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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
May 25, 2023 - The National Action Alliance to Advance Patient Safety Summer Webinar Series - PowerPoint Presentation
The National Action Alliance to Advance Patient
Safety Summer Webinar Series
Robert Otto Valdez, Ph.D.
Director
Agency for Healthcare Research & Quality
April 25, 2023
Welcome and Thank-You!
Presenter Notes
P…
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effectivehealthcare.ahrq.gov/sites/default/files/ch_5-user-guide-to-ocer_130129.pdf
January 01, 2012 - However,
many exceptions exist (e.g., the antipsychotic
example above), and assessments should be made
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www.ahrq.gov/topics/electronic-health-records-ehrs.html
Topic: Electronic Health Records (EHRs)
AHRQ's digital healthcare research program explores topics such as the use and adoption of electronic health records.
Children's EHR Format: Frequently Asked Questions
Create Accurate Reports from Electronic Health Records (EH…
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cds.ahrq.gov/sites/default/files/cds/artifact/1141/Warfarin%20and%20NSAIDs%20V.8.pdf
September 08, 2020 - Warfarin & NSAIDs
Warfarin
And
Oral NSAIDs
Is patient on proton
pump inhibitor or
misoprostol?
And
Yes No
Assess risk and take
action if necessary
Possible increased risk
of bleeding Is patient able
to start on
appropriate
proton pump
inhibitor?
Yes
Start patient on proton
pump inhibit…
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www.uspreventiveservicestaskforce.org/uspstf/announcements/final-research-plan-enhanced-risk-assessment-cardiovascular-disease
September 26, 2024 - Final Research Plan: Enhanced Risk Assessment for Cardiovascular Disease
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September 26, 2024 – The U.S. Preventive Services Task Force posted today a final research plan on th…
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psnet.ahrq.gov/node/48031/psn-pdf
May 22, 2019 - In harm's way.
May 22, 2019
Donaldson LJ, Lemer C, Titcombe J. In harm's way. BMJ. 2019;365:l2037. doi:10.1136/bmj.l2037.
https://psnet.ahrq.gov/issue/harms-way
This commentary recommends that health care structure the work environment to address conditions that
allow for failure. The authors discuss how increased…
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digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/citation/prescriber
January 01, 2023 - Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment.
Citation
Devine EB, Williams EC, Martin DP, et al. Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. BMC Med Inform Decis Mak 20…
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digital.ahrq.gov/ahrq-funded-projects/improving-electronic-health-records-patient-education-materials/citation/pemat
January 01, 2023 - Development of the Patient Education Materials Assessment Tool (PEMAT): A new measure of understandability and actionability for print and audiovisual patient information.
Citation
Shoemaker SJ, Wolf MS, Brach C. Development of the Patient Education Materials Assessment Tool (PEMAT): A new measure of…
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digital.ahrq.gov/ahrq-funded-projects/discovery-and-visualization-new-information-clinical-reports-electronic-health/citation/assessing
January 01, 2023 - Assessing the adequacy of the HL7/LOINC Document Ontology Role axis.
Citation
Rajamani S, Chen ES, Akre ME, et al. Assessing the adequacy of the HL7/LOINC Document Ontology Role axis. J Am Med Inform Assoc 2015 May;22(3):615-20. PMID: 25352569.
Link
https://www.ncbi.nlm.nih.gov/pubmed/25352569…
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digital.ahrq.gov/ahrq-funded-projects/advancing-quality-measurement-and-care-improvement-health-information-exchang/citation/%20people-with-epilepsy-who-use-multiple-hospitals-prevalence-and-associated-factors-assessed-via-a-health-information-exchange
January 01, 2023 - People with epilepsy who use multiple hospitals; prevalence and associated factors assessed via a health information exchange.
Citation
Grinspan ZM, Abramson EL, Banerjee S, et al. People with epilepsy who use multiple hospitals; prevalence and associated factors assessed via a health information exch…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-clinical-decision-making-obesity-care/citation-1
January 01, 2023 - Identification and assessment of childhood obesity by school-based health center providers.
Citation
Aldrich H, Gance-Cleveland B, Schmiege S, et al. Identification and assessment of childhood obesity by school-based health center providers. J Pediatr Health Care 2014;28(6):526–33. PMID: 24974347.
…
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digital.ahrq.gov/ahrq-funded-projects/guidelines-decision-support-glides/citation/accuracy-computerized-clinical
January 01, 2023 - Accuracy of a computerized clinical decision-support system for asthma assessment and management.
Citation
Hoeksema LJ, Bazzy-Asaad A, Lomotan EA, et al. Accuracy of a computerized clinical decision-support system for asthma assessment and management. J Am Med Inform Assoc 2011 May 1;18(3):243-50.
…
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digital.ahrq.gov/ahrq-funded-projects/effect-health-information-technology-health-care-provider-communication/citation/using
January 01, 2023 - Using incident reports to assess communication failures and patient outcomes.
Citation
Umberfield E, Ghaferi AA, Krein SL, Manojlovich M. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019 Jun;45(6):406-413. doi: 10.1016/j.jcjq.2019.02.006. …
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-decision-support-evidence-based-pharmacotherapy-5
January 01, 2023 - Development and evaluation of an improved methodology for assessing adherence to evidence-based drug therapy guidelines using claims data.
Citation
Kawamoto K, Allen LaPointe NM, Silvey GA, et al. Development and evaluation of an improved methodology for assessing adherence to evidence-based drug ther…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoarthritis-pain-2006_appendixes.pdf
January 01, 2006 - improvement in at least two of
pain, function, or patient global
assessment of >10 mm on VAS
All assessments … prophylaxis
Acetaminophen up to 650
mg qid except during 24
hours prior to baseline and
final WOMAC assessments
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impsteps.html
January 01, 2017 - Implementation Steps and Timeline
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
Implementation Steps and Timeline
The goal of the On-Time program is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input into clinical interven…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1_pdi_intro.pdf
January 01, 1993 - Introduction to the Pediatric Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool A.1 i
Introduction to the Pediatric Toolkit for Using the AHRQ Quality
Indicators: How T…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.docx
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
Implementation Steps and Timeline
The goal of the On-Time program is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input into clinical intervention decisions. We created the Implementation…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients
SAY:
Today, we will give you an overview of the Science of Safety and identifying defects.
Slide 1
Learning O…
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www.ahrq.gov/policymakers/chipra/cpcf-form15.html
December 01, 2013 - Candidate Measure Submission Form (CPCF)
CHIPRA Pediatric Quality Measures Program (PQMP)
The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved by the Office of Management and Budget (OMB) in accordance with the Paperwork Reduction Act. The OMB Control Num…