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psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics
April 21, 2021 - Organizational Policy/Guidelines
Disclosure of adverse events in pediatrics.
Citation Text:
Disclosure of adverse events in pediatrics. McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. P…
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psnet.ahrq.gov/issue/confusion-about-epinephrine-dosing-leading-iatrogenic-overdose-life-threatening-problem
August 04, 2021 - Commentary
Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.
Citation Text:
Kanwar M, Irvin CB, Frank JJ, et al. Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a p…
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psnet.ahrq.gov/issue/answers-improved-medication-reconciliation-lie-pharmacists
June 13, 2011 - Newspaper/Magazine Article
Answers to improved medication reconciliation lie with pharmacists.
Citation Text:
Answers to improved medication reconciliation lie with pharmacists. Barbella M. Drug Topics. November 19, 2007.
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psnet.ahrq.gov/issue/can-you-prevent-adverse-drug-events-after-hospital-discharge
September 09, 2009 - Commentary
Can you prevent adverse drug events after hospital discharge?
Citation Text:
Forster AJ. Can you prevent adverse drug events after hospital discharge? CMAJ. 2006;174(7):921-2.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary7.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Using Federal grants to build intellectual capital at the State level
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Table of Contents
Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Intr…
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www.ahrq.gov/talkingquality/translate/labels/measures.html
July 01, 2016 - Label Health Care Quality Measures in Plain English
The public does not speak the same language as health professionals. To reach the public, you will have to translate many terms that are common in the health world into the language of lay people. This includes not only medical terms but also those that po…
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www.ahrq.gov/talkingquality/translate/labels/describe.html
January 01, 2023 - Describe How a Plan or Provider Can Influence a Quality Measure
For some measures, it may be necessary to explain what the plan or provider can do to improve its performance. Providers are often concerned that they are being rated on measures over which they believe they have limited influence. When the public …
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www.ahrq.gov/news/newsroom/case-studies/202302.html
September 01, 2023 - American College of Obstetricians and Gynecologists Creates Perinatal Mental Health Clinical Practice Guidelines Using AHRQ Research
Search All Impact Case Studies
September 2023
The American College of Obstetricians and Gynecologists (ACOG) relies on AHRQ’s Effective Health Care Program systematic reviews…
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psnet.ahrq.gov/issue/make-no-mistake-about-it-chain-pharmacies-are-finding-innovative-ways-combat-medication
May 20, 2020 - Newspaper/Magazine Article
Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors.
Citation Text:
Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. Levy S. Drug Topics. July 9, 2007
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digital.ahrq.gov/2018-year-review/research-spotlights/prototype-computerized-provider-order-entry-system-reduced
January 01, 2018 - A Prototype Computerized Provider Order Entry System Reduced Medication Errors
Key Finding and Impact
A prototype CPOE was developed that allowed providers to record medication indications and showed them the drug of choice for that indication. Providers testing the prototype CPOE correctly placed medication …
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/2025-06/uspstf-public-engagement-fact-sheet_updated_2025.pdf
January 01, 2025 - The U.S. Preventive Services Task Force (USPSTF) is a scientifically independent group of national experts in
prevention and evidence-based medicine. The USPSTF works to improve the health of people nationwide by
making evidence-based recommendations about clinical preventive services such as screenings, counseling
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psnet.ahrq.gov/issue/cusp-method
October 23, 2019 - Toolkit
The CUSP Method
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The CUSP Method.
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www.ahrq.gov/cahps/consumer-reporting/guidelines/contents/index.html
March 01, 2016 - Contents of a CAHPS Report
One of the first steps in producing a CAHPS report is to decide what information to include. This page offers a brief overview of the kinds of information you may want to share with your audience.
To learn more about the topics to cover in a quality report, go to Explain and Motiva…
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psnet.ahrq.gov/issue/morphine-overdose-error-propagation-acute-pain-service-une-surdose-de-morphine-resultant-de
January 13, 2016 - Commentary
Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue].
Citation Text:
Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-actions.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Actions Based on Survey Results
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Table of Contents
Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
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psnet.ahrq.gov/issue/lewis-blackman-patient-safety-award
April 28, 2021 - Award Announcement
Lewis Blackman Patient Safety Award.
Citation Text:
Lewis Blackman Patient Safety Award. Chicago, IL: American College of Graduate Medical Education.
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psnet.ahrq.gov/issue/tragedy-advocacy
October 05, 2016 - Newspaper/Magazine Article
From tragedy to advocacy.
Citation Text:
DerGurahian J. From tragedy to advocacy. Modern healthc. 2009;39(36):6-7, 12, 1.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool3_hosp_inv.docx
June 02, 2025 - Tool 3: Hospital Inventory
Tool 3: Hospital Inventory Tool
Purpose
Readmission reduction efforts at your hospital have likely proliferated over the past several years, and many of these efforts may have developed in isolation from each other. The purpose of this tool is to prompt a comprehensive inventory of all r…
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psnet.ahrq.gov/issue/pediatric-quality-and-safety
August 01, 2018 - Newsletter/Journal
Pediatric Quality and Safety.
Citation Text:
Pediatric Quality and Safety. Brilli RJ, McClead RE Jr, eds. Alphen aan den Rijn, The Netherlands: Wolters Kluwer. ISSN: 2472-0054.
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www.ahrq.gov/evidencenow/model/profiles/mcmanus.html
March 01, 2021 - A Family Passion for Primary Care
"We grew up at the kitchen table talking about medicine," Mrs. Laurie McManus, registered nurse and practice manager at CP & RP McManus, MD, recalls. "Going into he alth care was very natural for us. You might say medicine runs through our blood." Laurie and her husband, Dr. Ch…