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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Alexander_10.pdf
January 20, 2008 - recommendations for the development of technologies to support clinical
decisionmaking, promote data standards … recognized for preventing widespread
development of nursing home IT include a lack of funding, ill-defined standards
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/chronic-cough_research-protocol.pdf
October 22, 2012 - Proposed reference standard will be cough counts
• KQ 2: All of the above-listed interventions compared … Inclusion Criteria Exclusion Criteria
Comparators • KQ 1 (instruments): Other instruments; the
proposed reference … standard will be cough
counts
• KQ 2 (interventions): All of the above-listed
interventions compared … Guidance documents will be drafted and provided to the researchers to aid both
reproducibility and standardization … In addition, we will describe
comparators carefully as treatment standards may have changed during the
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
February 01, 2025 - Implement recommended standards for LTVV. Slide 3: What is Low Tidal Volume Ventilation?
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psnet.ahrq.gov/node/43491/psn-pdf
January 01, 2015 - The systems approach to medicine: controversy and
misconceptions.
December 9, 2014
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.
https://psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconcept…
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hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_1_4.jsp
January 01, 2005 - Exhibit 1.4. Admission Source
Exhibit 1.4. Admission Source
Number and Distribution of Hospital Inpatient Stays by Admission Source, 2005
Admission Source
Total Number of Discharges
Percent Distribution
Standard Errors
All admission sources
39,163,800
100
765,017
Routine
…
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psnet.ahrq.gov/node/40686/psn-pdf
June 10, 2018 - Oral solid medication appearance should play a greater
role in medication error prevention.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition. July 28, 2011;16:1-3.
https://psnet.ahrq.gov/issue/oral-solid-medication-appearance-should-play-greater-role-medication-error-
prevention
This article suggest…
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psnet.ahrq.gov/node/38341/psn-pdf
April 02, 2009 - CPOE: it don't come easy.
April 2, 2009
Anderson HJ. CPOE: it don't come easy. Health Data Manag. 2009;17(1):18-20, 22, 24 passim.
https://psnet.ahrq.gov/issue/cpoe-it-dont-come-easy
Although shifting from paper-based or verbal orders to computerized physician order entry (CPOE)
systems could reduce medical errors…
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psnet.ahrq.gov/node/38024/psn-pdf
August 27, 2008 - Promoting patient safety using an early warning scoring
system.
August 27, 2008
Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring
system. Nurs Stand. 2008;22(44):35-40.
https://psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system
Imp…
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psnet.ahrq.gov/node/37727/psn-pdf
April 30, 2008 - Ambiguous abbreviations: an audit of abbreviations in
paediatric note keeping.
April 30, 2008
Sheppard JE, Weidner LCE, Zakai S, et al. Ambiguous abbreviations: an audit of abbreviations in
paediatric note keeping. Arch Dis Child. 2008;93(3):204-6.
https://psnet.ahrq.gov/issue/ambiguous-abbreviations-audit-abbrevi…
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psnet.ahrq.gov/node/37205/psn-pdf
December 14, 2007 - Health IT implementation stories: HANDS care plan tool
seeks to improve nurse communication at handoff in
AHRQ-funded study.
December 14, 2007
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/health-it-implementation-stories-hands-care-plan-tool-seeks-improve-nurse-
communication
This art…
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psnet.ahrq.gov/node/40147/psn-pdf
January 19, 2011 - Assessing the quality of patient handoffs at care
transitions.
January 19, 2011
Manser T, Foster S, Gisin S, et al. Assessing the quality of patient handoffs at care transitions. Qual Saf
Health Care. 2010;19(6):e44. doi:10.1136/qshc.2009.038430.
https://psnet.ahrq.gov/issue/assessing-quality-patient-handoffs-care…
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effectivehealthcare.ahrq.gov/sites/default/files/dyspnea-advanced-cancer-summary-1.pdf
November 01, 2020 - Interventions for Breathlessness in Patients With Advanced Cancer: Evidence Summary
Comparative Effectiveness Review
Number 232
Interventions for Breathlessness in
Patients With Advanced Cancer
Evidence Summary
Main Points
For patients with advanced cancer:
• Airflow interventions (fans) were …
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digital.ahrq.gov/ahrq-funded-projects/home-heart-failure-hf-care-comparing-patient-driven-technology-models
January 01, 2023 - Home Heart Failure (HF) Care: Comparing Patient-Driven Technology Models
Project Final Report ( PDF , 74.16 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 …
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www.ahrq.gov/news/newsletters/e-newsletter/924.html
August 01, 2024 - Intervention Leads to Increase in Lung Cancer Screenings
Issue Number
924
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
August 6, 2024
AHRQ Stats Access more data on this topic in AHRQ's 2023 Chartbook on Patient Safety (PDF, 4 MB), plus additional AHRQ …
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/patient-centered-care-plans
June 01, 2022 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
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The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-252-infantile-epilepsies-executive-summary.pdf
October 01, 2022 - Executive Summary_Comparative Effectiveness Review No. 252: Management of Infantile Epilepsies
Comparative Effectiveness Review
Number 252
Management of Infantile Epilepsies
Executive Summary
Main Points
Background and Purpose
Infantile epilepsies have serious short-term health risks and may lead to signific…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-team-assessment-tool.pdf
February 01, 2022 - TeamSTEPPS® Diagnosis Improvement: Team Assessment Tool
TeamSTEPPS® Team Assessment Tool
for Improving Diagnosis – Instructions
How to use this Team Assessment Tool
This tool assesses the maturity level of your healthcare setting in five critical teamwork
domains: Team Structure, Communication, Leadership, Situat…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new_sops_diagnostic_safety-schiff.pdf
January 01, 2020 - New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Schiff
Background and importance of diagnostic safety:
Culture of diagnostic safety in medical offices
Gordon (Gordy) Schiff, MD
Associate Director Center for Patient Safety Research and Practice
Brigham and Women's Hospital Div. General Medi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - Learn From Defects Tool
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be harmed. Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect.
Wh…
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digital.ahrq.gov/ahrq-funded-projects/improving-recognition-and-management-hypertension-youth-comparing-approaches
July 31, 2025 - Improving Recognition and Management of Hypertension in Youth: Comparing Approaches for Extending Effective CDS for use in a Large Rural Health System
Project Description
Publications
Research Story
Patient-specific and evidence-based treatment recommendations for …