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psnet.ahrq.gov/issue/minimize-medication-errors-urgent-care-clinics
March 29, 2023 - Newspaper/Magazine Article
Minimize medication errors in urgent care clinics.
Citation Text:
Minimize medication errors in urgent care clinics. Coffey SB. American Nurse Journal. Epub March 2, 2023.
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www.ahrq.gov/news/newsroom/case-studies/ktcquips32.html
October 01, 2014 - North Dakota Critical Access Hospitals Use AHRQ TeamSTEPPS® to Improve Patient Safety
Search All Impact Case Studies
January 2010
The University of Nebraska Medical Center customized the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) curriculum for use in critical access h…
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psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead
April 21, 2015 - Newspaper/Magazine Article
Quality and patient safety. Engaging your board to take the lead.
Citation Text:
Bader BS. Quality and patient safety. Engaging your board to take the lead. Healthcare executive. 2006;21(2):64, 66-7.
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psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
July 13, 2022 - Book/Report
Nebraska Coalition for Patient Safety Annual Report.
Citation Text:
Nebraska Coalition for Patient Safety Annual Report. Omaha, NE: Nebraska Coalition for Patient Safety; 2022.
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psnet.ahrq.gov/issue/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals
May 01, 2017 - Webinar
New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals.
Citation Text:
New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 16, 2021.
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psnet.ahrq.gov/issue/team-training-program-using-human-factors-enhance-patient-safety
January 24, 2024 - Commentary
A team training program using human factors to enhance patient safety.
Citation Text:
Marshall DA, Manus DA. A Team Training Program Using Human Factors to Enhance Patient Safety. AORN J. 2007;86(6). doi:10.1016/j.aorn.2007.11.026.
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psnet.ahrq.gov/issue/patient-safety-and-patient-error
June 02, 2010 - Commentary
Patient safety and patient error.
Citation Text:
Buetow S, Elwyn G. Patient safety and patient error. Lancet. 2007;369(9556):158-61.
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psnet.ahrq.gov/issue/feds-move-rein-prior-authorization-system-harms-and-frustrates-patients
June 01, 2022 - Newspaper/Magazine Article
Feds move to rein in prior authorization, a system that harms and frustrates patients.
Citation Text:
Feds move to rein in prior authorization, a system that harms and frustrates patients. Sausser L. Kaiser Health News. March 13, 2023.
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psnet.ahrq.gov/issue/adverse-outpatient-drug-events-problem-and-opportunity
April 12, 2011 - Commentary
Adverse outpatient drug events—a problem and an opportunity.
Citation Text:
Tierney WM. Adverse outpatient drug events--a problem and an opportunity. N Engl J Med. 2003;348(16):1587-9.
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psnet.ahrq.gov/issue/electronic-data-collection-using-medwatchplus-portal-and-rational-questionnaire
July 03, 2013 - Government Resource
Electronic data collection using MedWatchPlus portal and rational questionnaire.
Citation Text:
Electronic data collection using MedWatchPlus portal and rational questionnaire. Shuren J. Federal Register. October 23, 2008;73:63153-63157.
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psnet.ahrq.gov/issue/art-apology-when-and-how-seek-forgiveness
May 17, 2023 - Commentary
The art of apology: when and how to seek forgiveness.
Citation Text:
The art of apology: when and how to seek forgiveness. Roberts RG. Fam Pract Manag. 2007;14(7):44-49.
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psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
March 30, 2022 - Commentary
White blood cell left shift in a neonate: a case of mistaken identity.
Citation Text:
White blood cell left shift in a neonate: a case of mistaken identity. Mohamed IS; Wynn RJ; Cominsky K; Reynolds AM; Ryan RM; Kumar VH; Lakshminrusimha S.
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psnet.ahrq.gov/issue/computer-viruses-are-rampant-medical-devices-hospitals
February 21, 2024 - Newspaper/Magazine Article
Computer viruses are "rampant" on medical devices in hospitals.
Citation Text:
Computer viruses are "rampant" on medical devices in hospitals. Talbot D. MIT Technology Review. October 17, 2012.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sca-key-drive-diagram.pdf
June 02, 2025 - Sickle Cell Anemia Preventive Care Key Driver Diagram
Establish contact and messaging system with SCA
patients, families, providers, and health plans.
Customizable messaging types depending on patient
preference.
Develop care coordinator programs for SCA. Community
outreach to homes of noncompliant patients to as…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-liquid-iodophor.pdf
March 01, 2022 - Just in Time Training: Chlorhexidine Basin Bathing or Showering Plus Nasal Iodophor
AHRQ Pub. No. 20(22)-0036
March 2022
Decolonization of Non-ICU Patients With Devices
Section 11-4 – Just-in-Time Training:
Chlorhexidine Basin Bathing or Showering Plus Nasal Iodophor
What Is Targeted Decolonization?
Our h…
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psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse
February 17, 2021 - Newspaper/Magazine Article
Ensuring critical instruments and devices are appropriate for reuse.
Citation Text:
Ensuring critical instruments and devices are appropriate for reuse. Quick Safety. February 14, 2022;(64):1-3.
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psnet.ahrq.gov/issue/medical-mistakes-are-more-likely-women-and-minorities
November 01, 2017 - Newspaper/Magazine Article
Medical mistakes are more likely in women and minorities.
Citation Text:
Medical mistakes are more likely in women and minorities. Szabo L. NBC News. January 15, 2024.
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www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/key-drivers.html
July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit
Key Driver Diagram
Previous Page Next Page
Table of Contents
Pediatric Asthma Emergency Department Use Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
Successful quality impr…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-tables%201-7.pdf
June 02, 2025 - Tables 1-7
Table 1. Contingency Table for Presence of Chart Review Exclusions
Senior Abstractor
Identified Chart-Based Exclusion
Present Absent Total
Abstractor
Identified Chart-Based Exclusion
Present 67 2 69
Absent 0 372 372
Total 67 374 441
Table 2. Contingency Table for Presence of S…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-6.pdf
June 02, 2025 - Measure 1, Section 2, Attachment 6
SNAC Submission Form Measure 1: Accurate ADHD Diagnosis
Section 2: Detailed Measure Specifications
Attachment 6: Claims Data Specification Example
DRAFT Measure #1: Accurate Diagnosis of ADHD
Attention Deficit Hyperactivity Disorder (ADHD)
A. DESCRIPTION
Percentage of …