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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary7.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Using Federal grants to build intellectual capital at the State level
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Table of Contents
Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Intr…
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psnet.ahrq.gov/issue/medication-errors-involving-pediatric-patients
January 02, 2017 - Study
Medication errors involving pediatric patients.
Citation Text:
Santell JP, Hicks RW. Medication errors involving pediatric patients. Jt Comm J Qual Patient Saf. 2005;31(6):348-53.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
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psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-technologies-augment-patient-care
January 08, 2014 - Book/Report
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care.
Citation Text:
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Washington DC; United States Government Accountabil…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_12_WkWthAdv_HO_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 12)
Guide to Patient and Family Engagement :: 1
Working With Patient and Family Advisors
The benefits of working with
patient and family advisors
Bringing the perspectives of patients and families directly
into the planning, delivery, and evalu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/ed-workflowdiagrams.pdf
January 01, 2018 - Emergency Department Workflow Diagrams
Emergency Department
Workflow Diagrams
Ambulatory patient
arrives.
Provider assigns
patient to self and
evaluates patient.
Diagnostic testing
including labwork and
chest x-ray. Diagnosis
CAP?
Pursue other
diagnoses.
Inpatient treatment
warranted? Based on
clin…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter4.html
December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure
Chapter 4. Factors to Consider when Analyzing Data for Multiple Project Sites
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Table of Contents
ARRA ACTION: Comparative Effective…
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psnet.ahrq.gov/issue/review-article-influence-psychology-and-human-factors-education-anesthesiology
January 13, 2010 - Review
Review article: the influence of psychology and human factors on education in anesthesiology.
Citation Text:
Glavin R, Flin R. Review article: the influence of psychology and human factors on education in anesthesiology. Can J Anaesth. 2012;59(2):151-8. doi:10.1007/s12630-011-96…
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psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
September 07, 2016 - Book/Report
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices.
Citation Text:
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-3…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/index.html
September 01, 2021 - Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit
Next Page
Table of Contents
Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quali…
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psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints
October 12, 2022 - Book/Report
Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints.
Citation Text:
Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. Washington, DC: United States Government Accountability Office; N…
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psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers
May 16, 2018 - Book/Report
DOD Should Improve Its Process for Clinical Adverse Actions against Providers.
Citation Text:
DOD Should Improve Its Process for Clinical Adverse Actions against Providers. Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24-106107.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/de-lusignan-s-et-al
January 01, 2023 - de Lusignan S et al. 2002 "Does feedback improve the quality of computerized medical records in primary care?"
Reference
de Lusignan S, Stephens PN, Adal N, et al. Does feedback improve the quality of computerized medical records in primary care? J Am Med Inform Assoc 2002;9(4):395-401.
[Link]
…
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psnet.ahrq.gov/node/45274/psn-pdf
July 20, 2016 - Medication safety in neonatal care: a review of medication
errors among neonates.
July 20, 2016
Krzyzaniak N, Bajorek B. Medication safety in neonatal care: a review of medication errors among
neonates. Ther Adv Drug Saf. 2016;7(3):102-119. doi:10.1177/2042098616642231.
https://psnet.ahrq.gov/issue/medication-safe…
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psnet.ahrq.gov/node/46096/psn-pdf
May 31, 2017 - Guideline for opioid therapy and chronic noncancer pain.
May 31, 2017
Busse JW, Craigie S, Juurlink DN, et al. Guideline for opioid therapy and chronic noncancer pain. CMAJ.
2017;189(18):E659-E666. doi:10.1503/cmaj.170363.
https://psnet.ahrq.gov/issue/guideline-opioid-therapy-and-chronic-noncancer-pain
Opioid pain…
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psnet.ahrq.gov/node/45144/psn-pdf
November 23, 2016 - Strategies for flipping the script on opioid
overprescribing.
November 23, 2016
Wright AP, Becker WC, Schiff G. Strategies for Flipping the Script on Opioid Overprescribing. JAMA Intern
Med. 2016;176(1):7-8. doi:10.1001/jamainternmed.2015.5946.
https://psnet.ahrq.gov/issue/strategies-flipping-script-opioid-overpre…
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psnet.ahrq.gov/node/46754/psn-pdf
April 11, 2018 - Opioids and Dentistry.
April 11, 2018
Opioids and Dentistry. J Am Dent Assoc. 2018;149(4):237-272. doi:10.1016/j.adaj.2018.02.015.
https://psnet.ahrq.gov/issue/opioids-and-dentistry
The use of opioids in various care environments to address acute pain contributes to the opioid crisis. This
special collection explo…
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psnet.ahrq.gov/node/60947/psn-pdf
September 23, 2020 - FDA Advise-ERR: reported medication errors with Veklury
(remdesivir) emergency use authorization.
September 23, 2020
ISMP Medication Safety Alert! Acute care edition. September 10, 2020;25(18)
https://psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use-
authorizatio…
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psnet.ahrq.gov/node/72478/psn-pdf
November 18, 2020 - The impact of the use of employee functional flexibility on
patient safety.
November 18, 2020
Salvador RO, Gnanlet A, McDermott C. The impact of the use of employee functional flexibility on patient
safety. Personnel Rev. 2020;50(3):971-984. doi:10.1108/pr-10-2019-0562.
https://psnet.ahrq.gov/issue/impact-use-empl…
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psnet.ahrq.gov/node/866642/psn-pdf
September 04, 2024 - Learning from patient safety incidents: The Green Cross
method.
September 4, 2024
Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method.
Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114.
https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cro…
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psnet.ahrq.gov/node/46176/psn-pdf
October 04, 2017 - Incidence and severity of prescribing errors in parenteral
nutrition for pediatric inpatients at a neonatal and
pediatric intensive care unit.
October 4, 2017
Hermanspann T, Schoberer M, Robel-Tillig E, et al. Incidence and Severity of Prescribing Errors in
Parenteral Nutrition for Pediatric Inpatients at a Neonat…