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  1. www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
    January 01, 2024 - began to conduct outreach interviews on all units (with the exception of the labor and delivery and behavioral … To err is human : building a safer health system. … Committee on Quality of Health Care in America. … Health affairs. 2008;27(1):246-55. PMID: 18180501. 9. AHRQ. … Health expectations : an international journal of public participation in health care and health policy
  2. www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
    December 01, 2017 - And following Lisa, we have the Chief of the Division of Health Policy at Brigham and Women’s Department … I’m going to show you the pilot work from Ascension Health, 18 EDs in Ascension Health. … You really need to make this a joint effort and the environment of care has to change to afford behavioral … Our first question comes from Linda Egbert with Health Insight. Linda Egbert: Hi. … We have a question from Carol Miranowski with Essentia Health.
  3. 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 - The suite of ambulatory care surveys has expanded to include not just the Health Plan Survey, which … is where this all began in 1995, but now CAHPS surveys for surgical care, behavioral health, home health … And all of these uses are leading health systems and practices to increasingly collect some version … information technology, cultural competence, health literacy and so forth. … Implementation of electronic health record.
  4. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
    February 01, 2019 - evidence and other changes related to Key Driver 6 Key Driver 1: Seek and implement EvidenceImprove health … For example, electronic information systems (e.g., electronic health records, registries) can identify … (See Key Driver 3: Optimize health information systems to extract data and support use of evidence in … Several QI approaches have become popular in health care. … be done using the electronic health record.
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
    December 01, 2017 - Contributing factors from all levels of your health care system impact care delivery and, ultimately, … We have layers of protection throughout our health care system. … Strong systems in health care are designed so that defects do not harm the patient. … , hospital factors, departmental factors, work environment, and team factors all contribute to your health … Developing and deploying a patient safety program in a large health care delivery system: you can't fix
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
    February 19, 2008 - • Technology level (electronic health record, no EHR). … Handbook of human factors and ergonomics in health care and patient safety. … Qual Saf Health Care 2006; 15 (Suppl 1): i50-i58. 3. … To err is human: Building a safer health system. … Qual Saf Health Care 2003; 12(Suppl 2): ii2-ii7. 27. Bogner M.
  7. Paul Tedrick (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
    June 10, 2014 - David (0:57:52 indiscernible) from the University of Pennsylvania Health System and Dr. … Greg Kennedy from the University of Wisconsin School of Medicine and Public Health.
  8. www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
    December 01, 2017 - David (0:57:52 indiscernible) from the University of Pennsylvania Health System and Dr. … Greg Kennedy from the University of Wisconsin School of Medicine and Public Health.
  9. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2013_cg_cahps_chartbook.pdf
    January 01, 2013 - 2013 CAHPS Clinician & Group Survey Database 2013 Chartbook: What Patients Say About Their Health … 46% 56% Providers Support You in Taking Care of Your/Child's Own Health 52% 39% Providers Discuss … CG-CAHPS DATABASE COMPOSITION Growing numbers of health systems and medical practices administering … provider’s office talk with you about specific goals for your child’s health? … Department of Health and Human Services. 2013 Chartbook: What Patients Say About Their Health
  10. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2013cliniciangroupchartbook.pdf
    July 01, 2014 - 2013 CAHPS Clinician & Group Survey Database 2013 Chartbook: What Patients Say About Their Health … 46% 56% Providers Support You in Taking Care of Your/Child's Own Health 52% 39% Providers Discuss … Results were obtained through the voluntary submission of survey data to the CAHPS Database by health … CG-CAHPS DATABASE COMPOSITION Growing numbers of health systems and medical practices administering … provider’s office talk with you about specific goals for your child’s health?
  11. www.ahrq.gov/evidencenow/tools/keydrivers/description.html
    October 01, 2020 - For example, electronic information systems (e.g., electronic health records, registries) can identify … (Go to  Key Driver 3: Optimize health information systems to extract data and support use of evidence … Several QI approaches have become popular in health care. … Use electronic health records to improve data collection For most practices, data collection for QI … will be done using the electronic health record.
