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2101. Serious Reportable Adverse Events in Health Care (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…

2102. Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
      April 14, 2004 - Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies 453 Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies Deborah G. Graham, Wilson Pace, Jennifer Kappus, Sherry Holcomb, James M. Galliher, Christine W. Duclos, Aaron J. B…

2103. A Clinical Assessment Program to Evaluate the Safety of Patient Care (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Snow.pdf
      January 01, 2010 - A Clinical Assessment Program to Evaluate the Safety of Patient Care 57 A Clinical Assessment Program to Evaluate the Safety of Patient Care Richard J. Snow, Martin S. Levine, Dwain L. Harper, Sharon L. McGill, George Thomas, Joseph P. McNerney Abstract The American Osteopathic Association’s Clinical Asses…

2104. Identifying Barriers to the Success of a Reporting System (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
      March 01, 2004 - Identifying Barriers to the Success of a Reporting System 167 Identifying Barriers to the Success of a Reporting System Michelle L. Harper, Robert L. Helmreich Abstract Spurred by a controversial report from the Institute of Medicine on the prevalence of medical error, To Err Is Human, the medical profe…

2105. A Conceptual Framework for Studying the Safety of Transitions in Emergency Care (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
      January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care 309 A Conceptual Framework for Studying the Safety of Transitions in Emergency Care Ravi Behara, Robert L. Wears, Shawna J. Perry, Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro, Christopher Beach, Pat Croskerry, Ka…

2106. The SHARE Approach—Putting Shared Decisionmaking Into Practice: A User’s Guide for Clinical Teams | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-8.html
      September 01, 2020 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2107. 2012 Chartbook: What Patients Say About Their Health Care Providers and Clinics (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/compare/CAHPS-Database-2013-HP-Chartbook.pdf
      January 01, 2013 - 2012 Chartbook: What Patients Say About Their Health Care Providers and Clinics THE CAHPS DATABASE 2013 CAHPS Health Plan Survey Database 2013 Chartbook: What Consumers Say About Their Experiences with Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westa…

2108. How are CHIPRA quality demonstration States supporting the use of care coordinators? | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight09.html
      July 01, 2014 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2109. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
      January 01, 2004 - Quantitative and Qualitative Analysis of Medication Errors: The New York Experience 131 Quantitative and Qualitative Analysis of Medication Errors: The New York Experience Elizabeth Duthie, Barbara Favreau, Angelo Ruperto, Janet Mannion, Ellen Flink, Ruth Leslie Abstract Objectives: In June 2000, the New Yo…

2110. Appendix III: Compendium of Measures and Tools | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiii.html
      June 01, 2010 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2111. HEDIS Measures for 0245 Depression: Technical Specifications (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0245-technical-specifications.pdf
      March 01, 2016 - HEDIS Measures for 0245 Depression: Technical Specifications Depression Screening and Follow-Up for Adolescents and Adults 1 Depression Screening and Follow-Up for Adolescents and Adults (DSF)* *Adapted with financial support from CMS from a provider-level measure developed by Quality Insights of Pennsylvania (QI…

2112. HEDIS Measures for 0244 Depression: Technical Specifications (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0244-technical-specifications.pdf
      March 01, 2016 - HEDIS Measures for 0244 Depression: Technical Specifications Depression Screening and Follow-Up for Adolescents and Adults 1 Depression Screening and Follow-Up for Adolescents and Adults (DSF)* *Adapted with financial support from CMS from a provider-level measure developed by Quality Insights of Pennsylvania (QI…

2113. Depression Screening and Follow-Up for Adolescents and Adults (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-246-section-2.pdf
      March 01, 2016 - Depression Screening and Follow-Up for Adolescents and Adults Depression Screening and Follow-Up for Adolescents and Adults 1 Depression Screening and Follow-Up for Adolescents and Adults (DSF)* *Adapted with financial support from CMS from a provider-level measure developed by Quality Insights of Pennsylvania (Q…

2114. Strategy 1: Working with Patients & Families as Advisors (Tool 11)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_11_PPT_508.pptx
      January 01, 2008 - Strategy 1: Working with Patients & Families as Advisors (Tool 11) Insert hospital logo here Working With Patient and Family Advisors: Part 1. Introduction and Overview [Hospital Name | Presenter name and title | Date of presentation] Strategy 1: Working With Patient and Family Advisors Training (Tool 11) Guid…

2115. Tool 8, The SHARE Approach Putting Shared Decisionmaking into Practice: A User's Guide for Clinical Teams (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-8/share-tool8.pdf
      April 01, 2014 - Tool 8, The SHARE Approach Putting Shared Decisionmaking into Practice: A User's Guide for Clinical Teams The SHARE Approach Putting Shared Decisionmaking Into Practice: A User’s Guide for Clinical Teams Workshop Curriculum: Tool 8 The SHARE Approach is a 1-day training program developed by the Agency for Hea…

2116. 2. How will we manage change? | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
      October 01, 2014 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2117. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
      August 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2118. Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
      January 01, 2021 - Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard rds Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard Carolyn E. Aydin, PhD; Linda Burnes Bolton, DrPH, RN, FAAN; Nancy Donaldson, DNSc, RN, FAAN; Diane Storer Brown, PhD, RN, FN…

2119. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
      March 30, 2008 - Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems Donald K. Baker, PharmD; James M. Hoffman, PharmD; Gregory A. Hal…

2120. VHA’s National Falls Collaborative and Prevention Programs (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
      March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs VHA’s National Falls Collaborative and Prevention Programs Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN; Julia Neily, MS, MPH; James P. Bagian, MD, PE Abstract Falls are a high-volume, high-cost problem in he…