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effectivehealthcare.ahrq.gov/sites/default/files/related_files/public-reporting-cost-measures_disposition-comments.pdf
March 05, 2015 - We certainly agree that the concept of
shoppable needs further definition. … Consider introducing this
concept much earlier (by putting GQ#3 at the top), in order to make it easier … This concept
has been discussed in the literature;
patients’ abilities to review their
providers as
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
June 01, 2020 - Another is a leadership that goes hand in hand with culture.
13
Still another concept is this learning … healthcare system concept, which involves the use of data to inform
practice, and this virtuous learning … As you might
remember from today's presentation, that concept is also represented to some extent within
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psnet.ahrq.gov/node/842779/psn-pdf
January 12, 2011 - Resilience Engineering in Practice: a Guidebook.
January 12, 2011
Hollnagel E, Parie?s J, Woods DD et al eds. Farnham UK; Ashgate, 2011. ISBN:
9781472420749
https://psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
Safety-critical industries rely on organizational aptitude to respond to disr…
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psnet.ahrq.gov/node/34747/psn-pdf
August 04, 2009 - The Improvement Guide: A Practical Approach to
Enhancing Organizational Performance. 2nd ed.
August 4, 2009
Langley GJ, Moen R, Nolan KM, et al. Hoboken, NJ: Jossey-Bass; 2009. ISBN: 9780470430880.
https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-
2nd-ed
Effec…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022728-zhou-final-report-2018.pdf
January 01, 2018 - Concept coverage also was assessed for these
two terminologies.
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digital.ahrq.gov/sites/default/files/docs/citation/assessing-impact-of-pcmh-final-report.pdf
November 16, 2010 - patient satisfaction
1999 Start disease management division
2001 Recognize that health is a broader concept … The concept of No Margin, No Mission—that healthcare organizations can better fulfill their
mission … This concept acknowledges the practical importance of a positive margin in two significant
ways: (1) … The concept of No Margin, No Mission—that healthcare organizations can better fulfill their mission with … This concept acknowledges the practical importance of a positive margin in two significant ways: (1)
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www.ahrq.gov/sites/default/files/wysiwyg/ecareplan/reports/ecare-plan-for-mcc-v2.pdf
January 01, 2025 - outcomes
PCOR patient-centered outcomes research
PHI protected health information
POC proof of concept … initial testing in the open-source Meld sandbox9
before progressing to testing in the Epic proof-of-concept … We completed a
successful proof of concept for two SMART-on-FHIR apps that support PCCP between
patients … Following successful testing in Meld, updated apps were evaluated by OHSU in its Epic
proof-of-concept … We completed a
successful proof of concept for two SMART-on-FHIR apps that supported PCCP between
patients
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psnet.ahrq.gov/node/46564/psn-pdf
December 06, 2017 - Can the aviation industry be useful in teaching oncology
about safety?
December 6, 2017
Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol
(R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007.
https://psnet.ahrq.gov/issue/can-aviation-industry-be…
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psnet.ahrq.gov/node/34650/psn-pdf
April 21, 2015 - Human error: models and management.
April 21, 2015
Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770.
https://psnet.ahrq.gov/issue/human-error-models-and-management
The author discusses concepts of human error, contrasting the person approach with a system approach in
understanding the diff…
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psnet.ahrq.gov/node/44795/psn-pdf
June 29, 2016 - Human factors in healthcare: welcome progress, but still
scratching the surface.
June 29, 2016
Waterson P, Catchpole K. Human factors in healthcare: welcome progress, but still scratching the surface.
BMJ Qual Saf. 2016;25(7):480-4. doi:10.1136/bmjqs-2015-005074.
https://psnet.ahrq.gov/issue/human-factors-healthca…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024537-sockolow-final-report-2020.pdf
January 01, 2020 - The CCD/S code Medication did not include the patient medication self-
management concept, and this concept … Our study highlights the importance of this missing CCD concept, and that it
be made explicit in the … Another possi-
ble explanation is that interoperability is a nuanced concept along a number of dimensions
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psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - The Matrix concept makes the conference the culmination of a week's effort, rather than a 1-day exercise … The Matrix concept works best when a specifically dedicated individual is charged with organizing and
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psnet.ahrq.gov/node/34760/psn-pdf
March 28, 2005 - Managing the Risks of Organizational Accidents.
March 28, 2005
Reason JT. Aldershot, Hants, England: Ashgate: 1997. ISBN: 9781840141047
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
Written 7 years after the publication of Human Error, this book demonstrates Reason's thinking at its finest
a…
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psnet.ahrq.gov/node/36559/psn-pdf
July 14, 2010 - Description and evaluation of an interprofessional patient
safety course for health professions and related sciences
students.
July 14, 2010
Galt KA, Paschal KA, O'Brien RL, et al. Description and Evaluation of an Interprofessional Patient Safety
Course for Health Professions and Related Sciences Students. J Patie…
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psnet.ahrq.gov/node/37610/psn-pdf
June 16, 2011 - Is yours a learning organization?
June 16, 2011
Garvin DA, Edmondson A, Gino F. Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16,
134.
https://psnet.ahrq.gov/issue/yours-learning-organization
Key tenets of improving patient safety at the organizational level include taking a systems approach to
s…
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www.ahrq.gov/news/newsletters/e-newsletter/914.html
May 01, 2024 - AHRQ Views: Continuing a 35-Year History, AHRQ Pursues Vital Pathways To Improve Patient Care
Issue Number
914
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
May 21, 2024
AHRQ Stats Access more data on this topic in the associated statistical brief , plus a…
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psnet.ahrq.gov/node/73303/psn-pdf
May 26, 2021 - Safety Culture in EMS
May 26, 2021
Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/safety-culture-ems
Defining a Just Culture
A Just Culture is one that supports transparent and honest error reporting with the goal of fostering an
environmen…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Chapter 5. Education and Training
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Buildi…
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psnet.ahrq.gov/node/44799/psn-pdf
July 11, 2017 - Unintended Consequences: New Problems and New
Solutions.
July 11, 2017
Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271.
https://psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
Unexpected effects associated with implementation and use of health information technolo…
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psnet.ahrq.gov/node/39638/psn-pdf
July 02, 2014 - Teaching quality improvement and patient safety to
trainees: a systematic review.
July 2, 2014
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a
systematic review. Acad Med. 2010;85(9):1425-39. doi:10.1097/ACM.0b013e3181e2d0c6.
https://psnet.ahrq.gov/issue/teaching…