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psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
March 06, 2005 - Audiovisual Presentation
A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing.
Citation Text:
A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. Texas Medical Institute of Technology. June 16, 2011.
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www.ahrq.gov/pqmp/measures/index.html?page=6
PQMP Measures
The following list presents all health care quality measures from the AHRQ-CMS Pediatric Quality Measures Program (PQMP). These measures were developed by the initial phase PQMP Centers of Excellence (COEs).
Results
151 - 163 of 163 Measures
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psnet.ahrq.gov/issue/leape-ahead-award
September 29, 2017 - Award Announcement
Leape Ahead Award.
Citation Text:
Leape Ahead Award. American Association for Physician Leadership.
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psnet.ahrq.gov/issue/ismp-cheers-awards
January 26, 2023 - Award Recipient
ISMP Cheers Awards.
Citation Text:
ISMP Cheers Awards. Institute for Safe Medication Practices.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/ehrformatfaq.pdf
September 01, 2014 - Children's EHR Format: Frequently Asked Questions
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
Health IT
1. What is the children’s electronic health record (EHR) Format? The Format is a set of requirements that
contains child-specific items (or items of special import…
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psnet.ahrq.gov/issue/medwatch-e-list
September 29, 2010 - Government Resource
MedWatch E-list.
Citation Text:
MedWatch E-list. United States Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/tablet-splitting-do-it-only-if-you-half-and-then-do-it-safely
November 13, 2018 - Newspaper/Magazine Article
Tablet splitting: Do it only if you "half" to, and then do it safely.
Citation Text:
Tablet splitting: Do it only if you "half" to, and then do it safely. ISMP Medication Safety Alert! Acute Care Edition. May 18, 2006;11:1-2.
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psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-summit
February 17, 2015 - Special or Theme Issue
ASPEN Parenteral Nutrition Safety Summit.
Citation Text:
ASPEN Parenteral Nutrition Safety Summit. Andris DA, Mirtallo JM, Guenter P, eds. JPEN J Parenter Enteral Nutr. 2012;36(2 Suppl):1S-62S.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/communication-documents.pdf
June 02, 2025 - Health Plan and Sickle Cell Clinic Communication Process and Meeting Planning (2c.6)
Health Plan and Sickle Cell Clinic Communication Process and Meeting Planning (2c.6)
This diagram illustrates the process for communications between clinic and health plan staff to ensure
patients with SCD are receiving appropriate…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses1.html
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Introduction
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Table of Contents
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Introduction
The Theory of Distributed Cognition
Nu…
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psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill
June 10, 2018 - Newspaper/Magazine Article
Understanding and managing IV container overfill.
Citation Text:
Understanding and managing IV container overfill. ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4.
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www.ahrq.gov/news/newsroom/case-studies/ktcquips94.html
October 01, 2014 - Michigan Providers Improve Medication Reconciliation Process With AHRQ Toolkit
Search All Impact Case Studies
April 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, MPRO, the Michigan Quality Improvement Organization (QIO), worked with providers in the State to improv…
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psnet.ahrq.gov/issue/national-patient-safety-board-advocacy-coalition
March 20, 2013 - Multi-use Website
National Patient Safety Board Advocacy Coalition.
Citation Text:
National Patient Safety Board Advocacy Coalition. EQT Plaza, 625 Liberty Ave, Ste. 2500, Pittsburgh, PA 15222.
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psnet.ahrq.gov/issue/best-practices-safe-medication-administration-during-anesthesia-care
July 05, 2016 - Award Announcement
Best Practices for Safe Medication Administration During Anesthesia Care.
Citation Text:
Best Practices for Safe Medication Administration During Anesthesia Care. APSF Committee on Technology. Anesthesia Patient Safety Foundation.
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psnet.ahrq.gov/issue/heed-warning-dont-miss-important-computer-alerts
May 07, 2018 - Newspaper/Magazine Article
Heed this warning! Don't miss important computer alerts.
Citation Text:
Heed this warning! Don't miss important computer alerts. ISMP Medication Safety Alert! Acute Care Edition. February 8, 2007;12:1-2.
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psnet.ahrq.gov/issue/patient-centered-care-what-does-it-take
March 16, 2016 - Book/Report
Patient-Centered Care: What Does It Take?
Citation Text:
Patient-Centered Care: What Does It Take? Shaller D. The Commonwealth Fund. October 2007.
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psnet.ahrq.gov/issue/preventing-infection-misuse-vials
September 11, 2023 - Sentinel Event Alerts
Preventing infection from the misuse of vials.
Citation Text:
Preventing infection from the misuse of vials. Sentinel Event Alert. 2014;June 16(52):1-6.
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psnet.ahrq.gov/issue/getting-beyond-blame-your-practice
March 17, 2021 - Newspaper/Magazine Article
Getting beyond blame in your practice.
Citation Text:
Pawar M. Getting beyond blame in your practice. Family Practice Management. 2007;14(5):30-34.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh25.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 25. Number of procedures per data site and year
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary …
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh26.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 26. Number of SSIs per procedure and data site
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
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