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psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts
June 15, 2016 - Book/Report
Roadmap to Health Care Safety for Massachusetts.
Citation Text:
Roadmap to Health Care Safety for Massachusetts. Massachusetts Healthcare Safety and Quality Consortium. Boston, MA: Betsy Lehman Center for Patient Safety; April 2023.
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www.ahrq.gov/sops/databases/pharmacy/submission.html
September 01, 2024 - Participating in the SOPS Community Pharmacy Survey Database
The SOPS ® Community Pharmacy Database is a central repository for survey data from community pharmacies in the United States or in a U.S. territory that administer the AHRQ survey and choose to submit their data. The SOPS Community Pharmacy Databa…
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pso.ahrq.gov/resources/educational-tools
August 01, 2022 - SHARE:
More topics in this section
Resources
Resources
Resources About the Patient Safety and Quality Improvement Act of 2005
Patient Safety Act
Patient Safety Rule
HHS Guidance
Guides
Other Educational Materials
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psnet.ahrq.gov/issue/reducing-and-preventing-adverse-drug-events-decrease-hospital-costs
March 05, 2013 - Government Resource
Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs.
Citation Text:
Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. Research in Action, Issue 1. Rockville, MD: Agency for Healthcare Research and Quality; March 2001. AHRQ …
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-ki-tep-confidentiality-form-fillable.pdf
August 01, 2020 - Disclosure Policy and Form
Print Form
EPC Key Informant and Technical Expert Agree…
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www.ahrq.gov/news/newsroom/case-studies/201802.html
August 01, 2018 - Connecticut Hospital Reduces Pressure Injuries Using AHRQ Toolkit
Search All Impact Case Studies
May 2018
Saint Francis Hospital and Medical Center, a 617-bed hospital in Hartford, CT, reduced hospital-acquired pressure injuries by more than 60 percent using an AHRQ toolkit. Preventing Pressure Ulcers in H…
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psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and-review
August 20, 2018 - Organizational Policy/Guidelines
Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review.
Citation Text:
Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. Obstet Gynecol. 2016;128(3):e54-60. doi:10.1097/AOG.0000000000001642.
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psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers
May 16, 2018 - Book/Report
DOD Should Improve Its Process for Clinical Adverse Actions against Providers.
Citation Text:
DOD Should Improve Its Process for Clinical Adverse Actions against Providers. Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24-106107.
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psnet.ahrq.gov/issue/physician-burnout
May 01, 2017 - Book/Report
Physician Burnout.
Citation Text:
Physician Burnout. Rockville, MD: Agency for Healthcare Research and Quality; July 2017. AHRQ Publication No. 17-M018-1-EF.
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psnet.ahrq.gov/issue/fda-updates-vinca-alkaloid-labeling-preparation-intravenous-infusion-bags-only
February 10, 2021 - Press Release/Announcement
FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only.
Citation Text:
FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…
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psnet.ahrq.gov/issue/fda-101-how-use-consumer-complaint-system-and-medwatch
February 15, 2024 - Fact Sheet/FAQs
FDA 101: How to Use the Consumer Complaint System and MedWatch.
Citation Text:
FDA 101: How to Use the Consumer Complaint System and MedWatch. FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 27, 2009.
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psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
December 14, 2022 - Newspaper/Magazine Article
Adverse glycemic events and critical emergencies.
Citation Text:
Adverse glycemic events and critical emergencies. ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4.
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digital.ahrq.gov/ahrq-funded-projects/building-implementation-toolset-e-prescribing/annual-summary/2010
January 01, 2010 - Building an Implementation Toolset for E-Prescribing - 2010
Project Name
Building an Implementation Toolset for E-Prescribing
Principal Investigator
Bell, Douglas
Organization
RAND Corporation
Contract Number
290-06-0017-4
Project Period
August 2008 – Septem…
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www.ahrq.gov/talkingquality/plan/manage.html
November 01, 2018 - How Will You Manage a Health Care Quality Reporting Project?
Managing a quality reporting project requires forethought, patience, and creativity. While detailed advice on how to manage this kind of effort is beyond the scope of TalkingQuality, this page offers some basic guidance to help you keep your project…
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www.ahrq.gov/pqmp/about/learning-collaborative.html
September 01, 2021 - PQMP Learning Collaborative
In late 2017, AHRQ—in partnership with the Centers for Medicare & Medicaid Services (CMS)—launched the Pediatric Quality Measures Program (PQMP) Learning Collaborative as a central component of the PQMP strategy to support the dissemination, implementation, performance monitoring, an…
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psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science
February 17, 2021 - Book/Report
Emerging Classic
Operational Measurement of Diagnostic Safety: State of the Science.
Citation Text:
Operational Measurement of Diagnostic Safety: State of the Science. Singh H, Bradford A, Goeschel C. Rockville, MD: Agency for Healthcare Research and…
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psnet.ahrq.gov/issue/national-report-findings-2016-issue-brief-no-2-patient-safety
November 18, 2020 - Book/Report
National Report of Findings 2016: Issue Brief No. 2: Patient Safety.
Citation Text:
National Report of Findings 2016: Issue Brief No. 2: Patient Safety. Clinical Learning Environment Review. Chicago, IL: Accreditation Council for Graduate Medical Education; 2016.
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digital.ahrq.gov/ahrq-funded-projects/el-dorado-county-safety-net-technology-project
January 01, 2023 - El Dorado County Safety Net Technology Project
Project Final Report ( PDF , 68.26 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No stat…
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psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among
July 26, 2023 - Book/Report
Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients.
Citation Text:
Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Maxwell A…
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digital.ahrq.gov/ahrq-funded-projects/facilitators-and-barriers-adoption-successful-urban-telemedicine-model/annual-summary/2010
January 01, 2010 - Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model - 2010
Project Name
Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model
Principal Investigator
McConnochie, Kenneth
Organization
University of Rochester
Funding M…