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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/registries-pros-cons.pdf
June 02, 2025 - Advantages and Disadvantages of Registries
Advantages and Disadvantages of Registries
Electronic health records (EHRs) frequently do not have the functions needed for
population management. Creating and using registries can help ensure that evidence-
based care is delivered to all patients and can be an adjunct…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/search.html
August 31, 2025 - Browse Supplemental Items for CAHPS Surveys
Users of standardized CAHPS surveys may incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or audiences. Use the filters at left to identify the supplemental items available for the CAHPS survey of interest. Select an item…
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psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconceptions
June 24, 2020 - Commentary
The systems approach to medicine: controversy and misconceptions.
Citation Text:
Dekker SWA, Leveson NG. The systems approach to medicine: controversy and misconceptions. BMJ Qual Saf. 2015;24(1):7-9. doi:10.1136/bmjqs-2014-003106.
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DOI Googl…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/QETZFZLBsJbtPmVNVCgA7Z
May 01, 1993 - 012695_02-2004.pmd
CAGE Questionnaire
• Have you ever felt you should Cut down on your drinking?
• Have people Annoyed you by criticizing your drinking?
• Have you ever felt bad or Guilty about your drinking?
• Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a
hangover …
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www.ahrq.gov/prevention/guidelines/archive.html
July 01, 2018 - Clinical Practice Guidelines Archive
The National Guideline Clearinghouse™ taken down on July 16, 2018, because federal funding though AHRQ was no longer available to support them. Please visit AHRQ's Guidelines and Measures (GAM) microsite to find information about its legacy guidelines and measures cleari…
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psnet.ahrq.gov/issue/patient-reports-undesirable-events-during-hospitalization
March 28, 2011 - Study
Patient reports of undesirable events during hospitalization.
Citation Text:
Agoritsas T, Bovier PA, Perneger T. Patient reports of undesirable events during hospitalization. J Gen Intern Med. 2005;20(10):922-8.
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Google Scholar PubMed BibTeX End…
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psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis
November 18, 2011 - Book/Report
Maximize Patient Safety with Advanced Root Cause Analysis.
Citation Text:
Maximize Patient Safety with Advanced Root Cause Analysis. Corbett C, Clapper C, Johnson KM, et al. Middleton, MA: HCPro; 2004. ISBN: 1578393485
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www.ahrq.gov/news/newsroom/case-studies/cquips1302.html
December 01, 2012 - Main Line Health System Uses Patient Safety Culture Survey in Suburban Philadelphia Facilities
Search All Impact Case Studies
December 2012
Main Line Health System (MLH) in suburban Philadelphia has used AHRQ's "Hospital Survey on Patient Safety Culture" since 2009 in an ongoing effort to embed a reliable c…
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www.ahrq.gov/evidencenow/model/profiles/scenic-bluffs.html
March 01, 2021 - A Unique Take on Patient-Centered Care in Rural Wisconsin
"Working together to keep community members healthy is how we do things out here," says Ms. Jennifer Nottestad, Patient Care Manager at Scenic Bluffs Community Health Care Centers. "Because we're a Federally Qualified Health Center and relatively small, …
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-slides.html
December 01, 2017 - Sustaining and Spreading Surgical Safety Improvements: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Sustainability
Sustaining and Spreading Surgical Safety Improvements
Slide 2: Learning Objectives
After this session, you will be able to–
Define sus…
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
December 01, 2017 - Perioperative Staff Safety Assessment
AHRQ Safety Program for Surgery
Introduction
Problem Statement
One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety risks in the…
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psnet.ahrq.gov/issue/medication-safety-officers-handbook
September 01, 2018 - Book/Report
Medication Safety Officer's Handbook.
Citation Text:
Medication Safety Officer's Handbook. Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN: 9781585282104.
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psnet.ahrq.gov/issue/nurse-driven-system-improving-patient-quality-outcomes
October 12, 2011 - Commentary
A nurse-driven system for improving patient quality outcomes.
Citation Text:
Johnson K, Hallsey D, Meredith RL, et al. A nurse-driven system for improving patient quality outcomes. J Nurs Care Qual. 2006;21(2):168-175.
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Google Scholar PubMe…
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psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases
June 03, 2020 - Review
The evolution of error: error management, cognitive constraints, and adaptive decision-making biases.
Citation Text:
Johnson DDP, Blumstein DT, Fowler JH, et al. The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Trends Ecol Evo…
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psnet.ahrq.gov/node/47463/psn-pdf
October 17, 2018 - https://psnet.ahrq.gov/issue/my-human-doctor
https://psnet.ahrq.gov/issue/impact-feeling-responsible-adverse-events-doctors-personal-and-professional-lives-importance
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psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - A second victim is the
health care provider involved in the incident who feels in some way responsible … But even though
individuals are often not responsible at all for things that go wrong, they still feel … responsible. … If people really absorb that message, if they truly internalize that they're not responsible
for everything … that goes right with patients, and as a corollary, they're not always directly responsible when
things
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digital.ahrq.gov/ahrq-funded-projects/workshop-interactive-systems-healthcare-wish-2012/final-report
January 01, 2012 - Report
The findings and conclusions in this document are those of the author(s), who are responsible
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psnet.ahrq.gov/node/45949/psn-pdf
July 11, 2017 - Recommendations include involving the patient in
reconciliation and clarifying which provider is responsible
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psnet.ahrq.gov/node/40818/psn-pdf
October 05, 2011 - fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-
radiographs
Technically inadequate radiographs were responsible
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digital.ahrq.gov/ahrq-funded-projects/2011-2013-workshop-health-it-and-economics/final-report
January 01, 2013 - Report
The findings and conclusions in this document are those of the author(s), who are responsible