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
    April 01, 2003 - Patient Safety Climate Institute, VA Palo Alto Health Care System (DMG). … Committee on Quality of Health Care in America. … Crossing the quality chasm: a new health system for the 21st century. … Qual Saf Health Care 2003;12(2): 112–18. 9. … To err is human: building a safer health system.
  13. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
    June 02, 2025 - o Working with hospital or health system administration to create comparative data reports related to … • Case Study: Mount Carmel Health System—Cardiac Rehab Open Gym Q&A with Mt. … Carmel Health System, which implemented an Open Gym model. … • Case Study: Christiana Care Health System—Use Clinician Follow-up to Bolster Enrollment Q&A with … Christiana Care Health System, which uses "non-enrollment letters" to notify referring cardiologists
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
    January 01, 2002 - Allan Klock, Richard Cook Abstract Objective: To fulfill the promise of information technology in health … While IT can benefit health care, it can also impose additional workload and cognitive demands on operators … The FDA Center for Devices and Radiological Health (CDRH) maintains a Manufacturer and User Device Experience … In a study of the effect of information technology on health care practice,3 we sought to answer three … 12.40, 3.36 Group mean 9.78, 3.41, 80.87 Table 2 shows each subject’s years of experience as a health
  15. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/fielding-child-hcahps-93.pdf
    June 02, 2025 - Patients with a psychiatric MS-DRG/principal diagnosis at discharge — Excluded due to the unique behavioralhealth issues pertinent to psychiatric patients … Collecting Information from Health Care Consumers, Rockville, MD: Aspen Publications, 1996. … — Note that a refusal to participate will not affect an individual’s health care. … Collecting information from health care consumers. Rockville, MD: Aspen Publications, 1996.
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/fielding-child-hcahps.pdf
    June 02, 2025 - Patients with a psychiatric MS-DRG/principal diagnosis at discharge — Excluded due to the unique behavioralhealth issues pertinent to psychiatric patients … Collecting Information from Health Care Consumers, Rockville, MD: Aspen Publications, 1996. … — Note that a refusal to participate will not affect an individual’s health care. … Collecting information from health care consumers. Rockville, MD: Aspen Publications, 1996.
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
    January 01, 2005 - concerns against prescribing short-acting nifedipine in the treatment of hypertension, the Veterans Health … The first intervention focused on the total quantity of short-acting nifedipine dispensed in the healthHealth care systems in other countries have reported a similar problem with short-acting nifedipine, … Department of Health and Human Services; 1995 Sep 1. Available at: http://www.nhlbi.nih.gov/. … The quality of health care delivered to adults in the United States.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
    February 26, 2008 - Poor interface design in health care is a serious problem. The U.S. … Musters); Informatics, Decision-Enhancement, and Surveillance Center, VA Salt Lake City Health Care … To err is human: Building a safer health system. … The Quality in Australian Health Care Study. Med J Aust 1995; 163: 458-471. 6. Pear R. … Center for Devices and Radiological Health.
  19. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pptx
    July 01, 2015 - conduct a comprehensive study of racial and ethnic minority health and elevated minority health onto … year and synthesized ways to advance health equity. … information and education; health services delivery and financing; health professions development; data … Statistics, National Health Interview Survey, 2000-2010. … depressive disorder when systems are in place to ensure accurate diagnosis, psychotherapy (cognitive-behavioral
  20. www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
    January 01, 2025 - DeBakey VA Medical Center, Houston, TX, Section of Health Services Research, Department of Medicine … Hermann Center for Healthcare Quality & Safety, School of Biomedical Informatics, University of Texas Health … Currently, health systems are not using any sophisticated detection methods for diagnostic error and … Improving Diagnosis in Health Care — The Next Imperative for Patient Safety. … Improving diagnosis in health care. 3. Singh H, Graber ML, Hofer TP.

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