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3141. Table 13B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13b.html
      December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 13B: Dually Eligible HCBS Participants Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators f…

3142. Table 13E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13e.html
      December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 13E: Serious Mental Illness Subpopulation Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicator…

3143. Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202504.html
      June 01, 2025 - Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety Search All Impact Case Studies June 2025 Harborview Medical Center in Seattle, Washington, has improved patient safety across its facilities using AHRQ’s Quality Indicators (QIs) — standardized measures used to assess and m…

3144. Disclosure of medical errors: the right thing to do. | PSNet
      psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do
      September 13, 2010 - July 22, 2010 WebM&M Cases Another Fall April 1,

3145. Ambiguities of chronic illness management and challenges to the medical error paradigm. | PSNet
      psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error-paradigm
      July 02, 2014 - November 13, 2024 A randomized trial of a multifactorial strategy to prevent serious fall

3146. Risk of mistaken DNR orders. | PSNet
      psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
      October 19, 2022 - April 11, 2011 A randomized trial of a multifactorial strategy to prevent serious fall

3147. Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare. | PSNet
      psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-management-and-communication-systems
      March 10, 2021 - March 10, 2021 A randomized trial of a multifactorial strategy to prevent serious fall

3148. Medical error: the second victim. | PSNet
      psnet.ahrq.gov/issue/medical-error-second-victim-0
      February 17, 2017 - February 17, 2017 A randomized trial of a multifactorial strategy to prevent serious fall

3149. Re-Engineered Discharge (RED) Toolkit. | PSNet
      psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
      June 20, 2014 - Toolkit Re-Engineered Discharge (RED) Toolkit. Citation Text: Re-Engineered Discharge (RED) Toolkit. Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084. Copy Citation …

3150. Critical incident stress debriefing after adverse patient safety events. | PSNet
      psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
      April 03, 2019 - April 3, 2019 A randomized trial of a multifactorial strategy to prevent serious fall

3151. Improving care transitions: current practice and future opportunities for pharmacists. | PSNet
      psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
      December 12, 2012 - November 19, 2018 A randomized trial of a multifactorial strategy to prevent serious fall

3152. ASHP guidelines on the safe use of automated dispensing devices. | PSNet
      psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automated-dispensing-devices
      July 05, 2017 - July 5, 2017 A randomized trial of a multifactorial strategy to prevent serious fall

3153. Do not let "Depo-" medications be a depot for mistakes. | PSNet
      psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
      March 15, 2022 - March 15, 2022 Selected medication safety risks to manage in 2016 that might otherwise fall

3154. Tackling implicit bias in health care. | PSNet
      psnet.ahrq.gov/issue/tackling-implicit-bias-health-care
      December 01, 2021 - December 20, 2020 A randomized trial of a multifactorial strategy to prevent serious fall

3155. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. | PSNet
      psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
      July 29, 2020 - the Same Author(s) A randomized trial of a multifactorial strategy to prevent serious fall

3156. Restoring trust in VA health care. | PSNet
      psnet.ahrq.gov/issue/restoring-trust-va-health-care
      June 21, 2016 - August 26, 2020 A randomized trial of a multifactorial strategy to prevent serious fall

3157. Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative. | PSNet
      psnet.ahrq.gov/issue/findings-and-lessons-improving-management-individuals-complex-health-care-needs-through
      October 02, 2013 - Book/Report Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative. Citation Text: Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Ini…

3158. Increasing demands for quality measurement. | PSNet
      psnet.ahrq.gov/issue/increasing-demands-quality-measurement
      November 16, 2022 - November 16, 2022 A randomized trial of a multifactorial strategy to prevent serious fall

3159. Airway carts: a systems-based approach to airway safety. | PSNet
      psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
      July 21, 2010 - May 6, 2020 A randomized trial of a multifactorial strategy to prevent serious fall injuries

3160. Nurses: Guilty verdict for dosing mistake could cost lives. | PSNet
      psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives
      April 27, 2022 - Related Resources ‘I felt like I was dying’: how women with postpartum depression fall