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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - SPOTLIGHT CASE
Delirium or Dementia?
Citation Text:
Rudolph JL. Delirium or Dementia?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/web-mm/nothing-called-small-surgery
February 01, 2023 - Nothing Called Small Surgery
Citation Text:
Manske C. Nothing Called Small Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact-references.html
July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
References
Previous Page
Table of Contents
Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
Introduction on Diagnostic Documentation
History of EHR Documen…
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www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century
Private Sector Efforts in Value-Based Purchasing and Quality Improvement
Previous Page
Table of Contents
The Challenge and Potential for Assuring Quality Health Care for the 21st Century
From Quality Measures to Qu…
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www.ahrq.gov/patient-safety/reports/liability/waever.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue …
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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - SPOTLIGHT CASE
When Patients and Providers Speak Different Languages
Citation Text:
Karliner LS. When Patients and Providers Speak Different Languages. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
May 19, 2021 - SPOTLIGHT CASE
Postdischarge Follow-Up Phone Call
Citation Text:
Mourad M, Rennke S. Postdischarge Follow-Up Phone Call. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs022166-beebe-final-report-2016.pdf
January 01, 2016 - The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS) - Final Report
The long term effectiveness of Telephone Intervention Problem Solving (TIPS).
PI Lora Humphrey Beebe, PhD, PMHNP-BC
Team members:
Kathleen D Smith, PhD, interventionist;
Abbas Tavakoli, PhD…
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psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - Chest Pain in a Rural Hospital
June 1, 2018
MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
Case Objectives
Recognize that a significant proportion of the Unites States population receives care in rural safety
net emergency dep…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024350-wernz-final-report-2018.pdf
January 01, 2018 - Evidence-based Contingency Planning for Electronic Health Record Downtime - Final Report
1
Title Page
Title of Project:
Evidence-based Contingency Planning for Electronic Health Record Downtime
Principal Investigator and Team Members:
PI: Christian Wernz, PhD
Co-I: Raj Ratwani, PhD
Co-I: Terry Fai…
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cdsic.ahrq.gov/sites/default/files/2025-01/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q4%202024.pdf
January 01, 2025 - CDSiC Stakeholder Center Progress Report
STAKEHOLDER CENTER PROGRESS REPORT
D E C E M B E R 2 0 2 4
CDSiC Stakeholder
Community and Outreach
Center:
Quarterly Report
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
…
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psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - SPOTLIGHT CASE
The Perils of Cross Coverage
Citation Text:
Farnan JM, Arora V. The Perils of Cross Coverage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - SPOTLIGHT CASE
Which Line: Ordering Provider or Proceduralist?
Citation Text:
Blackmore CC. Which Line: Ordering Provider or Proceduralist?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - delivery (L&D) unit tried to implement
the TeamSTEPPS program more than 10 years ago but
failed to achieve … communication techniques,
and the implementation team learned from previous safety and quality work to achieve
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs026849-dorr-final-report-2022.pdf
January 01, 2022 - concerns through health literacy screening and by
stratifying survey participant subpopulations to achieve
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - Collaboration and feedback
with software providers were essential to achieve a safe and usable CPOE
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integrationacademy.ahrq.gov/products/topic-briefs/polysubstance-use
February 01, 2025 - in patients with both cocaine use disorder and alcohol use disorder in one trial and found to help achieve
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hcup-us.ahrq.gov/reports/statbriefs/sb197-Characteristics-Quality-Hospitals-Health-Systems.jsp
December 01, 2015 - Service and product differentiation is high, which may explain why centralization is hard to achieve.
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www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
January 01, 2025 - We found that median time to achieve all four studied CMS sepsis core measures was slightly shorter for
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - We can only achieve that if we have some organizational agreements and alignment around these tools.