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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator
395
From Insight to Implementation:
Lessons from a Multi-site Trial of
a PDA-based Warfarin Dose Calculator
Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth,
Debora A. Paterniti, William Dager, …
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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-Woods_78.pdf
July 23, 2008 - Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions
Improving Clinical Communication and Patient
Safety: Clinician-Recommended Solutions
Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Denise Angst, PhD, RN;
Susan C. Echiverri, MD; Daniel Johnson, MD; David F. Soglin, MD; Gop…
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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-Alexander_10.pdf
January 20, 2008 - Measuring IT Sophistication in Nursing Homes
Measuring IT Sophistication in Nursing Homes
Gregory L. Alexander, PhD, RN; Dick Madsen, PhD; Stephanie Herrick; Brady Russell
Abstract
Objective: Little activity has occurred in nursing home (information technology) IT adoption.
The purpose of this study was to de…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
June 16, 2008 - Development of a Comprehensive Medical Error Ontology
Development of a Comprehensive
Medical Error Ontology
Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD;
Jiajie Zhang, PhD; James P. Turley, RN, PhD
Abstract
A critical step towards reducing errors in health care …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
January 12, 2021 - Six Building Blocks How-To-Implement Toolkit: Fast Track Approach Guide
A Team-Based Approach to Improving
Opioid Management in Primary Care
Table of Contents
Introduction ......................................................................................................................................1
W…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
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e
Issue Brief 8
Distributed Cognition and the Rol…
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www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
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e
Issue Brief 8
Distributed Cognition and the Rol…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative
133
Mixed Methods Analysis of Medical
Error Event Reports: A Report from
the ASIPS Collaborative
Daniel M. Harris, John M. Westfall, Douglas H. Fernald,
Christine W. Duclos, David R. West, Linda Niebauer,
Linda Ma…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
February 14, 2018 - Metabolic Monitoring for Children and Adolescents on Antipsychotics
1
Metabolic Monitoring for Children and Adolescents
on Antipsychotics
Section 1. Basic Measure Information
1.A. Measure Name
Metabolic Monitoring for Children and Adolescents on Antipsychotics
1.B. Measure Number
0150
1.C. Measure Descripti…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqmp-pc-development.pdf
July 01, 2016 - Care Coordination Quality Measure for Primary Care (CCQM-PC) - Development and Pilot Test of the CCQM-PC
Care Coordination Quality Measure for
Primary Care (CCQM-PC)
Development and Pilot Test of the CCQM-PC v 1.0;
Guidance for Use of CCQM-PC v 2.0
Overview of the Care Coordination Quality Measure…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigtrainer.pptx
July 01, 2012 - A clinical example would be an information call-out such as, “BP is falling, 80/48 down from 90/60.”
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www.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
October 01, 2020 - A clinical example would be an information call-out such as, "BP is falling, 80/48 down from 90/60."
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www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict.html
April 01, 2013 - The patient definitely is volume-depleted, and he definitely has saturation falling, and I think it’s
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www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
April 01, 2013 - worked on that are there for everybody to use in order to look to see where in the process things are falling
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-135-fullreport.pdf
February 01, 2017 - The measure highlights where providers or health systems are falling
short in providing this essential
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www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/appa.html
May 01, 2016 - Sioux Falls, SD; December 2011:16.
Pichert JW, Hoffman WW, Danielson D, et al.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - She's a pharmacist with the office of the Army Surgeon General in Falls Church, Virginia. Ms.
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - Sioux Falls, SD; December 2011:16.
Pichert JW, Hoffman WW, Danielson D, et al.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - response to treatment
Safety: Critical lab values/reports, socioeconomic factors, allergies, and alerts (falls
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
July 01, 2023 - treatment
• Safety: Critical lab values/reports,
socioeconomic factors, allergies, and alerts
(falls