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psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
July 20, 2012 - Tools/Toolkit
Contemporary View of Medication-Related Harm. A New Paradigm.
Citation Text:
Contemporary View of Medication-Related Harm. A New Paradigm. National Coordinating Council for Medication Error Reporting and Prevention; NCCMERP.
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psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system
February 05, 2020 - Multi-use Website
Radiotherapy Incident Reporting and Analysis System.
Citation Text:
Radiotherapy Incident Reporting and Analysis System. Center for Assessment of Radiological Sciences. 4913 Wuakesha Street, Madison,WI 53705. 608-345-5795. Email: brthomad@cars-pso.org.
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psnet.ahrq.gov/issue/texas-health-presbyterian-hospital-ebola-crisis-perfect-storm-human-errors-system-failures
February 23, 2018 - Book/Report
The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness.
Citation Text:
The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. Anderso…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary6.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Building partnerships to improve quality of children’s health care
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Table of Contents
Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Introdu…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips32.html
October 01, 2014 - North Dakota Critical Access Hospitals Use AHRQ TeamSTEPPS® to Improve Patient Safety
Search All Impact Case Studies
January 2010
The University of Nebraska Medical Center customized the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) curriculum for use in critical access h…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips52.html
October 01, 2014 - Nebraska Critical Access Hospitals Improve Safety With AHRQ TeamSTEPPS®
Search All Impact Case Studies
December 2010
The University of Nebraska Medical Center (UNMC) customized the coaching strategies used in the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) curriculum fo…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-3.html
September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors
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Table of Contents
Strategies for Improving Clinician Psychological Safety in Reporting and D…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-2.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Introduction
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Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive Summary
Introduct…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apc.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
Appendix C. Interview Guide
Previous Page
Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3. Results
4. Discussion
Referenc…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/xL4XwcPKXBfTWgY5ouzLzy
May 01, 2021 - Screening for Colorectal Cancer
1
Clinician Summary of USPSTF Recommendation
Screening for Colorectal Cancer
May 2021
www.uspreventiveservicestaskforce.org
The USPSTF recognizes that clinical decisions involve more considerations than evidence alone.
Clinicians should understand the evidence bu…
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digital.ahrq.gov/document-type/clinicalpractice-guidelines
March 01, 2024 - Clinical/Practice Guidelines
Addressing chronic pain through patient- and clinician-facing clinical decision support: Technical implementation guide
Citation
Addressing chronic pain through patient- and clinician-facing clinical decision support: Technical implementation guide…
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integrationacademy.ahrq.gov/sites/default/files/2020-07/kavita_patel.docx
January 01, 2020 - Integrating Behavioral Health and Primary Care as a Comprehensive Way to Deliver Patient Care
Kavita Patel Transcript AHRQ Academy Video
Now is a great time to integrate primary care and behavioral health not just in terms of policy but probably more importantly in terms of the impact policy has on the actual care tha…
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digital.ahrq.gov/program-overview/research-stories/predictive-modeling-improve-screening-and-referral-unmet-need
January 01, 2023 - Predictive Modeling to Improve Screening and Referral for Unmet Need
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Identifying Risk with Artificial Intelligence and Machine Learning Digital Tools
Using predictive modeling and clinical decision support tools to identify people wi…
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digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research/tailoring-visits-using-person-specific-patient-reported-outcomes
January 01, 2019 - Tailoring Visits Using Person-Specific Patient-Reported Outcomes to Improve Care for People with HIV
By identifying and addressing PROs that matter most to patients, this research has the potential to maximize clinic time spent with patients with HIV and chronic conditions to tailor and improve their care.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/study-design-classification_research.pdf
December 01, 2010 - All EPCs were
asked to provide examples of intervention or exposure studies for which the assignment … Examples of clusters
include hospitals, schools, neighborhoods, or entire communities. … Examples include randomized controlled trial, cluster randomized controlled trial,
nonrandomized trial … Non-comparative study
Examples of this design include:
• A study that presents a description of a … Examples of clusters include
hospitals, schools, neighborhoods, or entire communities.
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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-Riley_58.pdf
April 02, 2008 - Behavioral markers included in the observation instrument
Behavioral marker Definition Examples
Establishing
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/pbrn/pbrn-final-synthesis-report.pdf
September 01, 2025 - Examples include use of
telehealth, 24/7 access to a practitioner with access to an electronic health … Examples include use of data and measures to improve
population health management, patients’ health, … emphasized the importance of involving patients and communities
as full partners in research and provided examples … Two other examples of highly cited publications by the Virginia Ambulatory Care Outcomes
Research Network
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023826-malone-final-report-2017.pdf
January 01, 2017 - Individualized Drug Interaction Alerts - Final Report
Individualized Drug Interaction Alerts
Investigators:
Daniel C. Malone, RPh, PhD, Principal Investigator
Richard D. Boyce, PhD, Co-Investigator
Philip Hansten, PharmD, Consultant
John R. Horn, PharmD, Consultant
Andrew Romero, PharmD, Consultan…
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www.ahrq.gov/sites/default/files/wysiwyg/2020-hospital-linkage-techdoc.pdf
January 01, 2020 - Compendium of U.S. Health Systems, 2020, Hospital Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2020, Hospital Linkage File, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health a…
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - AHRQ PSNet Annual Perspective: Impact of the COVID-19
Pandemic on Patient Safety
March 30, 2021
Stocking JC, Sandrock C, Fitall E, et al. AHRQ PSNet Annual Perspective: Impact of the COVID-19
Pandemic on Patient Safety. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact…