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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0064_11-23-2008.pdf
January 01, 2008 - Effective Health Care
Topic Number(s): 0118/0154
Document Completion Date: 6-25-09
1
Results of Topic Selection Process & Next Steps
Treatment of open-angle glaucoma will go forward for refinement as a comparative effectiveness or
effectiveness review. The scope of this topic, including pop…
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www.ahrq.gov/topics/surveys-patient-safety-culture.html
November 09, 2016 - Surveys on Patient Safety Culture
AHRQ’s Surveys on Patient Safety Culture (SOPS™) Program, develops and maintains surveys, toolkits, and databases on patient safety culture for hospitals, medical offices, nursing homes, community pharmacies, and ambulatory surgery centers.
Hospital …
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psnet.ahrq.gov/issue/misdiagnosis-more-common-drug-errors-or-wrong-site-surgery
March 13, 2013 - Newspaper/Magazine Article
Misdiagnosis is more common than drug errors or wrong-site surgery.
Citation Text:
Misdiagnosis is more common than drug errors or wrong-site surgery. Boodman SG. Washington Post. May 6, 2013.
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psnet.ahrq.gov/issue/guide-healthcare-quality-how-know-it-when-you-see-it
December 24, 2008 - Book/Report
Guide to Healthcare Quality: How to Know It When You See It.
Citation Text:
Guide to Healthcare Quality: How to Know It When You See It. Rockville, MD: Agency for Healthcare Research and Quality; 2005.
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www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-sdm-hp-adult.html
December 01, 2018 - Supplemental Items for the CAHPS Health Plan Adult Survey 5.0: Shared Decisionmaking
Population version: Adult
Download these items: English (Word, 28 KB)
Users of the CAHPS ® Health Plan Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, …
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www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-decisionmaking-cg30-child.html
December 01, 2018 - Supplemental Items for the CAHPS Clinician & Group Child Survey 3.0: Shared Decisionmaking
Population version: Child
Download these items: English (Word, 29 KB)
Users of the CAHPS Clinician & Group Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/supplemental-shareddecisionmaking-cgcahps-adult-2357-5a.docx
June 02, 2025 - CAHPS® Clinician & Group Survey 3.0 Supplemental Items: Shared Decisionmaking
Population Version: Adult
Supplemental Items for the CAHPS® Clinician & Group Survey 3.0
Topic: Shared Decisionmaking
Population Version: Adult
Language: English
Users of the CAHPS® Clinician & Group Survey are free to incorporate supp…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/supplemental-sdm-hp-adult-2157-5a.docx
June 02, 2025 - CAHPS® Health Plan Survey 5.0 Supplemental Items: Shared Decisionmaking
Population Version: Adult
Supplemental Items for the CAHPS® Health Plan Survey 5.0
Topic: Shared Decisionmaking
Population Version: Adult
Language: English
Users of the CAHPS® Health Plan Survey are free to incorporate supplemental items in …
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psnet.ahrq.gov/issue/tomorrows-operating-room-harness-net-rfid
September 09, 2015 - Newspaper/Magazine Article
Tomorrow's operating room to harness Net, RFID.
Citation Text:
Tomorrow's operating room to harness Net, RFID. Olsen S. CNET. October 19, 2005.
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psnet.ahrq.gov/issue/improving-health-care-quality-guide-patients-and-families
December 24, 2008 - Toolkit
Improving Health Care Quality: A Guide for Patients and Families.
Citation Text:
Improving Health Care Quality: A Guide for Patients and Families. Agency for Healthcare Research and Quality (AHRQ)
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psnet.ahrq.gov/issue/national-safety-standards-invasive-procedures-natssips
September 10, 2014 - Organizational Policy/Guidelines
National Safety Standards for Invasive Procedures (NatSSIPs2).
Citation Text:
National Safety Standards for Invasive Procedures (NatSSIPs2). Centre for Perioperative Care. London, UK; January 2023.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools.html
July 01, 2017 - Training and Tools for Implementation
Improving Communication and Teamwork in the Surgical Environment
PowerPoint Slide Set ( PPTX , 8 MB; Text Version )
Facilitator Notes ( Word File , 5 MB; Text Version )
Material Use Guide ( Word File , 1 MB; Text Version )
Tools
Learn From Defects Tool …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0765-150129.pdf
November 03, 2014 - Topic 0613 Tympanostomy Tubes NSD FINAL
Tympanostomy Tubes in Children
Nomination Summary Document
Results of Topic Selection Process & Next Steps
§ Th…
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psnet.ahrq.gov/web-mm/over-counter-oversight
March 21, 2009 - Over-the-Counter Oversight
Citation Text:
Janamanchi V, Modha K, Whinney C. Over-the-Counter Oversight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
Google Scholar BibTeX EndNote X3 XML End…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4g
Selected Best Practices and Suggestions for Improvement
PDI 09: Postoperative Respiratory Failure
Why focus on postoperative respiratory fail…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4u
Selected Best Practices and Suggestions for Improvement
PDI 09: Postoperative Respiratory Failure
Why focus on postoperative respiratory failure in chi…
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psnet.ahrq.gov/node/842771/psn-pdf
January 18, 2023 - Am I safe? An interpretative phenomenological analysis
of vulnerability as experienced by patients with
complications following surgery.
January 18, 2023
Sutton E, Booth L, Ibrahim M, et al. Am I safe? An interpretative phenomenological analysis of vulnerability
as experienced by patients with complications follow…
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psnet.ahrq.gov/node/848810/psn-pdf
May 10, 2023 - Factors contributing to preventing operating room "never
events": a machine learning analysis.
May 10, 2023
Arad D, Rosenfeld A, Magnezi R. Factors contributing to preventing operating room “never events”: a
machine learning analysis. Patient Saf Surg. 2023;17(1):6. doi:10.1186/s13037-023-00356-x.
https://psnet.ah…
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psnet.ahrq.gov/node/43751/psn-pdf
February 11, 2015 - Perceptions of time spent on safety tasks in surgical
operations: a focus group study.
February 11, 2015
Høyland S, Haugen AS, Thomassen Ø. Perceptions of time spent on safety tasks in surgical operations: A
focus group study. Saf Sci. 2014;70. doi:10.1016/j.ssci.2014.05.009.
https://psnet.ahrq.gov/issue/perceptio…
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psnet.ahrq.gov/node/43981/psn-pdf
April 22, 2015 - National Aeronautics and Space Administration "threat
and error" model applied to pediatric cardiac surgery:
error cycles precede ?85% of patient deaths.
April 22, 2015
Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and
error" model applied to pediatric cardiac sur…