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digital.ahrq.gov/organization/morgan-hospital-and-medical-center
January 01, 2023 - Morgan Hospital and Medical Center
Improving Health Care through HIT in Morgan County, IN
Description
Created a secure infrastructure for communication among providers to allow electronic sharing of patient clinical information with hospitals and other physicians/health provid…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_I-rev0921.pdf
January 01, 2020 - planning for improving patient safety culture
(1) Define your goals (2) Plan your initiatives (3) Communicate … Communicate your action plan:
10. How will you share your action plan and with whom?
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs020323-mollica-final-report-2014.pdf
January 01, 2014 - The Virtual Patient for Improving Quality of Care in Primary Healthcare - Final Report
The Virtual Patient for Improving Quality of Care in Primary Healthcare
Principal Investigator and Team Members:
PI: Richard F. Mollica, MD, MAR; J…
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www.ahrq.gov/research/findings/studies/index.html
January 01, 2025 - AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results 1 to 25 of 13077 Research Studies Displayed
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www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model
RISK AND RECOVERY IN COMPLEX ENVIRONMENTS:
LABOR AND DELIVERY AS A MODEL
Final Progress Report
Grant Award: 1 UC1 HS014376-01
June 30, 2006
Marlene B. Goldman, MS, ScD, Meghan M. Dierks, MD, Ronald G. Marcus, MD, Luk…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-3-situation-monitoring-facilitator-guide.pdf
June 02, 2025 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 3
Video-Based Simulation:
Facilitator Guide
Situation Monitoring
Shared Mental Model
TeamSTEPPS Training Curriculum
…
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digital.ahrq.gov/sites/default/files/docs/cds-slides-10192021.pdf
October 19, 2021 - AHRQ National Web Conference on Clinical Decision Support Efforts That Assist Clinical Cognitive Processes - Slides
AHRQ National Web Conference
on Clinical Decision Support Efforts
That Assist Clinical Cognitive Processes
Moderated by:
Roland Gamache, PhD, MBA, FAMIA
Agency for Healthcare Research and Quality
…
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psnet.ahrq.gov/web-mm/preventable-rash
October 01, 2012 - Preventable Rash
Citation Text:
McLean C. Preventable Rash. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - CVC Placement: Speak Now or Do Not Use the Line
February 1, 2013
Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
The Case
A 48-year-old woman with a history of hypertension, psychiatric illness, and a…
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psnet.ahrq.gov/node/865984/psn-pdf
May 29, 2024 - Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain
with Elevated D-dimer.
May 29, 2024
Agusala V, Deen J, Schaefer S. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-
dimer. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-d…
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - Failure to Rescue
January 29, 2025
Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/failure-rescue
Updated in January 2025 by Irina Tokareva RN, BSN, MAS, CPHQ and Patrick Romano, MD, MPH. PSNet
primers are regularly reviewed and updated to ensure that they reflect cur…
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psnet.ahrq.gov/node/33693/psn-pdf
February 01, 2010 - The Role of Graduate Medical Education (GME) in
Improving Patient Safety
February 1, 2010
Baron RB, Vidyarthi A. The Role of Graduate Medical Education (GME) in Improving Patient Safety. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
Perspec…
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www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/dhhs-2008-issue-brief.pdf
January 01, 2008 - America's Health Literacy: Why We Need Accessible Health Information
MAN SERVICES . U
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America’s Health Literacy:
Why We Need Accessible
Health Information
Health literacy—the ability to obtain, process, and understand basic health
information and se…
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digital.ahrq.gov/sites/default/files/ahrq-dhr-2023-year-in-review-at-a-glance.pdf
January 01, 2023 - AHRQ Digital Healthcare Research Program - AT A Glance 2023
AHRQ Digital Healthcare
Research Program
AT A GLANCE 2023
Our Purpose
AHRQ’s Digital Healthcare Research (DHR) program’s mission is to determine how the
various components of the ever-evolving digital healthcare ecosystem can best come
together to posit…
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digital.ahrq.gov/organization/maine-medical-center
January 01, 2023 - Maine Medical Center
Improving Care in a Rural Region with Consolidated Imaging - 2009
Principal Investigator
Coleman, Robert
Project Name
Improving Care in a Rural Region with Consolidated Imaging
Improving Care in a Rural Region with Con…
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psnet.ahrq.gov/node/36861/psn-pdf
November 23, 2016 - Patients as Partners: How to Involve Patients and
Families in Their Own Care.
November 23, 2016
McGreevey M. Oakbrook Terrace, IL: Joint Commission Resources: 2006. ISBN 9780866889964.
https://psnet.ahrq.gov/issue/patients-partners-how-involve-patients-and-families-their-own-care
This book illustrates how health c…
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psnet.ahrq.gov/node/41786/psn-pdf
October 24, 2012 - Minnesota hospitals are testing ways to reduce return
trips.
October 24, 2012
Lerner M. Lerner M. Star Tribune. October 11, 2012.
https://psnet.ahrq.gov/issue/minnesota-hospitals-are-testing-ways-reduce-return-trips
This newspaper article reports on how transition coaches can help improve transfer and discharge
c…
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psnet.ahrq.gov/node/35727/psn-pdf
February 22, 2006 - Risk of medication errors at hospital discharge and
barriers to problem resolution.
February 22, 2006
Enguidanos SM; Brumley RD.
https://psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution
The authors reviewed discharge medication records for elderly patients to assess do…
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psnet.ahrq.gov/node/36073/psn-pdf
September 28, 2010 - Patient safety: through the eyes of your peers.
September 28, 2010
Bry K, Stettner B, Marks J. Patient safety: through the eyes of your peers. Nurs Manage. 2006;37(6):20-24.
https://psnet.ahrq.gov/issue/patient-safety-through-eyes-your-peers
The authors present a peer review model for analyzing nursing behavior and…
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psnet.ahrq.gov/node/38881/psn-pdf
November 08, 2012 - Are patients in part to blame when doctors miss the
diagnosis?
November 8, 2012
Chen PW
https://psnet.ahrq.gov/issue/are-patients-part-blame-when-doctors-miss-diagnosis
This column recounts a case of delayed diagnosis and examines how communication and process of care
failures can contribute to diagnostic errors.…