approaches to adverse events in obstetrics, Part I: Event identification and classification. Semin Perinatol. 2017;41(3). doi:10.1053/j.semperi.2017.03.003.
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www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrndapa.html
December 01, 2012 - Appendix A: Members of the 2012 AHRQ Subcommittee to the National Advisory Council on Children's Health Quality Measures (SNAC)
Recommendations to Improve Children's Health Care Quality Measures
This background report describes the process used to identify, evaluate, and select children's health care quality …
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psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-violent-patients
July 14, 2010 - Commentary
Ensuring staff safety when treating potentially violent patients.
Citation Text:
Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA. 2016;316(24):2669-2670. doi:10.1001/jama.2016.18260.
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hcup-us.ahrq.gov/reports/factsandfigures/2008/citation.jsp
January 01, 2008 - HCUP Facts and Figures 2008: Statistics on Hospital-Based Care in the United States
An official website of the Department of Health & Human Services
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Careers
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digital.ahrq.gov/organization/oregon-health-and-science-university
January 01, 2023 - Oregon Health and Science University
Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH)
Description
This research will refine an existing interoperable, patient-facing blood pressure control tool--the Collaboration Oriented Approach to Controlling High …
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www.ahrq.gov/news/newsroom/case-studies/202502.html
February 01, 2025 - Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture®, TeamSTEPPS®
Search All Impact Case Studies
February 2025
Kaiser Permanente (KP) School of Anesthesia in Pasadena, California, uses AHRQ’s Surveys on Patient Safety Culture (SOPS®) to improve ambulatory care and expand d…
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digital.ahrq.gov/location/usa-or-portland
January 01, 2023 - USA, OR, Portland
Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH)
Description
This research will refine an existing interoperable, patient-facing blood pressure control tool--the Collaboration Oriented Approach to Controlling High Blood Pressure (COA…
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psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-clabsi-and-cauti-final-report
April 06, 2022 - Book/Report
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report.
Citation Text:
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and …
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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit
October 05, 2022 - Study
Medication errors in a neonatal intensive care unit.
Citation Text:
Lerner RB de ME, de Carvalho M, Vieira AA, et al. Medication errors in a neonatal intensive care unit. J Pediatr (Rio J). 2008;84(2):166-70. doi:10.2223/JPED.1757.
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digital.ahrq.gov/2019-year-review/research-summary/smart-mobile-health-app-improves-screening-for-risks-and-protective-factors
January 01, 2019 - Smart Mobile Health App Improves Screening for Risks and Protective Factors for Pregnant Women
A screening tool for risk and protective factors during pregnancy can be integrated in clinic flow and improve customized discussions with pregnant women to improve outcomes for pregnant women and their babies.
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