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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
January 01, 2003 - Clinical Inertia and Outpatient Medical Errors
293
Clinical Inertia and Outpatient Medical Errors
Patrick J. O’Connor, JoAnn M. Sperl-Hillen,
Paul E. Johnson, William A. Rush, George Biltz
Abstract
Clinical inertia is defined as lack of treatment intensification in a patient not at
evidence-based goals for …
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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-Webster_76.pdf
July 18, 2008 - Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies
Understanding Quality and Safety Problems in the
Ambulatory Environment: Seeking Improvement With
Promising Teamwork Tools and Strategies
John S. Webster, MD, MBA; Heidi B. …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
July 02, 2008 - What Exactly Is Patient Safety?
What Exactly Is Patient Safety?
Linda Emanuel, MD, PhD; Don Berwick, MD, MPP; James Conway, MS; John Combes, MD;
Martin Hatlie, JD; Lucian Leape, MD; James Reason, PhD; Paul Schyve, MD;
Charles Vincent, MPhil, PhD; Merrilyn Walton, PhD
Abstract
We articulate an intellectual h…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance
Using ICD-9-CM Codes in Hospital Claims Data
to Detect Adverse Events in Patient
Safety Surveillance
Paul Hougland, MD; Jonathan Nebeker, MS, MD; Steve Pickard, MBA; Mark Van Tuinen, PhD;
Carol Masheter, PhD; Su…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety
Organizational Behavior Management in Health Care:
Applications for Large-Scale Improvements
in Patient Safety
Thomas R. Cunningham, MS, and E. Scott Geller, PhD
Abstract
Medical errors continue t…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
October 01, 2014 - Treating Tobacco Use and Dependence
Quick Reference Guide for Clinicians
This Quick Reference Guide for Clinicians presents summary points from the Clinical Practice Guideline. The guideline provides a description of the development process, thorough analysis and discussion of the available research, critical…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys-webcast-transcript.pdf
January 01, 2018 - Understanding CAHPS Surveys: A Primer For New Users Webcast Transcript
Understanding CAHPS Surveys: A Primer for New Users
January 2018 Webcast
Speakers
Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency
for Healthcare Research and Quality
Dale Shaller, M…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief
Issue Brief 10
Reinforcing the Value and Roles
of Nurses in Diagnostic Safety:
Pragmatic Recommendations
for Nurse Leaders and Educators
PATIENT
SAFETY
e
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e
Issue Brief 10
Reinforcing the Va…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
July 01, 2021 - 3. Breadth and Focus Areas of Federal Agency Research Portfolios in HSR and PCR
Health Services and Primary Care Research Study: Comprehensive Report
This chapter addresses the study’s first key question: What is the breadth and focus of federally funded HSR and PCR? There are two main components to this chap…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
December 01, 2017 - Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014)
Webinar Transcript
AHA – Chicago
June 3, 2014
Onboarding Webinar 5
12:00 PM CT
Operator: The following is a recording of the Paul Tedrick Onboarding Webinar 5 call with the American Hospital Association on Tuesday, J…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
June 03, 2014 - Paul Tedrick
AHA – Chicago
June 3, 2014
Onboarding Webinar 5
12:00 PM CT
Operator:
The following is a recording of the Paul Tedrick Onboarding Webinar 5 call with the American Hospital Association on Tuesday, June 3, 2014 at 12:00 p.m. Central Time. Excuse me, everyone. We now have all of our speakers in conference.…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-26-ehr-and-mu.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 26: An Introduction to Electronic Health Records and Meaningful Use
Primary Care
Practice Facilitation
Curriculum
Module 26: An Introduction to Electronic Health
Records and Meaningful Use
Agency for Healthcare Research and Quality
Advancing Excelle…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-test-result-communication-apb.pdf
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act - Appendix B. Included Studies
AHRQ Publication No. 24-0010-4-EF
July 2024
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Appendix B. Included Studies
Type of Data Collection
First Author Last
Name…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/mowebinar_2014transcript.pdf
January 01, 2014 - Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture Webinar Transcript
Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture
September 16, 2014 – Webinar Transcript
Speakers
Theresa Famolaro, MPS, Database Manager, AHRQ Surveys on Patient Safety Culture, Westat, …
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - 2023 National Healthcare Quality and Disparities Report Data Sources
2023 National Healthcare Quality and
Disparities Report
Data Sources
U.S. DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
July 01, 2015 - Appendix C: The Health Care Safety Hotline: Operations Manual
Appendix C. Operations Manual
The Health Care Safety Hotline: Operations Manual
Denise D. Quigley, RAND Corporation
Shaela Moen, RAND Corporation
Robert Giannini, ECRI Institute
Lauren Hunter, RAND Corporation
Operations Ma…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
December 01, 2022 - 2022 National Healthcare Quality and Disparities Report Data Sources
2022 National Healthcare Quality and
Disparities Report
Data Sources
U.S. DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
AHRQ Publication No. 22(23)-00…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
December 31, 2021 - 2021 National Healthcare Quality and Disparities Report Data Sources
2021 National Healthcare Quality and Disparities
Report
Data Sources
U.S. DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
…
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - Network of Patient Safety Databases Chartbook, 2019
Network of
Patient Safety
Databases
Chartbook, 2019
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook,
2019. Rockvi…
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www.ahrq.gov/news/newsroom/ahrq-stats.html
January 01, 2025 - AHRQ Stats
New data nuggets from AHRQ News Now posted weekly to highlight AHRQ statistical reports on health care trends. Adverse Drug Events Involving Hypoglycemic Agents In 2021, 7.5 percent of Hispanic patients, 6.6 percent of Black patients, 6.2 percent of patients with an “other” or unknown race, and 4.0…