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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4n
Selected Best Practices and Suggestions for Improvement
IQI: Mortality Review of Select Procedures and Conditions
Why Focus on Mortality Review? …
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www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
January 01, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
July Meeting Summary
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requ…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023602-singh-final-report-2017.pdf
January 01, 2017 - online research, sent secure messages, called the physician following receipt of the result, and
discussed … information about their result from sources other than their
physician– 46.3% did online research and 51.6% discussed
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cdsic.ahrq.gov/sites/default/files/2023-10/TPC%20Pat%20Engage%20Handbook%20Final.pdf
January 01, 2023 - While focused on clinical practice guideline development, the methods discussed here can be
adopted
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/impact-healthcare-algorithms-racial-ethnic-disparities-March-2.pdf
May 15, 2023 - Clinicians and patients often unaware of algorithm use and potential for bias
o Algorithms should be discussed
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effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1312.pdf
December 01, 2013 - AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Crosscutting Interventions and Programs
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
www.ahrq.gov
Contract No. HHS…
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digital.ahrq.gov/sites/default/files/docs/citation/09-10-0091-1-EF.pdf
October 01, 2009 - many conclusions described in Microsoft’s Common User Interface,10 innovation
meeting participants discussed … In support of the idea of actionable
information, innovation meeting participants discussed the potential
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/traumatic-brain-injury-rehabilitation-future_research.pdf
January 01, 2013 - We then
identified and discussed research design considerations for those identified research needs. … comparison, outcome, timing, and setting), provided context, described related
ongoing research, and discussed … Because more than one research
design can be applied to an individual research need, we discussed the
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digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-or
January 01, 2023 - Privacy and Security Solutions for Interoperable Health Information Exchange / Oregon
Project Description
Project Details -
Completed
Contract Number
290-05-0015-RTI-007
Funding Mechanism(s)
Health Information Security and Privacy Colla…
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psnet.ahrq.gov/node/42412/psn-pdf
October 07, 2013 - Quality and safety implications of emergency department
information systems.
October 7, 2013
Farley HL, Baumlin KM, Hamedani A, et al. Quality and safety implications of emergency department
information systems. Ann Emerg Med. 2013;62(4):399-407. doi:10.1016/j.annemergmed.2013.05.019.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/41876/psn-pdf
December 04, 2016 - Errors in palliative care: kinds, causes, and
consequences: a pilot survey of experiences and
attitudes of palliative care professionals.
December 4, 2016
Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot
survey of experiences and attitudes of palliative care…
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psnet.ahrq.gov/node/45117/psn-pdf
August 03, 2016 - Using computerized prescriber order entry to limit
overrides from automated dispensing cabinets.
August 3, 2016
Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated
dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14):1033-1035. doi:10.2146/ajhp150564.
ht…
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psnet.ahrq.gov/node/40448/psn-pdf
September 19, 2016 - Health care workers as second victims of medical errors.
September 19, 2016
Edrees HH, Paine LA, Feroli R, et al. Health care workers as second victims of medical errors. Pol Arch
Med Wewn. 2011;121(4):101-108.
https://psnet.ahrq.gov/issue/health-care-workers-second-victims-medical-errors
Medical errors can have a…
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psnet.ahrq.gov/node/46783/psn-pdf
January 24, 2018 - America's Hospitals: Improving Quality and Safety: The
Joint Commission's Annual Report 2017.
January 24, 2018
Oakbrook Terrace; IL: Joint Commission; 2017.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2017
The Joint Commission annual report provide…
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psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors
April 26, 2023 - Newspaper/Magazine Article
Neuromuscular blocking agents: reducing associated wrong-drug errors.
Save
Save to your library
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April 16, 2018
This article discu…
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psnet.ahrq.gov/node/43191/psn-pdf
December 12, 2018 - Harnessing implementation science to improve care
quality and patient safety: a systematic review of targeted
literature.
December 12, 2018
Braithwaite J, Marks D, Taylor N. Harnessing implementation science to improve care quality and patient
safety: a systematic review of targeted literature. Int J Qual Health C…
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psnet.ahrq.gov/node/847533/psn-pdf
April 12, 2023 - Linking patient safety climate with missed nursing care in
labor and delivery units: findings from the LaborRNs
survey.
April 12, 2023
Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and
delivery units: findings from the LaborRNs survey. J Patient Saf. 2023;19(…
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psnet.ahrq.gov/node/34746/psn-pdf
July 08, 2016 - To Err Is Human: Building a Safer Health System.
July 8, 2016
Kohn KT, Corrigan JM, Donaldson MS, eds. Washington, DC: Committee on Quality Health Care in
America, Institute of Medicine: National Academy Press; 1999.
https://psnet.ahrq.gov/issue/err-human-building-safer-health-system
One measure of the impact of t…
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psnet.ahrq.gov/node/851349/psn-pdf
July 12, 2023 - Contributory factors and patient harm including deaths
associated direct acting oral anticoagulants (DOACs)
medication incidents: evaluation of real world data
reported to the national reporting and learning system.
July 12, 2023
Rowily AA, Jalal Z, Paudyal V. Contributory factors and patient harm including deaths…
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psnet.ahrq.gov/node/35524/psn-pdf
October 06, 2016 - Does patient-centered design guarantee patient safety?:
Using human factors engineering to find a balance
between provider and patient needs.
October 6, 2016
France DJ, Throop P, Walczyk B, et al. Does Patient-Centered Design Guarantee Patient Safety? J Patient
Saf. 2008;1(3):145-153. doi:10.1097/01.jps.0000191550…