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psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-ags-beers-criteria-potentially-inappropriate
June 12, 2019 - Organizational Policy/Guidelines
American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.
Citation Text:
American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adul…
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www.ahrq.gov/talkingquality/measures/setting/long-term-care/hospice.html
January 01, 2023 - Measuring the Quality of Hospice Care
Hospice care is a set of services that allow patients in the final phase of life to spend their last days at home or a home-like setting rather than in a hospital. It is for patients who have decided that they would rather have comfort care while they remain alive than cura…
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment-instructions.pdf
December 01, 2023 - How to Complete the Practice Self-Assessment Tool for Opioid Use in Older Adults
www.ahrq.gov
How to Complete the Practice Self-Assessment Tool for Opioid Use in Older Adults
The Practice Self-Assessment Tool for Opioid Use in Older Adults (Self-Assessment tool) is for
primary care practices that want to improve…
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psnet.ahrq.gov/issue/walking-tightrope-balancing-risk-diagnostic-error-inpatient-pediatrics
May 29, 2019 - Commentary
Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics.
Citation Text:
Berkwitt A, Osborn R, Grossman M. Walking a Tightrope: Balancing the Risk of Diagnostic Error in Inpatient Pediatrics. Hosp Pediatr. 2016;6(9):566-8. doi:10.1542/hpeds.2016-0043…
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-challenge-health-care-professionals-and-institutions
April 19, 2017 - Commentary
Disclosing medical errors to patients: a challenge for health care professionals and institutions.
Citation Text:
Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/3_Deborah_Kilstein_slides_29-40.pdf
January 15, 2014 - Using the CAHPS Database to Compare, Report, and Improve Organizational Performance
CAHPS Sponsor Report
The ACAP Experience
Deborah Kilstein
ACAP Vice President, Quality Management and
Operational Support
January 15, 2014
29
Agenda
30
Who is ACAP?
Growing role of health plans
What …
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psnet.ahrq.gov/issue/first-year-who-surgical-safety-checklist-7148-otorhinolaryngological-operations-use-and-user
October 30, 2019 - Study
First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes.
Citation Text:
Helmiö P, Takala A, Aaltonen L-M, et al. First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes…
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psnet.ahrq.gov/issue/implementing-nurse-shadowing-program-first-year-medical-students-improve-interprofessional
January 15, 2025 - Commentary
Implementing a nurse-shadowing program for first-year medical students to improve interprofessional collaborations on health care teams.
Citation Text:
Jain A, Luo E, Yang J, et al. Implementing a nurse-shadowing program for first-year medical students to improve interprofessi…
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psnet.ahrq.gov/issue/we-meant-no-harm-yet-we-made-mistake-why-not-apologize-it-students-view
May 25, 2016 - Commentary
We meant no harm, yet we made a mistake; why not apologize for it? A student's view.
Citation Text:
Sanford DE, Fleming DA. We meant no harm, yet we made a mistake; why not apologize for it? A student's view. HEC Forum. 2010;22(2):159-69. doi:10.1007/s10730-010-9131-8.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf
December 01, 2020 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan
Workforce
Safety
Patricia McGaffigan, RN, MS, CPPS
pmcgaffigan@ihi.org; @Pmcgaffigan_IHI
mailto:pmcgaffigan@ihi.org
Why Workforce Safety Matters
Workforce safety is
essential for safe, high-
quality care and is
preconditional to …
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hcup-us.ahrq.gov/db/nation/nass/nasscorrections_2022.jsp
January 01, 2022 - 2021 NASS Known Data Issues
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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hcup-us.ahrq.gov/db/nation/neds/nedscorrections_2022.jsp
January 01, 2022 - 2022 NEDS Known Data Issues
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
December 23, 2008 - Commentary
Ambiguity and workarounds as contributors to medical error.
Citation Text:
Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630.
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psnet.ahrq.gov/issue/understanding-and-responding-adverse-events
July 19, 2019 - Commentary
Classic
Understanding and responding to adverse events.
Citation Text:
Vincent CA. Understanding and Responding to Adverse Events. New Engl J Med. 2003;348(11):1051-1056. doi:10.1056/nejmhpr020760.
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DOI Google Scho…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuilboer-mm-et-al-2006
January 01, 2006 - Kuilboer MM et al. 2006 "Computed critiquing integrated into daily clinical practice affects physicians' behavior - a randomized clinical trial with AsthmaCritic."
Reference
Kuilboer MM, van Wijk MAM, Mosseveld M, et al. Computed critiquing integrated into daily clinical practice affects physicians' b…
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psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
September 01, 2021 - Government Resource
Learning how to learn: compliance with patient safety alerts in the NHS.
Citation Text:
Learning how to learn: compliance with patient safety alerts in the NHS. Donaldson L. Chapter in: On the State of Public Health: Annual Report of the Chief Medical Officer. L…
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/40th-anniversary-timeline
January 01, 2006 - 40th Anniversary Timeline
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Celebrating 40 Years of Prevention Guidance
For 40 years, the U.S. Preventive Services Task Force (USPSTF or Task Force) has improved the…
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digital.ahrq.gov/pediatric-rules-and-reminders
January 01, 2023 - Pediatric Rules and Reminders
Executive Summary
Reminders are elements of clinical decision support (CDS) that can be an effective mechanism for improving adherence to clinical guidelines. Greater adherence can lead to improved health care quality and safety, especially for …
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digital.ahrq.gov/health-care-theme/clinical-workflow
January 01, 2023 - Clinical Workflow
Guiding the Safe and Effective Integration of Ambient Digital Scribes into Primary Care
Description
This study will develop a prototype guide for the safe and effective integration of ambient digital scribes into primary care, providing insights into how this…
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www.ahrq.gov/topics/care-coordination.html
January 01, 2014 - Care Coordination
Care coordination involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. This means that the patient's needs and preferences are known ahead of time a…