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Spotlight (pdf file)
psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdfJanuary 01, 2021 - Spotlight Spotlight Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations Source and Credits • This presentation is based on the September 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary … -
www.ahrq.gov/sites/default/files/2024-01/hartung-report.pdfJanuary 01, 2024 - Final Progress Report: RESPOND Pharmacy Education Toolkit: AHRQ Final Report RESPOND Pharmacy Education Toolkit: AHRQ Final Report Principal Investigator: Daniel Hartung, PharmD, MPH Team Members: Nicole O’Kane, Christi Hildebran, Adriane Irwin, Lindsey Alley, Kevin Novak, Sara Haverly, David Cameron, Jennifer Hal…
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Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging (pdf file)
www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdfJanuary 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging Agency for Healthcare Quality and Research Research Grant Final Report December 5, 2024 Watchful Waiting as a Strategy for Reducing Low-valu… -
www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdfJanuary 01, 2024 - Final Progress Report: Building Consensus Among States on Patient Safety Reporting Final Report “Building Consensus Among States on Patient Safety Reporting” William E. Golden, M.D. Vice President for Quality Improvement Health Care Quality Improvement Programs Office of Projects and Analysis Arkansas F…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdfJanuary 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach 241 Diagnostic Failure: A Cognitive and Affective Approach Pat Croskerry Abstract Diagnosis is the foundation of medicine. Effective treatment cannot begin until an accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of clinic…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdfJanuary 01, 2004 - Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study 35 Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study Adrianne C. Feldstein, David H. Smith, Nan R. Robertson, Christine A. Kovach, Stephen B…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdfDecember 01, 2004 - Patient Safety Research in Medical Group Practices: Measurement and Data Challenges 51 Patient Safety Research in Medical Group Practices: Measurement and Data Challenges Amy R. Wilson, Bryan E. Dowd, John E. Kralewski Abstract This paper attempts to identify and discuss some of the major challenges to co…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdfJanuary 01, 2004 - Financial and Demographic Influences on Medicare Patient Safety Events 437 Financial and Demographic Influences on Medicare Patient Safety Events Didem Bernard, William E. Encinosa Abstract Background: The hospital market is stratified between the “have” and the “have not” hospitals. Whether financial dis…
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Final Progress Report: Do Safety Warnings Change Prescribing Among the US Dialysis Population? (pdf file)
www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdfJanuary 01, 2024 - Final Progress Report: Do Safety Warnings Change Prescribing Among the US Dialysis Population? Principal Investigator: Thamer, Mae FINAL REPORT TITLE PAGE Title: Do Safety Warnings Change Prescribing among the US Dialysis Population? Principal Investigator and Team Members: M Thamer, PI, and other team members (… -
www.ahrq.gov/sites/default/files/2025-02/chen-report.pdfJanuary 01, 2025 - Final Progress Report: Measuring Quality of Primary Care in Complex Pediatric Patients Title: Measuring Quality of Primary Care in Complex Pediatric Patients Principal Investigator: Alex Y. Chen, MD, MS Organization: Children’s Hospital Los Angeles Inclusive Dates of Project: 07/01/2009- 06/30/2012 Federal Projec…
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Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdfAugust 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol… -
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-3.pdfJanuary 01, 2023 - 2023 National Healthcare Quality and Disparities Report - Appendix B. Quality Trends and Disparities Tables: Affordable Care AHRQ Publication No. 23(24)-0091-EF December 2023 2023 National Healthcare Quality and Disparities Report Appendix B. Quality Trends and Disparities Tables: Affordable Care The goal of t…
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www.ahrq.gov/sites/default/files/2024-01/savage-report.pdfJanuary 01, 2024 - Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors Workarounds: Developing Definitions, Measurement Strategies, and Links to Medication Errors Principal Investigator: Grant T. Savage, PhD (University of Missouri) Team Members: Jonathon R.B. Halbesleben, PhD (U…
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Mutual Support: Severe Hypertension (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdfJuly 01, 2023 - Mutual Support: Severe Hypertension Hospital AIM Team Leads SPPC‐II Mutual Support Severe Hypertension Module 5 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 5 of the SPPC‐II Teamwork Toolkit. In this module, we will discuss the different facets of mutual support and strategies for supporting each. 1 … -
www.ahrq.gov/patient-safety/reports/liability/baker.htmlAugust 01, 2017 - Advances in Patient Safety and Medical Liability Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Comme…
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www.ahrq.gov/patient-safety/reports/liability/pichert.htmlAugust 01, 2017 - Advances in Patient Safety and Medical Liability Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Ref…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdfJanuary 01, 2003 - Do Transient Working Conditions Trigger Medical Errors? 53 Do Transient Working Conditions Trigger Medical Errors? Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf, Clay Dunagan, Gary Sorock, Bradley Evanoff Abstract Objective: Organizational factors affecting working conditions for health …
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Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdfAugust 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol… -
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptxJune 27, 2024 - Research on Person-Centered Care National Center for Excellence in Primary Care Research Presents Research on Person-Centered Care June 27, 2024 Presented by: Ian Hargraves, PhD Alex Krist, MD, MPH Zsolt Nagykáldi, PhD Moderated by: Maya Gerstein, DrPH 1 NCEPCR Webinar Series The views expressed in th…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.htmlAugust 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 3. Description of Methods Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter…
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