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psnet.ahrq.gov/issue/strategies-prevent-missed-nursing-care-international-qualitative-study-based-upon-positive
May 18, 2022 - Study
Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach.
Citation Text:
Longhini J, Papastavrou E, Efstathiou G, et al. Strategies to prevent missed nursing care: an international qualitative study based upon a positive …
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www.ahrq.gov/cpi/about/organization/nac/nac-amd2000.html
April 01, 2014 - Amendment to Charter
National Advisory Council for Healthcare Research and Quality (Formerly the National Advisory Council for Health Care Policy, Research, and Evaluation)
Purpose
The Council is to advise the Secretary of HHS and the Director of the Agency for Healthcare Research and Quality (AHRQ), on mat…
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www.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
February 01, 2021 - Fall TIPS: A Patient-Centered Fall Prevention Toolkit
This toolkit, developed through an AHRQ Patient Safety Learning Lab , consists of a formal risk assessment and tailored plan of care for each patient. The toolkit has reduced falls by 25 percent in acute care hospitals and is used in more than 100 hospitals…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/093-universal-targeted-decolonization-one-pager.docx
April 01, 2025 - Comparison of Decolonization Strategies
This document defines the types of decolonization strategies and what is needed to implement either approach. Mid- to high-level administrative managers and clinical leaders who are interested in implementing decolonization programs at their site may use this document to compare …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/chapman-l-2009-ehr
January 01, 2009 - Chapman L 2009 "EHR supports healthier patients and a healthier bottom line."
Reference
Chapman L. EHR supports healthier patients and a healthier bottom line. 2009 [cited 2010 February 16]
Abstract
"Graybill Medical Group boasts 130,000 patient visits per year and annual revenues of more th…
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psnet.ahrq.gov/issue/attending-emotional-well-being-health-care-workforce-new-york-city-health-system-during-covid
December 23, 2020 - Commentary
Emerging Classic
Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic.
Citation Text:
Ripp JA, Peccoralo L, Charney D. Attending to the emotional well-being of the health care…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2012
January 01, 2012 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions Between Care Settings - 2012
Project Name
Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings
Prin…
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psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
February 09, 2011 - Study
Classic
A surgical safety checklist to reduce morbidity and mortality in a global population.
Citation Text:
Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;3…
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psnet.ahrq.gov/issue/multi-stakeholder-consensus-driven-research-agenda-better-understanding-and-supporting
September 01, 2018 - Commentary
A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families.
Citation Text:
Bell SK, Etchegaray J, Gaufberg E, et al. A Multi-Stakeholder Consensus-Driven Research Agenda for Bette…
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digital.ahrq.gov/ahrq-funded-projects/automating-assessment-obesity-care-quality/annual-summary/2010
January 01, 2010 - Automating Assessment of Obesity Care Quality - 2010
Project Name
Automating Assessment of Obesity Care Quality
Principal Investigator
Hazlehurst, Brian L.
Organization
Kaiser Foundation Research Institute
Funding Mechanism
PAR: HS08-270: Utilizing Health IT to Impr…
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psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-national-patient-safety-imperative
March 21, 2012 - Study
Eliminating central line-associated bloodstream infections: a national patient safety imperative.
Citation Text:
Berenholtz SM, Lubomski LH, Weeks K, et al. Eliminating central line-associated bloodstream infections: a national patient safety imperative. Infect Control Hosp Epidem…
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hcup-us.ahrq.gov/db/state/siddist/siddist_filecompco.jsp
August 01, 2006 - SID File Composition - Colorado
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide8.html
May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 8. Continue To Improve, Hold the Gains, and Spread the Results
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chap…
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psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
September 28, 2010 - Study
A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1.
Citation Text:
Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/glazner-je-et-al-2004
January 01, 2004 - Glazner JE et al. 2004 "Using an immunization registry: effect on practice costs and time."
Reference
Glazner JE, Beaty BL, Pearson KA, et al. Using an immunization registry: effect on practice costs and time. Ambulatory Pediatrics 2004;4(1):34-40.
Abstract
"Introduction: Immunization registri…
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psnet.ahrq.gov/issue/association-between-workarounds-and-medication-administration-errors-bar-code-assisted
August 26, 2020 - Study
Classic
Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals.
Citation Text:
van der Veen W, van den Bemt PMLA, Wouters H, et al. Association between workarounds and medication adm…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/goetz-mb-et-al-2008
January 01, 2008 - Goetz MB et al. 2008 "Implementing and evaluating a regional strategy to improve testing rates in VA patients at risk for HIV, utilizing the QUERI process as a guiding framework: QUERI series."
Reference
Goetz MB, Bowman C, Hoang T, et al. Implementing and evaluating a regional strategy to improve tes…
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psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error
April 14, 2011 - Review
Emerging Classic
Hierarchy and medical error: speaking up when witnessing an error.
Citation Text:
Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.202…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tufano-jt-et-al-2008
January 01, 2008 - Tufano JT et al. 2008 "Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitative study."
Reference
Tufano JT, Ralston JD, Martin DP. Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitati…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Prologue_Keyes_Vol3.pdf
June 02, 2025 - Prologue: The Shift toward Performance and Tools
Prologue
The Shift toward Performance and Tools
Margaret A. Keyes, M.A.
The articles in this volume provide a number of perspectives on performance and tools used to
improve the safe delivery of health care. They include a wide variety of approaches that
…