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  1. psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
    February 26, 2014 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary
  2. psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
    October 23, 2024 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
  3. psnet.ahrq.gov/issue/physicians-beliefs-about-using-emr-and-cpoe-pursuit-contextualized-understanding-health-it
    May 16, 2012 - Study Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. Citation Text: Holden RJ. Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. Int J Med Inform. …
  4. psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
    September 20, 2011 - Free full text (PDF) Summary Related news video Related news article Save Save
  5. psnet.ahrq.gov/issue/reconciling-medications-admission-safe-practice-recommendations-and-implementation-strategies
    January 02, 2017 - The authors provide a summary of their safe practice recommendations and share their reconciliation form
  6. psnet.ahrq.gov/issue/improving-diagnosis-health-care
    September 12, 2018 - July 12, 2016 Health Literacy: Past, Present, and Future: Workshop Summary.
  7. psnet.ahrq.gov/issue/standardization-patient-safety-who-high-5s-project
    January 12, 2022 - 30, 2014 Developing a systematic approach to safer medication use during pregnancy: summary
  8. psnet.ahrq.gov/issue/surgical-never-events-united-states
    September 10, 2014 - July 16, 2015 25-Year summary of US malpractice claims for diagnostic errors 1986–2010
  9. psnet.ahrq.gov/issue/systems-approach-suicide-prevention-strengthening-culture-practice-and-education
    July 10, 2024 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
  10. psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
    November 16, 2022 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
  11. digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/annual-summary/2011
    January 01, 2011 - 021093 Project Period September 2011 - September 2016 AHRQ Funding Amount $711,643 Summary
  12. psnet.ahrq.gov/issue/building-learning-organization
    June 16, 2011 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
    July 01, 2023 - Contingency Teams SCRIPT Administration includes the executive leadership of a unit or facility … midwife, family medicine, pediatricians, anesthesiologist, NICU) • Infection prevention specialists • Executive … team meets regularly, and • The team has access to resources necessary for the intervention. 23 Summary … Engagement Strategies Staff Engagement Strategies Engagement Strategies: WIFM Successful AIM Teams Summary
  14. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
    July 01, 2018 - Previous Page Next Page Table of Contents Guide to Patient and Family Engagement ExecutiveSummary Introduction Methods Findings Implications for the Guide Summary and Discussion … Next Steps References Appendix A: Draft Key Informant Interview Protocol Appendix B: Summary of … positive experiences in turn help to further motivate staff in a reinforcing cycle. 43 Demonstrate executiveExecutive Level Walkarounds are an intervention developed in the patient- and family-centered care arena
  15. meps.ahrq.gov/data_files/publications/cb1/cb1.shtml
    March 01, 1998 - Contents • Executive Summary   • Section 3—Children's Health Status • Introduction—Health …   • References • Section 2—Children's Access to Health Care     ExecutiveSummary What were we doing well in 1996?
  16. meps.ahrq.gov/data_files/publications/cb8/cb8.shtml
    November 01, 2001 - Contents • Executive Summary   • Section 3: Health Status • Introduction … Executive Summary This report presents estimates of health insurance, access to care and use
  17. www.uspreventiveservicestaskforce.org/uspstf/recommendation/speech-and-language-delay-in-preschool-children-screening-2006
    February 15, 2006 - (2024) Read the Full Recommendation Download  JAMA  PDF Recommendation Summary … Supporting Evidence and Research Taxonomy Related Resources & Tools Final Evidence Summary … (Executive Associate Dean, Office of Academic Affairs, University of Michigan School of Nursing, Ann … (Executive Director, Outcomes Research and Management, Merck & Company, Inc., West Point, PA); and Barbara
  18. effectivehealthcare.ahrq.gov/sites/default/files/pdf/measuring-blood-pressure-future_research.pdf
    August 01, 2012 - vi Contents Executive Summary .................................................................... … The stakeholders were provided with the executive summary of the SMBP CER and went through a formal … Policymakers: This group includes entities such as the legislative and executive branches of the Federal … summary of the original SMBP CER. … Call to action on use and reimbursement for home blood pressure monitoring: executive summary: a joint
  19. effectivehealthcare.ahrq.gov/sites/default/files/innovations_in_stakeholder_engagement_conference_summary2.pdf
    October 01, 2011 - Innovations in Stakeholder Engagement Conference Summary Innovations in Stakeholder Engagement Conference … Summary 2 AHRQ Community Forum Overview of Types of Online Collaborative Platforms Chris Haller … Innovations in Stakeholder Engagement Conference Summary 3 AHRQ Community Forum Mr. … Innovations in Stakeholder Engagement Conference Summary 9 AHRQ Community Forum Lessons Learned: … Innovations in Stakeholder Engagement Conference Summary 14 AHRQ Community Forum Summary At the
  20. cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_CDS_Connect_IG_Diabetes_Part_One_Screening_0.pdf
    January 01, 2024 - .......................................................................... 12 Guideline Translation Summary … The recommendation summary states that “the USPSTF recommends screening for prediabetes and type 2 diabetes … structuring guideline recommendations as they are transformed into CDS artifacts (see Figure 6 for a summary … • Review the Guideline Translation Summary section of this document and Appendix A (the decision log … It addresses the first part of the recommendation summary, “The USPSTF recommends screening for prediabetes