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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/registry-of-patient-registries_research.pdf
April 15, 2019 - With the growth in patient registries comes an increased need for transparency, collaboration,
and efficient
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cds.ahrq.gov/sites/default/files/cds/artifact/1146/Warfarin-Antidepressants%20MDIA%20Implementation%20Guide.docx
August 29, 2020 - Implementation Guide
Warfarin - Antidepressants
Prepared by:
MDIA contact information
Under funding from AHRQ grants R21 HS023826 and R01 HS025984
MDIA publication No. 002
August 29, 2020
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do no…
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - SPOTLIGHT CASE
Which Line: Ordering Provider or Proceduralist?
Citation Text:
Blackmore CC. Which Line: Ordering Provider or Proceduralist?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format: …
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs015188-huck-final-report-2008.pdf
January 01, 2008 - Rural Healthcare Quality Network (RHQN) - Final Report
Grant Final Report
Grant ID: R01 HS 015188
Rural Healthcare Quality Network (RHQN)
Inclusive dates: 09/17/04 - 08/31/08
Principal Investigator:
Jacqueline Huck
Performing …
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psnet.ahrq.gov/node/840256/psn-pdf
November 16, 2022 - In Conversation With... Pascale Carayon, PhD and Nicole
Werner, PhD
November 16, 2022
In Conversation With.. Pascale Carayon, PhD and Nicole Werner, PhD. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
Editor’s note: Dr. Pascale Carayon, PhD, is a p…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018158-stockwell-final-report-2013.pdf
January 01, 2013 - Flu Alert: Influenza Vaccine Alerts for Providers in the Electronic Health - Final Report
Grant Final Report
Grant ID: 5R18HS018158
Flu Alert: Influenza Vaccine Alerts for Providers in the
Electronic Health
Inclusive Project Dates: 09/30/09 - 07/31/13
Principal Investigator:
Melissa S. S…
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psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - SPOTLIGHT CASE
Privacy or Safety?
Citation Text:
Halamka JD, McGraw D. Privacy or Safety?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNo…
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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - SPOTLIGHT CASE
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
Citation Text:
Cate O ten-. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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digital.ahrq.gov/computerized-provider-order-entry-inpatient
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - “This is the wrong patient's blood!”: Evaluating a Near-
Miss Wrong Transfusion Event
January 29, 2020
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-…
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psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx
Spotlight
Hurried Team Huddle and Poor Communication: Unsafe
Practice During Anesthesia for Emergency Cesarean
Delivery
Source and Credits
• This presentation is based on the June 2023 AHRQ WebM&M
Spotlight Case
o See…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
November 01, 2013 - How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work?
Evaluation Highlight No. 5
Author: Leslie Foster
Contents
Key Messages
Background
Findings
Conclusions
Implications
Learn More
Endnotes
The CHIPRA Quality Demonstration …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight06.pdf
September 08, 2015 - Evaluation Highlight No. 6: How are CHIPRA Quality Demonstration States Working Together to Improve the Quality of Health Care for Children?
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the qual…
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - Syringe Swap During Regional Block: A Case of
Medication Error and Recovery
January 31, 2024
Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/careaffordability-slides.html
September 01, 2018 - Chartbook on Care Affordability: Slide Presentation
National Healthcare Quality and Disparities Report
Slide 1
National Healthcare Quality and Disparities Report
Chartbook on Care Affordability
August 2016
Slide 2
National Healthcare Quality and Disparities Report
Annual report to Congress ma…
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psnet.ahrq.gov/node/33750/psn-pdf
May 01, 2013 - In Conversation With… Ashish K. Jha, MD, MPH
May 1, 2013
In Conversation With… Ashish K. Jha, MD, MPH. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
Editor's note: Ashish K. Jha, MD, MPH, is professor of health policy and management at the Harvard
School of Public Hea…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Establishing a Program of In Situ Simulations
AHRQ Safety Program for Perinatal Care
Establishing a Program of In Situ Simulations
AHRQ Publication No. 17-0003-22-EF
May 2017
SAY:
Establishing a Program of In Situ Simulations
is a pillar of the AHRQ Safety Program for…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.doc
January 01, 2004 - Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T
Advances in Patient Safety: Vol. 4
Development of a Research Dissemination Tool
Development of a Planning Tool
to Guide Research Dissemination
Deborah Carpenter, Veronica Nieva,
Tarek Al…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - Module 3: Staff Empowerment: Facilitator Notes
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 3: Staff Empowerment
Say:
The Staff Empowerment module will discuss the importance of staff empowerment and strategies for implementing staff empowerment in your facility.
Slide 2: Objecti…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/facilitator-notes.docx
March 01, 2017 - Facilitator Notes
SAY:
The Resident and Family Engagement module focuses on the roles and responsibilities of the resident and family as a member of the facility safety team. Engaging the resident and family as partners will help assure they can be active participants in their care and in the decision-making process …