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digital.ahrq.gov/ahrq-funded-projects/impact-consumer-health-informatics-applications/annual-summary/2009
January 01, 2009 - Impact of Consumer Health Informatics Applications - 2009
Project Name
Impact of Consumer Health Informatics Applications
Principal Investigator
Gibbons, M. Chris
Organization
Johns Hopkins University
Contract Number
290-07-10061
Project Period
08/08 – 10/09…
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digital.ahrq.gov/sites/default/files/docs/page/Information%20Technology,%20Finance%20and%20Quantitative%20Decision%20Making%20Group%20Report.pdf
September 21, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Information Technology, Finance and Quantitative Decision Making Group Report
Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop
Monday, September 21, 2009 Information Technology/Finance and…
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psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
January 04, 2012 - Study
A comparison of hospital adverse events identified by three widely used detection methods.
Citation Text:
Naessens JM, Campbell CR, Huddleston JM, et al. A comparison of hospital adverse events identified by three widely used detection methods. Int J Qual Health Care. 2009;21(4):…
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psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology
April 05, 2013 - Study
Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons.
…
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psnet.ahrq.gov/issue/using-machine-learning-system-identify-and-prevent-medication-prescribing-errors-clinical-and
June 05, 2018 - Study
Emerging Classic
Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation.
Citation Text:
Rozenblum R, Rodriguez-Monguio R, Volk LA, et al. Using a machine learning system to identify an…
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psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
March 15, 2016 - Review
A systematic review of patient safety measures in adult primary care.
Citation Text:
Hatoun J, Chan J, Yaksic E, et al. A Systematic Review of Patient Safety Measures in Adult Primary Care. Am J Med Qual. 2017;32(3):237-245. doi:10.1177/1062860616644328.
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Format…
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digital.ahrq.gov/ahrq-funded-projects/myhealthportal-using-electronic-portal-empower-patients-breast-cancer/annual-summary/2011
January 01, 2011 - MyHealthPortal: Using an Electronic Portal to Empower Patients with Breast Cancer - 2011
Project Name
MyHealthPortal: Using an Electronic Portal to Empower Patients with Breast Cancer
Principal Investigator
Wen, Kuang-Yi
Organization
Fox Chase Cancer Center
Funding Me…
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digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange/annual-summary/2012
January 01, 2012 - Supporting Continuity of Care for Poisonings with Electronic Information Exchange - 2012
Project Name
Supporting Continuity of Care for Poisonings With Electronic Information Exchange
Principal Investigator
Cummins, Mollie Rebecca
Organization
University of Utah
Fundi…
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www.ahrq.gov/research/publications/search.html?page=15
April 01, 2013 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 151 - 160 of 191 Publications displayed
Find Publications by Keyword or To…
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psnet.ahrq.gov/issue/risk-controls-identified-action-plans-following-serious-incident-investigations-secondary
April 22, 2017 - Study
Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study.
Citation Text:
Peerally MF, Carr S, Waring J, et al. Risk controls identified in action plans following serious incident investigations in secondary care: a qu…
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psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening
January 04, 2021 - Study
Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US.
Citation Text:
Danielson KK, Rydzon B, Nicosia M, et al. Prevalence of undiagnosed diabetes identified by a novel electronic med…
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psnet.ahrq.gov/issue/developing-and-evaluating-automated-all-cause-harm-trigger-system
July 31, 2013 - Study
Developing and evaluating an automated all-cause harm trigger system.
Citation Text:
Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
April 01, 2016 - Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations,
including key disclosure communication skills.
Who should use this tool? Disclosure Lead and any staff who will be engaged in disclosure conversations.
How to use this tool: Use Part I of the checklist to pre…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
August 01, 2022 - Disclosure Checklist
AHRQ Communication and Optimal Resolution Toolkit
Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations, including key disclosure communication skills.
Who should use this tool? Disclosure Lead and any staff who will be engaged in …
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psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
March 18, 2016 - Study
Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study.
Citation Text:
Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Q…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips99.html
October 01, 2014 - New York Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots
Search All Impact Case Studies
May 2012
Seven New York hospitals revised their protocol for preventing venous thromboembolism (VTE) after their State Quality Improvement Organization (QIO), IPRO, participated in a series of on…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/flow-diagrams.pdf
June 02, 2025 - Asthma 1 Measure Calculation Steps
Medicaid/APCD
claims data
Eligibility Table
(summary of continuous
enrollment periods by
payer and member)
Transformation of
location specific
data to input file
specifications1
Comorbidity
Claims (all medical
claims during time
frame)
Pharmacy Claims
Data
HEDIS
…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-6a.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Data Collection Strategy, Assessment, and Process Evaluation
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliati…
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psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
May 18, 2022 - Review
Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review.
Citation Text:
Driesen BEJM, Baartmans M, Merten H, et al. Root cause analysis using the prevention and recovery in…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_13_ShortTerm_HO_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 13)
Guide to Patient and Family Engagement :: 1
Working With Patient and Family Advisors on
Short-Term Projects
Are you (or is your unit) planning to work on a short-term project to improve quality and safety? Partnering with patient
and family a…