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digital.ahrq.gov/ahrq-funded-projects/systems-engineering-approach-improving-medication-safety-clinician-use-health
January 01, 2023 - A Systems Engineering Approach: Improving Medication Safety with Clinician Use of Health IT
Project Final Report ( PDF , 724.69 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not ne…
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digital.ahrq.gov/ahrq-funded-projects/improving-care-transitions-complex-patients-through-decision-support/annual-summary/2010
January 01, 2010 - Improving Care Transitions for Complex Patients through Decision Support - 2010
Project Name
Improving Care Transitions for Complex Patients through Decision Support
Principal Investigator
Lobach, David
Organization
Duke University
Funding Mechanism
RFA: HS08-002: A…
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digital.ahrq.gov/ahrq-funded-projects/accessing-cutting-edge-implementing-technology-transform-quality-se-kern
January 01, 2023 - Accessing the Cutting Edge: Implementing Technology to Transform Quality in SE Kern
Project Final Report ( PDF , 127.34 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessaril…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
September 01, 2016 - Communication Strategies to Promote Resident Safety
Communication Strategies To Promote Resident Safety
AHRQ Pub. No. 16-0003-13-EF
September 2016
AHRQ Safety Program for Long-Term Care: CAUTI
1
Objectives
After participating in the session, attendees will be able to—
Identify possible barriers to effective com…
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - In Conversation with Timothy Vogus about High
Reliability Organization (HRO) Principles and Patient
Safety
February 26, 2025
Vogus T, Lee M, Mossburg SE. In Conversation with Timothy Vogus about High Reliability Organization
(HRO) Principles and Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/persp…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6f.pdf
March 01, 2017 - Compared with
face-to-face visits, virtuwell enhanced access to care, reduced costs, and saved
users
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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - expected to the SaMD following initial review and approval. [6]
Networking and Interoperability
Enhanced
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digital.ahrq.gov/sites/default/files/docs/citation/eDecisionsReport.pdf
August 06, 2013 - meetings, educate the government body about HIE
and privacy and security before introducing them to the
enhanced … Initial legal
framework and bylaws must be completed prior to go
live of the enhanced provider/performance
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
September 28, 2016 - Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration
Improving the Safety and Quality
of Health Care: The Impact of the
National Academy of Medicine on
Research and Collaboration
Victor J Dzau, MD
President, National Academy of Medicine
AH…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section2.html
October 01, 2015 - These additional staff provided new or enhanced services and support specifically related to enhancing
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - expected to the SaMD following initial review and approval. [6]
Networking and Interoperability
Enhanced
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxselfassessment.pdf
June 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Falls Prevention Self-Assessment Workshee…
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - Adverse Event During Intrahospital Transport
Citation Text:
Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar …
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psnet.ahrq.gov/node/50930/psn-pdf
February 21, 2020 - Pharmacist Role in Patient Safety
February 21, 2020
Dopp AL, Hall KK. Pharmacist Role in Patient Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
Background: The Evolving Role of the Pharmacist
Medication errors are highly pervasive across all settings of care,[1] w…
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psnet.ahrq.gov/node/49403/psn-pdf
June 01, 2003 - Missed Appendicitis
June 1, 2003
Adams JG. Missed Appendicitis. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/missed-appendicitis
Case Objectives
Appreciate the variable presentations of appendicitis
List complications of missed appendicitis
Understand the advantages and disadvantages of CT in diagnosing…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs028699-final-report-ming-2024.pdf
January 01, 2024 - Enhanced
technical support is essential to optimize user experience and app engagement. … latest Apple CareKit and Research Kit versions
• Activated ability to link with EHR using FHIR
• Enhanced
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
May 01, 2023 - patient-safety/settings/ambulatory/tools/diagnostic-safety/toolkit.html
AHRQ developed this toolkit to promote enhanced
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi7.jsp
July 01, 2016 - The enhanced data set will be used to improve the predicative methodology to measure key patient outcomes
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumlitvin.html
October 01, 2014 - Litvin, Cara
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: Medical University of South Carolina, Charleston, SC
Grant Title: Improving Recognition and Management of Chronic …
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/debrief-emergency-dept-guide.pdf
June 02, 2025 - TeamSTEPPS Video Debrief Guide: Debrief in Emergency Department
TeamSTEPPS Video Debrief Guide: Debrief in Emergency
Department
Video Objective
To demonstrate the benefits of a team debrief to enhance performance and patient safety.
TeamSTEPPS Tool or Concept
Debrief.
Brief Video Description
A multidiscip…