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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/woods-k-et-al-2000
January 01, 2000 - Woods K et al. 2000 "Sickle cell disease telemedicine network for rural outreach."
Reference
Woods KF, Johnson JA, Kutlar A, et al. Sickle cell disease telemedicine network for rural outreach. J Telemed Telecare 2000;6(5):285-290.
Abstract
"The Medical College of Georgia (MCG) Sickle Cell Cent…
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psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-chemotherapy-orders
March 04, 2015 - Commentary
Start using a checklist, PRONTO: recommendation for a standard review process for chemotherapy orders.
Citation Text:
Crandell BC, Bates JS, Grgic T. Start using a checklist, PRONTO: Recommendation for a standard review process for chemotherapy orders. J Oncol Pharm Pract. 201…
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psnet.ahrq.gov/node/60556/psn-pdf
June 03, 2020 - The impact of technology on prescribing errors in
pediatric intensive care: a before and after study.
June 3, 2020
Howlett MM, Butler E, Lavelle KM, et al. The impact of technology on prescribing errors in pediatric
intensive care: a before and after study. Appl Clin Inform. 2020;11(02). doi:10.1055/s-0040-1709508.…
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psnet.ahrq.gov/node/836772/psn-pdf
March 23, 2022 - Error reduction in trauma care: lessons from an
anonymized, national, multicenter mortality reporting
system.
March 23, 2022
Hamad DM, Mandell SP, Stewart RM, et al. Error reduction in trauma care: Lessons from an anonymized,
national, multicenter mortality reporting system. J Trauma Acute Care Surg. 2022;92(3):47…
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psnet.ahrq.gov/node/46894/psn-pdf
June 20, 2018 - Smart pump custom concentrations without hard "low
concentration" alerts can lead to patient harm.
June 20, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 31, 2018;23:1-4.
https://psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-
lead-patient-harm
Smart p…
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psnet.ahrq.gov/node/44321/psn-pdf
July 08, 2015 - Move toward full use of metric dosing: eliminate dosage
cups that measure liquids in fluid drams. Use cups that
measure mL.
July 8, 2015
National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American
Society of Health-System Pharmacists. June 30, 2015.
https://psnet.ahrq.gov/…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/sbar-inpatient-guide.pdf
June 02, 2025 - TeamSTEPPS Video Debrief Guide: SBAR on Inpatient Medical Unit
TeamSTEPPS Video Debrief Guide: SBAR on Inpatient
Medical Unit
Video Objective
To demonstrate each step of SBAR and emphasize the importance of standard communication and use
of the tool.
TeamSTEPPS Tool or Concept
SBAR.
Brief Video Descriptio…
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www.ahrq.gov/patient-safety/settings/emergency-dept/index.html
July 01, 2025 - AHRQ's Quality & Patient Safety Programs by Setting: Emergency Department
Design Guidelines for Trauma Rooms is an evidence-based set of recommendations covering 27 key design elements for trauma room and trauma center design planning. These actionable insights support architects, clinicians, and policymakers …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/prevention-skills.html
March 01, 2017 - Practice General Infection Prevention Skills
A Unit Guide To Infection Prevention for Long-Term Care Staff ( PDF , 2.97 MB)
This guide provides frontline and other staff with basic knowledge about long-term care facility infection prevention guidelines.
Standard- and Transmission-Based Precautions
Educ…
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psnet.ahrq.gov/node/37706/psn-pdf
December 23, 2016 - Preventing pediatric medication errors.
December 23, 2016
Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4.
https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors
The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk
and to p…
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psnet.ahrq.gov/node/866271/psn-pdf
July 10, 2024 - A taxonomy for advancing systematic error analysis in
multi-site electronic health record-based clinical concept
extraction.
July 10, 2024
Fu S, Wang L, He H, et al. A taxonomy for advancing systematic error analysis in multi-site electronic
health record-based clinical concept extraction. J Am Med Inform Assoc. 2…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017795-eisenstein-final-report-2012.pdf
January 01, 2012 - The system was based on
HL7 standards for decision support and utilized routinely available claims and … To detect care transitions, we developed a standards-based
decision support tool known as CFMCDSS ( … developed and implemented an approach for proactive population-
oriented health care management using standards-based … Proactive
population health management in the context of a
regional health information exchange using standards
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/dementia-nursing-home-characteristics_research-protocol.pdf
November 03, 2011 - There are no
national standards of RC/AL, and the diversity among residences is striking. … Budget
Reconciliation Act (OBRA) of 1987 (Public Law 100-203), which established
new regulatory standards … Studies of different duration that may have various implications for applicability
Setting:
Standards … of care that differ markedly from setting of interest (e.g., varying
practice standards from State
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - agencies in every state to survey NHs to ensure the care provided to residents meets quality and safety standards … their community’s reopening. 67 The re-openings were to occur over three phases, and the guidance set standards … Center for Clinical Standards and Quality/Quality, Safety & Oversight Group. … [Available at] Centers for Medicare and Medicaid Services, Center for Clinical Standards and Quality
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs025618-solberg-final-report-2023.pdf
January 01, 2023 - on ISOQOL (International Society for Quality of Life
Research) member recommendations for minimum standards … Kodalek et al took them to task for doing
so without any patient input.22 Finally, in its report on Standards … ISOQOL
recommends minimum standards for patient-reported outcome measures used in patient-centered … Enhancing the patient's voice: standards in the design and selection of patient-
reported outcomes measures
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www.ahrq.gov/sites/default/files/2024-01/jones1-report.pdf
January 01, 2024 - Besides being included on the Nursing Home Compare report
card, The Joint Commission has issued standards … improve pain practices included
the following:
• Comprehensive pain resource binder – contained CPGs, standards … The Joint Commission also issued its
pain standards as we were conducting the study. … environmental changes taking place during that time period (Nursing Home Compare,
Joint Commission Pain Standards
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
March 01, 2004 - Arizona requires reporting
of “an activity, policy, or practice that violates professional standards … regulatory bodies “deem” hospitals to satisfy
health and safety requirements if they have met JCAHO standards … Establishing health care performance
standards in an era of consumerism. … Committee
on Data Standards for Patient Safety, Board on Health
Care Services, Institute of Medicine
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/integrating-evidence_methods.pdf
February 01, 2015 - therefore, we focused on
providing guidance for areas in which the workgroup came to consensus on minimum standards … can assess whether an analysis was adequate and appropriate for the research
questions or current standards … In addition,
the development of new standards in the conduct of systematic reviews, such as the selection … In cases of different models for meta-analysis
were used, are there standards that can be established
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Rapid Response for Perinatal Safety
Rapid Response for Perinatal Safety
SAY:
The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also referred to as a rapid response system, for responding to urgent maternity care issues.
Slide …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-202-tech-specs.pdf
June 02, 2025 - Follow Up With Patient Family After Developmental Screening
eMeasure Title Follow-up with Patient Family after Developmental Screening
eMeasure
Identifier
(Measure
Authoring Tool)
274 eMeasure Version
number
0.0.003
NQF Number None GUID 289702e5-e416-4682-996e-
2382044cb0f0
Measurement
Period
January 1, 20xx th…