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2461. Final Progress Report: Advancing Quality Measurement and Care Improvement with Health Information Exchange (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/shapiro-report.pdf
      January 01, 2025 - Final Progress Report: Advancing Quality Measurement and Care Improvement with Health Information Exchange Title Page Title: Advancing Quality Measurement and Care Improvement with Health Information Exchange Principal Investigator and Team Members: Jason S Shapiro Role: Principal Investigator Cindy Clesca…

2462. Section 2. Implementing Recommendations in Academic Curricula | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf2.html
      June 01, 2022 - Section 2. Implementing Recommendations in Academic Curricula Implementing USPSTF Recommendations into Health Professions Education This document was developed as part of an Agency for Healthcare Research and Quality (AHRQ) initiative to increase the use of the U.S. Preventive Services Task Force (USPSTF) rec…

2463. 2018 National Healthcare Quality and Disparities Report Detailed Methods for the Medical Expenditure Panel Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-mepsmethods.pdf
      January 01, 2020 - 2018 National Healthcare Quality and Disparities Report Detailed Methods for the Medical Expenditure Panel Survey 2018 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT DETAILED METHODS FOR THE MEDICAL EXPENDITURE PANEL SURVEY U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Health…

2464. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
      January 01, 2024 - Final Progress Report: Creating Learning Cultures Around Mistakes for Residents 1 Project Title: Creating Learning Cultures Around Mistakes for Residents Timothy J. Hoff, PhD, Principal Investigator University at Albany, SUNY School of Public Health Henry Pohl, MD, Co-Investigator Joel Bartfield, MD, Co-Investi…

2465. Lessons in Safety Climate and Safety Practices from a California Hospital Consortium (pdf file)
      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 - Lessons in Safety Climate and Safety Practices from a California Hospital Consortium 411 Lessons in Safety Climate and Safety Practices from a California Hospital Consortium Sara J. Singer, Kelly M. Dunham, Jennie D. Bowen, Jeffrey J. Geppert, David M. Gaba, Kathryn M. McDonald, Laurence C. Baker Abstract…

2466. Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database (pdf file)
      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 - Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database 277 Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database Elaine M. Furmaga, Peter A. Glassman, Francesca E. Cunningham, Chester B. Good Abstract Objective: In view of the wi…

2467. Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdf
      March 05, 2008 - Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care Robert E. Graham, MD, MPH; Tejal K. Gandhi, MD, MPH; Joshua Borus, MD; Andrew C. Seger, PharmD; Elisabeth Bur…

2468. Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
      January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD; Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS; Bradley N. Do…

2469. A Conceptual Framework for Studying the Safety of Transitions in Emergency Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
      January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care 309 A Conceptual Framework for Studying the Safety of Transitions in Emergency Care Ravi Behara, Robert L. Wears, Shawna J. Perry, Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro, Christopher Beach, Pat Croskerry, Ka…

2470. Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
      January 01, 2004 - Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? 291 Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? Debra Quinn, Mary Cooper, Lynn Chevalier, Jerry Balentine, Lawrence Kadish, Steven Walerstein, Fredric Weinbaum, Mark Ca…

2471. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
      January 01, 2004 - Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration 27 Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objectives: This study examined whether clinical evidence in medical records confirms…

2472. Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
      January 01, 2000 - Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care 7 Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care Denise Hartnett Daudelin, Manlik Kwong, Joni R. Beshansky, Harry P. Selker Abstract Information Technology (IT) solutions to patient safe…

2473. Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
      February 01, 2005 - Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments 469 Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments Elizabeth A. P. Vane, Edward Drost, Daryl Elder, Yvonne Heib Abstract The United States Army per…

2474. Usability Testing and the Relation of Clinical Information Systems to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
      January 01, 2003 - Usability Testing and the Relation of Clinical Information Systems to Patient Safety 365 Usability Testing and the Relation of Clinical Information Systems to Patient Safety Michelle L. Rogers, Emily Patterson, Roger Chapman, Marta Render Abstract Background: The success of clinical information systems depend…

2475. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…

2476. Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
      June 15, 2003 - Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative 153 Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative Carl A. Sirio, Donna J. Keyser, Heidi Norman, Robert J. We…

2477. Identifying Barriers to the Success of a Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
      March 01, 2004 - Identifying Barriers to the Success of a Reporting System 167 Identifying Barriers to the Success of a Reporting System Michelle L. Harper, Robert L. Helmreich Abstract Spurred by a controversial report from the Institute of Medicine on the prevalence of medical error, To Err Is Human, the medical profe…

2478. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
      September 01, 2005 - Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative 105 Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative David R. West, John M. Westfall, Rodrigo Araya-G…

2479. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
      September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science PATIENT SAFETY e Issue Brief 6 The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science This…

2480. Fillmore (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/fillmore.pdf
      August 01, 2014 - c Case Studies of EXEMPLARY PRIMARY CARE PRACTICE FACILITATION TRAINING PROGRAMS Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov The PCM Portfolio graphic element is intended to be closely aligned with AHRQ's overall brand,…