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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery
Citation Text:
Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022894-pratt-final-report-2020.pdf
January 01, 2020 - Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety Concerns - Final Report
AHRQ Final Report
Patients as Safeguards: Understanding the
Information Needs of Hospitalized Patients
in Voicing Safety Concerns
Principal I…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/disparities-quality-improvement_executive.pdf
August 01, 2012 - socioeconomic status, insurance status, sex, sexual orientation, health literacy/numeracy, and/or
language barrier … Summary of effects on disparities in health outcomes associated with language
barrier
In one study
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www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
January 01, 2024 - Of the many sites
considered for participation, the most common barrier to participation was reaching … consensus among clinical
groups, and the least frequent barrier was technical issues related to system
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digital.ahrq.gov/sites/default/files/docs/page/AHRQ-NRC-DataExchangeToolkit.pdf
June 16, 2021 - Microsoft Word - AHRQ NRC SRD Toolkit.doc
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DDaattaa EExxcchhaannggee PPrroojjeeccttss
Agency for Healthcare Research and Quality
National Resource Center for Health Information Technology
Caitlin M. Cusack MD MPH
Ce…
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effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1306.pdf
July 01, 2013 - However, experts opined that the increase
in per-patient costs of care might serve as a barrier to … commercially available in the United
States,10 with its limited distribution system posing a major barrier … Uncertainty about long-
term adverse events is a potential barrier to patient acceptance, several experts
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-high-risk-drugs-rapid-response.pdf
January 01, 2024 - Making Healthcare Safer IV_Rapid Response: Reducing Adverse Drug Events Related to Anticoagulant Use in Adults
Making Healthcare Safer IV
Reducing Adverse Drug Events Related to
Anticoagulant Use in Adults
Rapid Response
Main Points
1. Anticoagulation medications help prevent life-threatening events such…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/procalcitonin-future_research.pdf
August 01, 2014 - legal, and
social issues
Perception of not receiving efficacious
care can pose an ethical issue and barrier … Perception of not receiving efficacious care can
pose an ethical issue and barrier to recruitment if … legal, and
social issues
Perception of not receiving efficacious care can
pose an ethical issue and barrier … Perception of not receiving efficacious care can
pose an ethical issue and barrier to recruitment
if
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digital.ahrq.gov/sites/default/files/docs/citation/BackgroundReport082310.pdf
May 01, 2010 - Industrial and Systems Engineering and Health Care: Critical Areas of Research
Background Report
Industrial and Systems Engineering and Health
Care: Critical Areas of Research
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD…
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digital.ahrq.gov/sites/default/files/OY1_FINAL%20TPC%20Patient%20Perspectives%20Generative%20AI.pdf
May 01, 2024 - Trust and Patient-Centeredness Workgroup: Patient and Caregiver Perspectives on Generative Artificial Intelligence in Patient-Centered Clinical Decision Support
Trust and Patient-
Centeredness Workgroup:
Patient and Caregiver
Perspectives on Generative
Artificial Intelligence in
Patient-Centered Clinical
Decisio…
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www.ahrq.gov/sites/default/files/publications2/files/calibrate-dx-guide.pdf
October 01, 2022 - With Vomiting
My diagnosis was delayed in part because my history taking was hindered by a language barrier
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cdsic.ahrq.gov/sites/default/files/2024-07/OY1_FINAL%20TPC%20Patient%20Perspectives%20Generative%20AI.pdf
January 01, 2024 - Trust and Patient-Centeredness Workgroup: Patient and Caregiver Perspectives on Generative Artificial Intelligence in Patient-Centered Clinical Decision Support
Trust and Patient-
Centeredness Workgroup:
Patient and Caregiver
Perspectives on Generative
Artificial Intelligence in
Patient-Centered Clinical
Decisio…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
December 01, 2017 - Second is the physician culture can also be a barrier.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
June 02, 2025 - Second is the physician culture can also be a barrier.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
December 01, 2017 - Presentation: Optimize Your Briefings and Debriefings
Optimize
Briefings and Debriefings
AHRQ Safety Program for Surgery
Implementation
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program for Surgery – Implementation
SAY:
This module is the first of two parts discussing briefings and debriefings. Te…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/lessons_from_top-performing_medical_practices_CG-CAHPS_transcript.pdf
October 01, 2014 - and payments are ever changing or sometimes nonexistent, and this is probably the
most frustrating barrier
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effectivehealthcare.ahrq.gov/sites/default/files/functional-limitations-horizon-scan-high-impact-1306.pdf
June 01, 2013 - Several experts thought safety concerns could be a barrier to clinician acceptance,
because device … However, two experts representing a research perspective stated cost could be a
major barrier to patient … But one expert representing
a clinical perspective stated that a barrier to acceptance for some clinicians … Safety concerns could be a barrier to clinician acceptance, several experts
thought, because device
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effectivehealthcare.ahrq.gov/sites/default/files/depression-horizon-scan-high-impact-1312.pdf
October 01, 2014 - from outpatient management to inpatient surgery and adding
neurosurgery to the clinical pathway; a barrier … the device and
implantation procedure are significant (tens of thousands of dollars) and may pose a barrier … background also noted that, as with ketamine, intravenous administration of scopolamine
could present a barrier
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs022352-koru-final-report-2014.pdf
January 01, 2014 - Perceived Complexity: There was an agreement among the participants that perceived complexity
was a barrier … Bridging the language barrier: the use
of interpreters in primary care nursing.
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx
Spotlight
The Dose Makes the Poison: Medication Error During
Procedural Sedation in the Pediatric Emergency
Department
Source and Credits
• This presentation is based on the April 2023 AH…