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psnet.ahrq.gov/issue/best-practices-safe-medication-administration-during-anesthesia-care
July 05, 2016 - Award Announcement
Best Practices for Safe Medication Administration During Anesthesia Care.
Citation Text:
Best Practices for Safe Medication Administration During Anesthesia Care. APSF Committee on Technology. Anesthesia Patient Safety Foundation.
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www.ahrq.gov/news/newsroom/case-studies/ktcquips94.html
October 01, 2014 - Michigan Providers Improve Medication Reconciliation Process With AHRQ Toolkit
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April 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, MPRO, the Michigan Quality Improvement Organization (QIO), worked with providers in the State to improv…
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psnet.ahrq.gov/issue/macarthur-fellows-program-michael-cohen
June 11, 2013 - Grant Recipient
The MacArthur Fellows Program: Michael Cohen.
Citation Text:
The MacArthur Fellows Program: Michael Cohen. The John D. and Catherine T. MacArthur Foundation.
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psnet.ahrq.gov/issue/when-should-surgeons-stop-operating
May 24, 2017 - Newspaper/Magazine Article
When should surgeons stop operating?
Citation Text:
When should surgeons stop operating? Whitehead N. National Public Radio. June 18, 2015.
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psnet.ahrq.gov/issue/disease-management-mid-decade-evolution-toward-patient-safety
January 28, 2010 - Commentary
Disease management: a mid-decade evolution toward patient safety.
Citation Text:
Disease management: a mid-decade evolution toward patient safety. Heckinger E; Chappell H; Downes D; Fitzner K.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions1.html
June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
Introduction
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Table of Contents
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
Introduction
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psnet.ahrq.gov/issue/dont-underestimate-impact-change-risk-potential
May 02, 2018 - Newspaper/Magazine Article
Don't underestimate the impact of change on risk potential.
Citation Text:
Don't underestimate the impact of change on risk potential. ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
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psnet.ahrq.gov/issue/safe-practice-environment-chapter-proposed-usp
May 02, 2018 - Newspaper/Magazine Article
Safe practice environment chapter proposed by USP.
Citation Text:
Safe practice environment chapter proposed by USP. ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.
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psnet.ahrq.gov/issue/leadership-guide-patient-safety-resources-and-tools-establishing-and-maintaining-patient
November 18, 2011 - Book/Report
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety.
Citation Text:
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. Botwinick L, Bisognano M, Haraden C. Cambr…
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www.ahrq.gov/cpi/centers/od/david-meyers-memoriam.html
August 01, 2023 - Remembering David Meyers, M.D.
With admiration and fondness, AHRQ recognizes the legacy of former Deputy Director David Meyers, M.D., a family physician who for nearly 20 years helped lead Agency initiatives to ensure that Americans received the safest and most effective healthcare possible. Dr. Meyers died J…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/unertl-km
January 01, 2023 - Unertl KM, Weinger MB, Johnson KB, et al. "Describing and modeling workflow and information flow in chronic disease care."
Reference
Unertl KM, Weinger MB, Johnson KB, et al. Describing and modeling workflow and information flow in chronic disease care. J Am Med Inform Assoc 2009 Nov-Dec;16(6):826-36.…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/arreola-m-et-al-2003
January 01, 2003 - Arreola M et al. 2003 "Enterprise-wide CR implementation: the Shands Healthcare System experience."
Reference
Arreola M, Rill LN. Enterprise-wide CR implementation: the Shands Healthcare System experience. J Digit Imaging 2003;16(2):173-179.
Abstract
"Major healthcare systems are comprised of …
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effectivehealthcare.ahrq.gov/sites/default/files/sadwin.pdf
January 01, 2011 - Partnering with Patients to Disseminate Research Products
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www.ahrq.gov/news/newsroom/case-studies/201501.html
March 01, 2015 - AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital
Search All Impact Case Studies
March 2015
Nacogdoches Memorial Hospital, a 216-bed Level III trauma center in Nacogdoches, Texas, saw 30-day all-cause readmissions drop from 18.6 percent to 16.6 percent in the six-month …
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www.ahrq.gov/patient-safety/reports/advances/preface.html
July 01, 2022 - Advances in Patient Safety
Preface
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Table of Contents
Advances in Patient Safety
Acknowledgments
Preface
Peer Reviewers for Volume 1. Research Findings
Peer Reviewers for Volume 2. Concepts and Methodology
Peer Reviewers for Volume 3. Implementation Issues
Peer Rev…
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psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic
April 15, 2021 - Toolkit
Stem the Tide: Addressing the Opioid Epidemic.
Citation Text:
Stem the Tide: Addressing the Opioid Epidemic. Chicago, IL: American Hospital Association; 2017.
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psnet.ahrq.gov/issue/acog-committee-opinion-320-partnering-patients-improve-safety
July 15, 2010 - Commentary
ACOG Committee Opinion #320: partnering with patients to improve safety.
Citation Text:
ACOG Committee Opinion #320: partnering with patients to improve safety. ACOG Committee on Quality Improvement and Patient Safety.
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www.ahrq.gov/patient-safety/news-events/summit-research-2020/appendix.html
March 01, 2021 - Appendix: Background Information
AHRQ Summit and Roundtable on Research Priorities for Patient Safety Improvement
Background information that was highlighted for attendees prior to the AHRQ Summit and Roundtable on Research Priorities for Patient Safety Improvement follows.
Safer Together: A National Action…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021544-zhou-final-report-2014.pdf
January 01, 2014 - Integration of an NLP-based Application to Support Medication Management - Final Report
AHRQ Grant Final Progress Report
Title of Project: Integration of an NLP-based application to support medication management
Principal Investigator: Li Zhou, MD, PhD
Team Members: David W Bates, …
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015280-hsu-final-report-2008.pdf
January 01, 2008 - Impact of Health Information Technology on Clinical Care for Patients with Chronic Medical Conditions
Grant Final Report
Grant ID: R01 HS15280
Impact of Health Information Technology
on Clinical Care for Patients with
Chronic Medical Conditions
Inclusive dates: 09/30/04 - 09/29/08
Princi…