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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-a-participating-hospitals.pdf
June 02, 2025 - CPQSC Participating Hospitals
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psnet.ahrq.gov/issue/effect-clinician-feedback-interventions-opioid-prescribing
November 17, 2021 - Study
The effect of clinician feedback interventions on opioid prescribing.
Citation Text:
Navathe AS, Liao JM, Yan XS, et al. The effect of clinician feedback interventions on opioid prescribing. Health Aff (Millwood). 2022;41(3):424-433. doi:10.1377/hlthaff.2021.01407.
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psnet.ahrq.gov/issue/evidence-review-conducted-agency-healthcare-research-and-quality-safety-program-improving
June 21, 2015 - Review
Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.
Citation Text:
Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Heal…
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psnet.ahrq.gov/issue/competencies-patient-safety-and-quality-improvement-synthesis-recommendations-influential
March 31, 2022 - Review
Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers.
Citation Text:
Moran KM, Harris IB, Valenta AL. Competencies for Patient Safety and Quality Improvement: A Synthesis of Recommendations in Influential Position P…
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psnet.ahrq.gov/issue/association-between-paediatric-intraoperative-anaesthesia-handover-and-adverse-postoperative
July 21, 2021 - Study
Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes.
Citation Text:
Kannampallil TG, Lew D, Pfeifer EE, et al. Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. BMJ Qual Saf. 2021…
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psnet.ahrq.gov/issue/positioning-continuing-education-boundaries-and-intersections-between-domains-continuing
July 03, 2016 - Review
Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement.
Citation Text:
Kitto S, Bell M, Peller J, et al. Positioning continuing education: boundaries and intersections …
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psnet.ahrq.gov/issue/transmitting-and-processing-electronic-prescriptions-experiences-physician-practices-and
July 02, 2019 - Study
Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies.
Citation Text:
Grossman JM, Cross DA, Boukus ER, et al. Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. J Am Med Inform …
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psnet.ahrq.gov/issue/outpatient-prescribing-errors-and-impact-computerized-prescribing
February 18, 2011 - Study
Outpatient prescribing errors and the impact of computerized prescribing.
Citation Text:
Gandhi TK, Weingart SN, Seger AC, et al. Outpatient prescribing errors and the impact of computerized prescribing. J Gen Intern Med. 2005;20(9):837-841. doi:10.1111/j.1525-1497.2005.0194.x.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep7.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Conclusion
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Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Scan Methodology
Evaluation of…
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psnet.ahrq.gov/issue/sleep-loss-and-performance-residents-and-nonphysicians-meta-analytic-examination
March 22, 2017 - Review
Sleep loss and performance in residents and nonphysicians: a meta-analytic examination.
Citation Text:
Philibert I. Sleep loss and performance in residents and nonphysicians: a meta-analytic examination. Sleep. 2005;28(11):1392-402.
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Format:
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psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
September 16, 2020 - Commentary
Patient safety and ethical implications of healthcare sick leave policies in the pandemic era.
Citation Text:
Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Jt Comm J Qual Patient Saf. 202…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips92.html
October 01, 2014 - Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit
Search All Impact Case Studies
April 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Delmarva Foundation for Medical Care, the Maryland Quality Improvement Organization (QIO), worked with h…
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psnet.ahrq.gov/issue/engaging-patient-and-family-surgical-safety-process-utilizing-safestart
October 19, 2022 - Study
Engaging the patient and family in the surgical safety process utilizing SafeStart.
Citation Text:
Elger BM, Esparaz JR, Nierstedt RT, et al. Engaging the patient and family in the surgical safety process utilizing. J Pediatr Surg. 2020;55(4). doi:10.1016/j.jpedsurg.2019.06.012.
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psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
May 01, 2013 - Commentary
Diagnostic errors in musculoskeletal oncology and possible mitigation strategies.
Citation Text:
Flemming DJ, White C, Fox E, et al. Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. Skeletal Radiol. 2023;52(3):493-503. doi:10.1007/s00256-022-04…
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psnet.ahrq.gov/issue/addressing-elephant-room-shame-resilience-seminar-medical-students
June 07, 2023 - Commentary
Addressing the elephant in the room: a shame resilience seminar for medical students.
Citation Text:
Bynum WE, Adams A, Edelman CE, et al. Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students. Acad Med. 2019;94(8):1132-1136. doi:10.1097/ACM.0000…
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psnet.ahrq.gov/issue/selected-medical-errors-intensive-care-unit-results-iatroref-study-parts-i-and-ii
April 18, 2012 - Study
Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II.
Citation Text:
Garrouste-Orgeas M, Timsit JF, Vesin A, et al. Selected Medical Errors in the Intensive Care Unit. Am J Respir Crit Care Med. 2009;181(2):134-142. doi:10.1164/rccm.20…
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psnet.ahrq.gov/issue/targeting-improvements-patient-safety-large-academic-center-institutional-handoff-curriculum
August 03, 2017 - Commentary
Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education.
Citation Text:
Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an institutional hand…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/8.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Functional Specifications
3. Specifications for Each Pressure Ulcer Prevention Report (continued)
3.8. Completeness Report
3.8.1. Report Description
The Completeness Report is a check of CNA documentation to determine how much of…
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psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps
March 02, 2011 - Commentary
Classic
Patient safety at ten: unmistakable progress, troubling gaps.
Citation Text:
Wachter R. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood). 2010;29(1):165-173. doi:10.1377/hlthaff.2009.0785.
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psnet.ahrq.gov/issue/preventing-delayed-and-missed-care-applying-artificial-intelligence-trigger-radiology-imaging
April 06, 2022 - Study
Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up.
Citation Text:
Domingo J, Galal G, Huang J. Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. NEJM Catal Innov…