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www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html
March 01, 2021 - Meeting Minutes, November 2020
Minutes from the November 10, 2020, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
( Virtual Meeting )
Contents
Summary
Call to Order and Approval of July 14, 2020, Meeting Summary
Overview and Recent AHRQ Accomplishments
AHRQ …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - Quantitative and Qualitative Analysis of Medication Errors: The New York Experience
131
Quantitative and Qualitative Analysis of
Medication Errors: The New York Experience
Elizabeth Duthie, Barbara Favreau, Angelo Ruperto,
Janet Mannion, Ellen Flink, Ruth Leslie
Abstract
Objectives: In June 2000, the New Yo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors
39
An Analysis of Nurses’ Cognitive Work:
A New Perspective for Understanding
Medical Errors
Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson,
Jennifer Sledge, Clay Dunagan, Bradley Evanoff
Abstract
He…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
January 01, 2004 - Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation?
291
Can an Academic Health Care
System Overcome Barriers to
Clinical Guideline Implementation?
Debra Quinn, Mary Cooper, Lynn Chevalier,
Jerry Balentine, Lawrence Kadish, Steven Walerstein,
Fredric Weinbaum, Mark Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
July 01, 2003 - Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors
185
Preparing for Ambulatory Computerized
Prescriber Order Entry by Evaluating
Preimplementation Medication Errors
Emily Beth Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless,
Thomas K. Hazlet, R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Serious Reportable Adverse Events in Health Care
339
Serious Reportable Adverse
Events in Health Care
Kenneth W. Kizer, Melissa B. Stegun
Abstract
Health care errors resulting in patient harm are a leading cause of morbidity and
mortality in the United States, although there is no national reporting of such…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
February 24, 2008 - Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture
Hospital Administrative Staff vs. Nursing Staff
Responses to the AHRQ Hospital Survey
on Patient Safety Culture
Karen L. Hannah, MBA; Charles P. Schade, MD, MPH; David R. Lomely, BS;
Patricia Ruddick,…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
February 26, 2008 - Error Producing Conditions in the Intensive Care Unit
Error Producing Conditions in the
Intensive Care Unit
Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD
Abstract
Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas
where errors occur frequently is t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdf
March 05, 2008 - Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care
Risk of Concurrent Use of Prescription Drugs with
Herbal and Dietary Supplements in Ambulatory Care
Robert E. Graham, MD, MPH; Tejal K. Gandhi, MD, MPH; Joshua Borus, MD;
Andrew C. Seger, PharmD; Elisabeth Bur…
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www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Community Connections
Linking Primary Care Patients to Local Resources
for Better Management of Obesity
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health…
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www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Integrating Primary Care Practices and Community-based
Resources to Manage Obesity
A Bridge-building Toolkit for Rural Primary Care Practices
Prepared for
Agency for Healthcare Research and Quality
540 Gaither Road
Rockv…
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
March 01, 2020 - Chartbook on Hispanic Health Care: Slide Presentation
2014 National Healthcare Quality and Disparities Report
Contents
Introduction
Part 1: Overviews of the Report and the Hispanic Population
Part 2: Trends in Priorities of the Heckler Report
Part 3: Trends in Access and Priorities of the National Qua…
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www.ahrq.gov/sites/default/files/2024-10/gorelick-report.pdf
January 01, 2024 - Scoring will use readily available
data routinely obtained at the initiation of the visit, enhancing
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
January 01, 2024 - Can patients contribute to enhancing the safety and effectiveness of test-result follow-up?
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-screening-toolkit.pdf
April 01, 2025 - shortcut that inserts a block of
text into a patient note in the EHR, streamlining repetitive
typing and enhancing … GL, M.R., Nolan KM, Nolan TW, Norman CL, Provost
LP, The Improvement Guide: A Practical Approach to Enhancing
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-5.pdf
February 02, 2012 - Enhancing
pediatric mental health care: report from
the American Academy of Pediatrics Task
Force on
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-5.pdf
February 02, 2012 - Enhancing
pediatric mental health care: report from
the American Academy of Pediatrics Task
Force
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www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
March 01, 2025 - AHRQ Summit to Address Emergency Department Boarding
2
AHRQ Summit to Address
Emergency Department
Boarding
Technical Report
e
AHRQ Summit to Address Emergency
Department Boarding
Technical Report
Prepared by
Robin M. Weinick, PhD
Resonant, LLC
Sean Bruna, PhD, MA, MA
Agen…
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www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
January 01, 2024 - Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation
Final Report:
Risk-Informed Interventions in Community Pharmacy:
Implementation and Evaluation
Principal Investigator:
Michael R. Cohen, RPh, MS, ScD (hon), DPS (hon)
Team Members:
Judy L. Smetzer, RN, BSN,…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
June 01, 2018 - Chartbook on Care Coordination: Slide Presentation
National Healthcare Quality and Disparities Report
Slide 1
National Healthcare Quality and Disparities Report
Chartbook on Care Coordination
June 2016
Slide 2
National Healthcare Quality and Disparities Report
Annual report to Congress mandat…