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integrationacademy.ahrq.gov/about/academy-team/niac-bios
June 01, 2022 - Since that time, he has worked on the translation of research to practice, initially focusing on improving
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psnet.ahrq.gov/node/34650/psn-pdf
April 21, 2015 - Human error: models and management.
April 21, 2015
Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770.
https://psnet.ahrq.gov/issue/human-error-models-and-management
The author discusses concepts of human error, contrasting the person approach with a system approach in
understanding the diff…
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digital.ahrq.gov/ahrq-funded-projects/engaging-diverse-patients-using-online-patient-portal/citation/adaptation
January 01, 2023 - Adaptation and feasibility study of a digital health program to prevent diabetes among low-income patients: results from a partnership between a digital health company and an academic research team.
Citation
Fontil V, McDermott K, Tieu L, Rios C, Gibson E, Sweet CC, Payne M, Lyles CR. Adaptation and f…
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www.ahrq.gov/patients-consumers/patient-involvement/healthcare411.html
August 01, 2016 - Healthcare 411
Healthcare 411 was an AHRQ-produced podcast series that shared news and information as concise 60-second audio news bites, as well as some longer, more in-depth stories. The current research on important health care topics featured in each item was designed to provide your patients with informati…
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psnet.ahrq.gov/node/47738/psn-pdf
February 06, 2019 - ISMP Guidelines for Safe Electronic Communication of
Medication Information.
February 6, 2019
Horsham, PA: Institute for Safe Medication Practices; January 2019.
https://psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information
Inaccurate or incomplete data in electronic health reco…
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psnet.ahrq.gov/node/34691/psn-pdf
May 18, 2016 - Error in medicine.
May 18, 2016
Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857.
https://psnet.ahrq.gov/issue/error-medicine
Leape discusses how traditional methods of error reduction in medicine have focused on individual
performance rather than on the systems in which individuals operate. With reference…
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www.ahrq.gov/prevention/resources/vision/visfig3.html
October 01, 2002 - Figure 3: Framework for AMD Rehabilitation
Vision Rehabilitation: Care and Benefit Plan Models: Literature Review
Text Description
Figure 3 applies the rehabilitation framework illustrated in Figure 1 to age-related macular degeneration (AMD). People with AMD usually do not receive medical interventions…
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psnet.ahrq.gov/node/73075/psn-pdf
March 24, 2021 - Analysis of transdermal medication patch errors
uncovers a “patchwork” of safety challenges.
March 24, 2021
ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(5):1-6.
https://psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-
challenges
Skin patches are a conveni…
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psnet.ahrq.gov/node/72561/psn-pdf
December 09, 2020 - Artificial Intelligence in Health Care: Benefits and
Challenges of Technologies to Augment Patient Care.
December 9, 2020
Washington DC; United States Government Accountability Office; November 26, 2020. Publication GAO-
21-7SP.
https://psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challeng…
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www.ahrq.gov/topics/patient-self-management.html
Topic: Patient Self-Management
AHRQ has resources to help primary care clinicians and teams learn about and implement self-management support, which includes involving the whole care team in planning, carrying out, and following up on a patient visit; planning patient visits that focus on prevention and care manageme…
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psnet.ahrq.gov/node/848383/psn-pdf
May 03, 2023 - Burnout in Primary Care: Assessing and Addressing It in
Your Practice.
May 3, 2023
Gerteis J, Booker C, Brach C, et al. Rockville, MD: Agency for Healthcare Research and Quality;
February 2023. AHRQ Publication No. 23-0025.
https://psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-pr…
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psnet.ahrq.gov/node/46817/psn-pdf
October 13, 2018 - Diagnosing crime and diagnosing disease—part 1 and
part 2.
October 13, 2018
Lockhart JJ, Satya-Murti S. Diagnosing Crime and Diagnosing Disease: Bias Reduction Strategies in the
Forensic and Clinical Sciences. J Forensic Sci. 2017;62(6):1534-1541. doi:10.1111/1556-4029.13453.
https://psnet.ahrq.gov/issue/diagnosin…
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psnet.ahrq.gov/node/864862/psn-pdf
March 20, 2024 - Global Burden of Preventable Medication-related Harm in
Health Care: A Systematic Review.
March 20, 2024
Geneva, Switzerland: World Health Organization; 2023. ISBN: 9789240088887.
https://psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-
review
The Medication Without H…
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psnet.ahrq.gov/node/45668/psn-pdf
September 29, 2017 - Development of a high-value care culture survey: a
modified Delphi process and psychometric evaluation.
September 29, 2017
Gupta R, Moriates C, Harrison JD, et al. Development of a high-value care culture survey: a modified
Delphi process and psychometric evaluation. BMJ Qual Saf. 2017;26(6):475-483. doi:10.1136/bm…
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psnet.ahrq.gov/node/43633/psn-pdf
November 05, 2014 - An integrative review: fatigue among nurses in acute care
settings.
November 5, 2014
Smith-Miller CA, Shaw-Kokot J, Curro B, et al. An integrative review: fatigue among nurses in acute care
settings. J Nurs Adm. 2014;44(9):487-94. doi:10.1097/NNA.0000000000000104.
https://psnet.ahrq.gov/issue/integrative-review-fa…
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psnet.ahrq.gov/node/43945/psn-pdf
September 09, 2015 - Hospital and procedure incidence of pediatric retained
surgical items.
September 9, 2015
Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J
Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054.
https://psnet.ahrq.gov/issue/hospital-and-procedure-incid…
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psnet.ahrq.gov/node/45382/psn-pdf
January 23, 2017 - The impact of major intraoperative adverse events on
hospital readmissions.
January 23, 2017
Nandan AR, Bohnen JD, Chang DC, et al. The impact of major intraoperative adverse events on hospital
readmissions. Am J Surg. 2017;213(1):10-17. doi:10.1016/j.amjsurg.2016.03.018.
https://psnet.ahrq.gov/issue/impact-major-…
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psnet.ahrq.gov/node/47459/psn-pdf
October 10, 2018 - People, processes, health IT and accurate patient
identification.
October 10, 2018
Quick Safety. October 1, 2018;(45):1-2.
https://psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
This newsletter article reviews common problems related to patient identification and recommends
st…
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psnet.ahrq.gov/node/47245/psn-pdf
July 11, 2018 - Moving patient safety into ambulatory settings and
beyond.
July 11, 2018
Ricciardi R, Shofer M. Moving Patient Safety Into Ambulatory Settings and Beyond. J Nurs Care Qual.
2018;33(3):195-199. doi:10.1097/NCQ.0000000000000329.
https://psnet.ahrq.gov/issue/moving-patient-safety-ambulatory-settings-and-beyond
In th…
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psnet.ahrq.gov/node/39946/psn-pdf
October 20, 2023 - MHA and MHA Keystone Center Annual Reports.
October 20, 2023
Okemos, MI: Michigan Health & Hospital Association.
https://psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-
report
This publication annually reports on the successful outcomes of the Michigan Keystone Cente…