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psnet.ahrq.gov/node/39837/psn-pdf
September 15, 2010 - The efficacy of medical team training: improved team
performance and decreased operating room delays: a
detailed analysis of 4863 cases.
September 15, 2010
Wolf FA, Way LW, Stewart L. The efficacy of medical team training: improved team performance and
decreased operating room delays: a detailed analysis of 4863 c…
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psnet.ahrq.gov/node/44882/psn-pdf
July 18, 2016 - An ethical framework for allocating scarce life-saving
chemotherapy and supportive care drugs for childhood
cancer.
July 18, 2016
Unguru Y, Fernandez C, Bernhardt B, et al. An Ethical Framework for Allocating Scarce Life-Saving
Chemotherapy and Supportive Care Drugs for Childhood Cancer. J Natl Cancer Inst. 2016;1…
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psnet.ahrq.gov/node/43690/psn-pdf
March 26, 2015 - Improving healthcare systems' disclosures of large-scale
adverse events: a Department of Veterans Affairs
leadership, policymaker, research and stakeholder
partnership.
March 26, 2015
Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale adverse
events: a Department of Ve…
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psnet.ahrq.gov/node/42483/psn-pdf
January 22, 2014 - What patients think doctors know: beliefs about provider
knowledge as barriers to safe medication use.
January 22, 2014
Serper M, McCarthy D, Patzer RE, et al. What patients think doctors know: beliefs about provider
knowledge as barriers to safe medication use. Patient Educ Couns. 2013;93(2):306-11.
doi:10.1016/j…
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psnet.ahrq.gov/node/44958/psn-pdf
March 09, 2016 - The Sepsis Early Recognition and Response Initiative
(SERRI).
March 9, 2016
Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt
Comm J Qual Patient Saf. 2016;42(3):122-138.
https://psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri
Early …
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psnet.ahrq.gov/node/42298/psn-pdf
December 31, 2014 - Using statistical text classification to identify health
information technology incidents.
December 31, 2014
Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information
technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10.1136/amiajnl-2012-001409.
htt…
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psnet.ahrq.gov/node/41557/psn-pdf
August 01, 2012 - Signal and noise: applying a laboratory trigger tool to
identify adverse drug events among primary care
patients.
August 1, 2012
Brenner S, Detz A, Lopez A, et al. Signal and noise: applying a laboratory trigger tool to identify adverse
drug events among primary care patients. BMJ Qual Saf. 2012;21(8):670-5. doi:1…
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psnet.ahrq.gov/node/43653/psn-pdf
January 01, 2015 - Evaluating inpatient mortality: a new electronic review
process that gathers information from front-line
providers.
December 19, 2014
Provenzano A, Rohan S, Trevejo E, et al. Evaluating inpatient mortality: a new electronic review process
that gathers information from front-line providers. BMJ Qual Saf. 2015;24(1)…
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psnet.ahrq.gov/node/46299/psn-pdf
September 13, 2017 - Simulation-based assessment of the management of
critical events by board-certified anesthesiologists.
September 13, 2017
Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical
events by board-certified anesthesiologists. Anesthesiology. 2017;127(3):475-489.
doi:10.1097…
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psnet.ahrq.gov/node/45360/psn-pdf
July 27, 2016 - Communicating findings of delayed diagnostic evaluation
to primary care providers.
July 27, 2016
Meyer AND, Murphy DR, Singh H. Communicating Findings of Delayed Diagnostic Evaluation to Primary
Care Providers. J Am Board Fam Med. 2016;29(4):469-73. doi:10.3122/jabfm.2016.04.150363.
https://psnet.ahrq.gov/issue/co…
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psnet.ahrq.gov/node/43419/psn-pdf
October 20, 2014 - Impact of a reengineered electronic error-reporting
system on medication event reporting and care process
improvements at an urban medical center.
October 20, 2014
McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication
event reporting and care process improvements …
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/5w2h
January 01, 2023 - 5W2H
Also Known As
Five Ws and Two Hs
Who, What, When, Where, Why, How, How much
Description
5W2H is a tool that provides guiding questions when assessing a process or problem. The five W's-who, what, when, where, and why, and the two H's-how and how much - force you to consider various …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/038-ss-nasal-iodophor-protocol.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Pre-Op Surgical Nasal Iodophor Decolonization Protocol for Staff
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Background: Nasal Iodophor
· Does not require a physician order and can be used for nasal decoloni…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-material-guide.html
May 01, 2017 - Material Use Guide - Implementation Guide
Overview of Quality Improvement Study Components
A systematic approach to quality improvement work greatly increases the odds of achieving the desired outcomes of a given project. Adherence to a standardized framework ensures that all essential elements of a project a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/senior-leader-checklist.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: CEO/Senior Leader Checklist
AHRQ Safety Program for Perinatal Care
CEO/Senior Leader Checklist
CEO/Senior Leader Checklist
Who should use this tool: Senior leaders
Checklist Items
Leader Responsible
Date Initiated
1. Ensure all current and new employees receive Science o…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-written-statement.pdf
June 02, 2025 - Written Statement
I Section XIV: Additional Information
Complete information about the person submitting the material, Including:
Principal Investigator
Sarah Hudson Scholle, MPH. DrPH
Vice President, Research and Analysis
National Committee for Quality Assurance (NCOA)
110013th St. NW, Ste. 1000; Washington,…
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digital.ahrq.gov/national-webinars/transforming-healthcare-through-patient-generated-health-data-integration
January 01, 2023 - Transforming Healthcare through Patient-Generated Health Data Integration
Event Date:
February 22, 2022 | 1:00pm – 2:30pm ET
Event Materials:
Presentation Slides ( PDF , 7.7 MB).
Your browser does not support inline frames. Please go to https://youtu.be/wDfoK6vmT6w…
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digital.ahrq.gov/principal-investigator/brooks-harris-w
January 01, 2023 - Brooks, Harris W.
A hospital-randomized controlled trial of an educational quality improvement intervention in rural and small community hospitals in Texas following implementation of information technology.
Citation
Filardo G, Nicewander D, Hamilton C, et al. A hospital-rando…
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hcup-us.ahrq.gov/db/nation/kid/kid_statelevelestimates.jsp
February 01, 2022 - "Can I use older years of the KID that include State identifiers to do State-level estimates?"
AHRQ strongly advises researchers against using the KID to estimate State-specific statistics. Prior to 2012, State is available as a KID data element. However, these KID samples were not designed to yield a representativ…
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicaid-Pharmacy-Weighted.pdf
September 26, 2023 - Weighted Summary Statistics: PUF Medicaid Pharmacy File (Version 2)
15:39 Tuesday, September 26, 2023 1
Weighted Summary Statistics: PUF Medicaid Pharmacy File
Variable Variable Label
Count of
Non-missing
Values
(Unweighted)
Count of
Missing
Values
(Unweighted) Minimum Maximum Mean
Standard
Deviation
PER…