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hcup-us.ahrq.gov/news/exhibit_booth/hcup_90_min_pres.jsp
December 01, 2022 - analyses, injury indicators, indicators for observation and ED services)
Hospital characteristics (teaching … Sampling Strata
Ownership/control
Bed side
Teaching status
Urban/rural location
U.S. … Sampling Strata
U.S. region
Urban/rural location
Teaching status
Ownership/control
Trauma … Sampling Strata
U.S. region
Urban/rural location
Teaching status
Size
Ownership/control … Sampling Strata
U.S. region
Bed size
Urban/rural location
Teaching status
Ownership/
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/redtoolkitforms.pdf
September 01, 2012 - : _______ Nurse: __________
Date: _______ Nurse: __________
Date Outstanding Patient Teaching … Conducted
Results
Expected
Who Will Follow Up on
the Result
Final teaching … Yes ____ No ____
Medicines reconciled with patient and medical team prior to final teaching? … Yes ____ No ____
National guidelines checked prior to final teaching? … Using clinical judgment, use this conversation to determine if further
recommendations, teaching, or
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool3_hosp_inv.docx
June 02, 2025 - Tool 3: Hospital Inventory
Tool 3: Hospital Inventory Tool
Purpose
Readmission reduction efforts at your hospital have likely proliferated over the past several years, and many of these efforts may have developed in isolation from each other. The purpose of this tool is to prompt a comprehensive inventory of all r…
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www.ahrq.gov/news/newsroom/case-studies/cp31103.html
October 01, 2014 - University of Missouri Uses AHRQ's Health Literacy Toolkit to Train and Coach Physicians
Search All Impact Case Studies
September 2011
The University of Missouri Center for Health Policy, through funding from Health Literacy Missouri, a nonprofit organization based in St. Louis, incorporated AHRQ's "Health …
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psnet.ahrq.gov/issue/patient-misidentification-oncology-care
March 22, 2006 - Commentary
Patient misidentification in oncology care.
Citation Text:
Patient misidentification in oncology care. Schulmeister L. Clin J Oncol Nurs. 2008;12:495-498.
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psnet.ahrq.gov/issue/measuring-team-performance-healthcare-review-research-and-implications-patient-safety
November 20, 2019 - Review
Measuring team performance in healthcare: review of research and implications for patient safety.
Citation Text:
Jeffcott SA, Mackenzie CF. Measuring team performance in healthcare: review of research and implications for patient safety. J Crit Care. 2008;23(2):188-96. doi:10.10…
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psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
June 30, 2011 - Commentary
Mortality as a measure of quality: implications for palliative and end-of-life care.
Citation Text:
Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care. JAMA. 2007;298(7):802-804.
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psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
March 13, 2024 - Commentary
A performance improvement plan to increase nurse adherence to use of medication safety software.
Citation Text:
Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.0…
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psnet.ahrq.gov/issue/case-study-webinar-series-clinician-burnout-ohio-state-university
September 28, 2022 - Webinar
Case Study Webinar Series on Clinician Burnout: The Ohio State University
Citation Text:
Case Study Webinar Series on Clinician Burnout: The Ohio State University NAM Action Collaborative on Clinician Well-Being and Resilience. Case Study Webinar Series on Clinician Burnout: The …
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psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patient-safety
July 11, 2018 - Commentary
Nurses and patients: natural partners to advance patient safety
Citation Text:
Ricciardi R, Shofer M. Nurses and Patients: Natural Partners to Advance Patient Safety. J Nurs Care Qual. 2019;34(1):1-3. doi:10.1097/NCQ.0000000000000377.
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psnet.ahrq.gov/issue/recognizing-importance-whistleblowers-healthcare
June 24, 2009 - Commentary
Recognizing the importance of whistleblowers in healthcare.
Citation Text:
O'Neill N. Recognizing the importance of whistleblowers in healthcare. Nursing (Brux). 2021;51(4):54-56. doi:10.1097/01.nurse.0000736912.14380.65.
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DOI Google Scholar …
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psnet.ahrq.gov/issue/confronting-racism-pediatric-care
February 22, 2023 - Commentary
Confronting racism in pediatric care.
Citation Text:
Danielson B. Confronting racism in pediatric care. Health Affairs. 2022;41(11):1681-1685. doi:10.1377/hlthaff.2022.01157.
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psnet.ahrq.gov/issue/patient-safety-and-technology
June 24, 2009 - Commentary
Patient safety and technology.
Citation Text:
Henneman EA. Patient safety and technology. AACN Adv Crit Care. 2009;20(2):128-132. doi:10.1097/NCI.0b013e3181a0b468.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug-reports
October 19, 2022 - Commentary
Nurses improve medication safety with medication allergy and adverse drug reports.
Citation Text:
Valente S, Murray L, Fisher D. Nurses improve medication safety with medication allergy and adverse drug reports. J Nurs Care Qual. 2007;22(4):322-7.
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psnet.ahrq.gov/issue/evaluating-effectiveness-health-care-teams
September 20, 2023 - Review
Evaluating the effectiveness of health care teams.
Citation Text:
Mickan SM. Evaluating the effectiveness of health care teams. Aust Health Rev. 2005;29(2):211-7.
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psnet.ahrq.gov/issue/two-decades-err-human-progress-still-chasm
January 23, 2019 - Special or Theme Issue
Two decades since To Err Is Human: progress, but still a "chasm".
Citation Text:
Dzau VJ, Shine KI. Two Decades Since To Err Is Human. JAMA. 2020;324(24):2489-2490. doi:10.1001/jama.2020.23151.
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psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery
January 07, 2019 - Book/Report
Do No Harm: Stories of Life, Death, and Brain Surgery.
Citation Text:
Do No Harm: Stories of Life, Death, and Brain Surgery. Marsh H. New York, NY: Thomas Dunne Books; 2015. ISBN: 9781250065810.
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psnet.ahrq.gov/issue/focus-computerized-provider-order-entry
March 11, 2020 - Special or Theme Issue
Focus on Computerized Provider Order Entry.
Citation Text:
Focus on Computerized Provider Order Entry. J Am Med Inform Assoc. 2007 Jan-Feb;14(1):25-75
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psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
March 10, 2021 - Newspaper/Magazine Article
Classic
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman.
Citation Text:
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused deat…
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psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool
August 08, 2012 - Commentary
Strengthening the medical error "meme pool."
Citation Text:
Mazer BL, Nabhan C. Strengthening the Medical Error "Meme Pool". J Gen Intern Med. 2019;34(10):2264-2267. doi:10.1007/s11606-019-05156-7.
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