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digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - The AHRQ Health IT Value Grant Initiative: A Programmatic Review of the Peer-Reviewed Literature
The AHRQ Health IT Value Grant Initiative:
A Programmatic Review of the Peer-Reviewed
Literature
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department …
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors
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March 3, 2021
Innovation…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ehc-research-gaps-telehealth.pdf
April 01, 2023 - AHRQ Evidence-based Practice Center Program Research Gaps Summary: Telehealth
AHRQ EVIDENCE-BASED PRACTICE CENTER (EPC)
PROGRAM RESEARCH GAPS SUMMARY:
TELEHEALTH
An AHRQ EPC Program publication summarizing evidence gaps identified across recent
EPC Program reviews for select healthcare topics addressing telehea…
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - The Role of the Patient in Improving Patient Safety
Rosemary Gibson, MSc | March 1, 2007
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Gibson R. The Role of the Patient in Improving Patient Safety. PSNet [internet]. Rockville…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-1.pdf
September 08, 2016 - Shared Decisionmaking To Improve Patient Safety, Education, and Empowerment
Case Study
Problem Addressed
In many health care situations, there is not necessarily a
“correct” decision. Often, multiple options are available,
such as testing or treatment, where risks and expected
outcomes must be balanced with patie…
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psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - Delay in Treatment: Failure to Contact Patient Leads to
Significant Complications
February 1, 2013
Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet
[internet]. 2013.
https://psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complicat…
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - Medication Reconciliation With a Twist (or Dare We Say, a
Patch?)
May 1, 2014
Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
Case Objectives
Appreciate that medication discrepanc…
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psnet.ahrq.gov/node/72689/psn-pdf
January 29, 2021 - But See the Patient First
January 29, 2021
Sinigayan VR. But See the Patient First. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/see-patient-first
The Case
A 55-year-old man with acute myeloid leukemia presented to the emergency department (ED) with a chief
complaint of fever. Five days previously, he …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/measures-cg30-2309.pdf
June 01, 2017 - Patient Experience Measures from the CAHPS Clinician & Group Survey
Patient Experience Measures from the CAHPS Clinician & Group Survey
CAHPS® Clinician & Group Survey and Instructions
Patient Experience Measures from the
CAHPS® Clinician & Group Survey
Introduction ...................................…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
June 01, 2021 - Guide to Sustainability Planning: Long-Term Care Facilities
AHRQ Safety Program for
Improving Antibiotic Use
Guide to Sustainability Planning:
Long-Term Care Facilities
Sustainability Planning 2 AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care
Introduction
Johns Hopkins Medicine and NOR…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptx
October 01, 2022 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Antibiotic Stewardship and MRSA Reduction
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Antibiotic Stewardship
1
Educational Objectives
Understand the goals of antibiotic ste…
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - Annual Perspective
Patient Safety in the Ambulatory Care Setting
August 5, 2022
View more articles from the same authors.
Citation Text:
Schiff G, Mossburg SE, Dowell P, et al. Patient Safety in the Ambulatory Care Setting. PSNet [internet]. Rockville (MD): …
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.
Citation Text:
Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…
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psnet.ahrq.gov/node/49527/psn-pdf
December 01, 2006 - Right Patient, Wrong Sample
December 1, 2006
Astion ML. Right Patient, Wrong Sample. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/right-patient-wrong-sample
The Case
A 54-year-old man was admitted to the hospital for preoperative evaluation and elective knee surgery. On
the morning of surgery, the patien…
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - SPOTLIGHT CASE
Recurrent Hypoglycemia: A Care Transition Failure?
Citation Text:
Eytan T. Recurrent Hypoglycemia: A Care Transition Failure?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Format:…
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - SPOTLIGHT CASE
The Safety and Quality of Long Term Care
Citation Text:
Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
Goog…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
May 05, 2008 - The facilitator also plays a critical role
in observing communications, interactions, and body language
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
March 01, 2020 - Making Healthcare Safer III: Executive Summary
ES. 1 Background/Introduction
The Making Health Care Safer reports from the Agency for Healthcare Research and Quality (AHRQ) have had an important role in reducing harm and improving the safety and quality of care for patients. The reports—providing an analysis …
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digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
May 01, 2012 - public, but some of the options (Internal Report, Sent to Health IT
Vendor) reflect private, internal communications … 80% 100%
Internal Report
Sent to HIT Vendor
3rd-Party Content Vendor Communication
User Group Communications
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023602-singh-final-report-2017.pdf
January 01, 2017 - Improving Direct Notification of Abnormal Test Results Via Patient Portals - Final Report
Improving Direct Notification of Abnormal Test Results …