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psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
September 02, 2014 - Book/Report
Fluorouracil Incident Root Cause Analysis Report.
Citation Text:
Fluorouracil Incident Root Cause Analysis Report. Toronto, CA: Institute for Safe Medication Practices Canada; May 2007.
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psnet.ahrq.gov/issue/reading-signals-maternity-and-neonatal-services-east-kent-report-independent-investigation
February 19, 2020 - Book/Report
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation.
Citation Text:
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. Kirkup B. Department of Healt…
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www.ahrq.gov/npsd/how-does-npsd-work/index.html
February 01, 2024 - How Does the NPSD Work?
Information known as Patient Safety Work Product (PSWP) is developed by providers and AHRQ-listed Patient Safety Organizations (PSOs) . This information is submitted by PSOs to the Patient Safety Organization Privacy Protection Center (PSOPPC) using the AHRQ Common Formats for Event…
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www.ahrq.gov/data/apcd/backgroundrpt/conclusion.html
April 01, 2017 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases
Conclusion and Future Directions
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Table of Contents
Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Cl…
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psnet.ahrq.gov/issue/top-10-medical-technology-hazards-2020-announced
May 01, 2019 - Newspaper/Magazine Article
Top 10 medical technology hazards of 2020 announced.
Citation Text:
Top 10 medical technology hazards of 2020 announced. Cheney C. HealthLeaders Media. October 8, 2019.
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meps.ahrq.gov/about_meps/workshops_events.jsp
Medical Expenditure Panel Survey Workshops and Events
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An official website of the Department of Health & Human Services
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meps.ahrq.gov/mepsweb/about_meps/workshops_events.jsp
Medical Expenditure Panel Survey Workshops and Events
Skip to main content
An official website of the Department of Health & Human Services
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digital.ahrq.gov/program-overview/research-stories/visual-learning-displaying-data-hypertension-management
January 01, 2023 - Visual Learning: Displaying the Data for Hypertension Management
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Optimizing Data Visualization to Improve Care
A clinical decision support tool helps patients and physicians use at-home measured blood pressure data to better understa…
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psnet.ahrq.gov/issue/delivering-right-diet-right-patient-every-time
March 27, 2018 - Government Resource
Delivering the right diet to the right patient every time.
Citation Text:
Delivering the right diet to the right patient every time. Wallace SC. PA-PSRS Patient Saf Advis. 2015;12:62-70.
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digital.ahrq.gov/organization/rti-international
January 01, 2023 - RTI International
Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions
Description
This research supported the testing of two interoperable Substitutable Medical Applications Reusable Technologies (SMART®) on Fast Healthcare Interoperability R…
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psnet.ahrq.gov/training-education
October 01, 2025 - Training and Education Overview
PSNet offers an unparalleled set of resources for patient safety training and education. In this section, you will have the opportunity to read WebM&M (Morbidity & Mortality) Spotlight Cases and complete the interactive learning modules for continuing medical education (CME), maintenan…
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/cahptab.html
December 01, 2017 - Factors for Selecting Performance Measures
The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.
Factors
CAHPS®
HCUP QIs
HEDIS®
Title V
Suitable for comparing?
Yes, if CAHPS® specifications followed.
Not designed for com…
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psnet.ahrq.gov/issue/safer-place-patients-learning-improve-patient-safety-0
June 22, 2016 - Book/Report
A Safer Place for Patients: Learning to Improve Patient Safety.
Citation Text:
A Safer Place for Patients: Learning to Improve Patient Safety. House of Commons Committee on Public Accounts. London: The Stationery Office Limited; June 2006.
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psnet.ahrq.gov/issue/invisible-gorilla-and-other-ways-our-intuitions-deceive-us
June 10, 2015 - Book/Report
The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us.
Citation Text:
The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us. Chabris C, Simons D. New York, NY: Crown Publishing Group; 2010. ISBN: 0307459659.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsrptexecsum_0.pdf
March 01, 2018 - 2018 Hospital SOPS Database Report Executive Summary Infograpic
Surveys on Patient Safety Culture™
EXECUTIVE SUMMARY
2018 HOSPITAL SURVEY DATABASE
This overview of survey findings summarizes how hospital employees perceive 12 areas of patient safety
culture based on the 2018 Hospital Survey on Patient Safety CUi…
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psnet.ahrq.gov/issue/daisy-award-extraordinary-nurses-patient-safety
June 28, 2018 - Award Announcement
DAISY Award for Extraordinary Nurses in Patient Safety.
Citation Text:
DAISY Award for Extraordinary Nurses in Patient Safety. The Daisy Foundation and Institute for Healthcare Improvement.
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-j.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Appendix J. Urinary Catheter Brochure
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Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Overvi…
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psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring
September 06, 2011 - Multi-use Website
Focus on HARM (Harmonizing Accountability in Reporting and Monitoring).
Citation Text:
Focus on HARM (Harmonizing Accountability in Reporting and Monitoring). National Quality Forum.
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www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/overview.html
July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit
Overview
Previous Page Next Page
Table of Contents
Pediatric Asthma Emergency Department Use Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
Asthma affects approximately 1 in…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-bayliss.pdf
June 02, 2025 - Models of High Value Care for Persons with Multiple Chronic Conditions: Slide Presentation
Models of High Value Care for Persons with
Multiple Chronic Conditions
Elizabeth A. Bayliss, MD, MSPH
Institute for Health Research, Kaiser Permanente Colorado
Lucy A. Savitz, PhD, MBA
Center for Health Research, Kaiser Perm…