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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021590-ralston-final-report-2017.pdf
January 01, 2017 - Moreover, the effectiveness of such enhanced communication systems
is unclear. … for health design science including: a structured framework to guide data collection
and analysis; enhanced
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or34.jsp
August 01, 2014 - Life Expectancy of Oregon AI/AN.
An official website of the Department of Health & Human Services
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www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
December 01, 2012 - Learn from Defects Tool
CUSP Toolkit
Health care organizations can increase the extent to which they learn from defects.
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be h…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - Learn From Defects Tool
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be harmed. Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect.
Wh…
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www.ahrq.gov/news/newsletters/e-newsletter/947.html
February 01, 2025 - Study Identifies Strategies To Improve Patient Experience
Issue Number
947
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
February 25, 2025
AHRQ Stats: Conditions Associated With Lack of Reliable Transportation In 2021, 15.5 percent of current smokers report…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-advancing-methods-4.pdf
March 03, 2021 - Improving Patient Experience: Data Analysis Methods webcast - Wellstar
Advancing Methods of Implementing and
Evaluating Patient Experience
Improvement Using CAHPS® Surveys
March 3, 2021
Natalie McNeal, MBA, MHA
Wellstar Community Hospice
Our state-of-the-art facilities include:
11
HOSPITALS
300+
MEDICAL
O…
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psnet.ahrq.gov/primer/leadership-role-improving-safety
September 15, 2024 - Leadership Role in Improving Safety
Citation Text:
Leadership Role in Improving Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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digital.ahrq.gov/ahrq-funded-projects/i-matter-investigating-mhealth-texting-tool-embedding-patient-reported-data
June 30, 2023 - i-Matter: Investigating an mHealth Texting Tool for Embedding Patient-Reported Data into Diabetes Management
Project Final Report ( PDF , 916.17 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content…
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digital.ahrq.gov/ahrq-funded-projects/implementing-uspstf-recommendations-breast-cancer-screening-and-prevention
January 01, 2023 - Implementing USPSTF Recommendations for Breast Cancer Screening and Prevention by Integrating Clinical Decision Support Tools with the Electronic Health Record
Project Description
Research Story
Integrating patient-generated breast cancer risk information with patients’ e…
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digital.ahrq.gov/ahrq-funded-projects/implementing-low-literacy-multimedia-information-technology-it-system-enhance-3
January 01, 2023 - Addressing low literacy and health literacy in clinical oncology practice.
Citation
Garcia SF, Hahn EA, Jacobs EA. Addressing low literacy and health literacy in clinical oncology practice. J Support Oncol 2010 Mar-Apr;8(2):64-9.
Link
http://www.ncbi.nlm.nih.gov/pubmed/20464884
Principal…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/enhancing
January 01, 2023 - Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors.
Citation
Seoane-Vazquez E, Rodriguez-Monguio R, Alqahtani S, et al. Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors. Expert Opin Drug Saf 2017 Oct;…
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psnet.ahrq.gov/node/43055/psn-pdf
May 01, 2017 - AHRQ's Safety Program for Ambulatory Surgery.
May 1, 2017
Health Research & Educational Trust. Rockville, MD: Agency for Healthcare Research and Quality; May
2017. AHRQ Publication No. 16(17)-0019-1-EF.
https://psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery
This report provides information about a na…
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psnet.ahrq.gov/node/43491/psn-pdf
January 01, 2015 - The systems approach to medicine: controversy and
misconceptions.
December 9, 2014
Dekker SWA, Leveson NG. The systems approach to medicine: controversy and misconceptions. BMJ
Qual Saf. 2015;24(1):7-9. doi:10.1136/bmjqs-2014-003106.
https://psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconcept…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/discussion-guide
January 01, 2023 - Care Management (CMP) Discussion Guide. Oregon Health and Science University. Version 4.0.
Citation
Dorr DA & Behkami N. Care Management (CMP) Discussion Guide. Oregon Health and Science University. Version 4.0.
PDF
Care Management (CMP) Discussion Guide
(Persons using assistiv…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-syste-3
January 01, 2023 - A business case for HIT adoption: effects of "meaningful use" EHR financial incentives on clinic revenue
Citation
Behkami NA, Dorr DA, Morrice S. A business case for HIT adoption: effects of "meaningful use" EHR financial incentives on clinic revenue. Stud Health Technol Inform. 2010;160(Pt 1):779-83.…
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psnet.ahrq.gov/node/44906/psn-pdf
February 17, 2016 - Hospitals find a way to say, 'I'm sorry.'
February 17, 2016
Landro L.
https://psnet.ahrq.gov/issue/hospitals-find-way-say-im-sorry
Communication and resolution strategies that emphasize early disclosure after a medical error can
enhance patient safety. This newspaper article reports on communication and resolution…
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psnet.ahrq.gov/node/41201/psn-pdf
March 07, 2012 - Crisis resource management in emergency medicine.
March 7, 2012
Carne B, Kennedy M, Gray T. Review article: Crisis resource management in emergency medicine.
Emergency Medicine Australasia. 2011;24(1). doi:10.1111/j.1742-6723.2011.01495.x.
https://psnet.ahrq.gov/issue/crisis-resource-management-emergency-medicine
…
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psnet.ahrq.gov/node/38755/psn-pdf
July 01, 2009 - Review of Patient Safety for Children and Young People.
July 1, 2009
London, UK: National Patient Safety Agency; 2009. ISBN: 978906624071.
https://psnet.ahrq.gov/issue/review-patient-safety-children-and-young-people
Analyzing research and more than 900,000 incident reports submitted to the National Patient Safety
…
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psnet.ahrq.gov/node/47977/psn-pdf
August 14, 2019 - Reducing Diagnostic Error: Measurement Considerations.
August 14, 2019
National Quality Forum
https://psnet.ahrq.gov/issue/reducing-diagnostic-error-measurement-considerations
This website tracks the progress of a project focused on the development and review of measures to
enhance viability, reporting, accountabi…
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psnet.ahrq.gov/node/43214/psn-pdf
May 28, 2014 - What a doctor may miss by reaching for the MRI first.
May 28, 2014
Boodman SG, Kaiser Health News. Washington Post. May 19, 2014.
https://psnet.ahrq.gov/issue/what-doctor-may-miss-reaching-mri-first
This newspaper article reports how lack of competency with performing physical examinations and over-
reliance on te…