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psnet.ahrq.gov/issue/diagnostic-error-experiences-patients-and-families-limited-english-language-health-literacy
October 27, 2021 - Study
Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey.
Citation Text:
Bell SK, Dong J, Ngo L, et al. Diagnostic error experiences of patients and fa…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/miyasaka-k-et-al-1997
January 01, 1997 - Miyasaka K et al. 1997 "Interactive communication in high-technology home care: videophones for pediatric ventilatory care."
Reference
Miyasaka K, Suzuki Y, Sakai H, et al. Interactive communication in high-technology home care: videophones for pediatric ventilatory care. Pediatrics 1997;99(1):E11-E16…
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psnet.ahrq.gov/issue/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse
March 17, 2021 - Study
Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates.
Citation Text:
Boussat B, Quan H, Labarere J, et al. Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. I…
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digital.ahrq.gov/technology/clinical-informatics
January 01, 2023 - Clinical Informatics
Annual Conferences on Health IT & Analytics 2021-2023 - Final Report
Citation
Agarwal R. Annual Conferences on Health IT & Analytics 2021-2023 – Final Report. (Prepared by Johns Hopkins University under Grant No. R13 HS028541). Rockville, MD: Agency for He…
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digital.ahrq.gov/technology/clinical-documentation
January 01, 2023 - Clinical Documentation
Assessing the Effects of EHR Optimization Interventions in Primary Care
Description
This research evaluates the adoption and impact of three electronic health record-optimization interventions—scribes, advanced team-based inbox management, and artificial…
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psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
July 16, 2015 - Study
Wrong-side thoracentesis: lessons learned from root cause analysis.
Citation Text:
Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146.
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Format:
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psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
June 23, 2021 - Study
Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration.
Citation Text:
Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospectiv…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
April 01, 2013 - Two More “Es” and How To Spread (Transcript)
December 13, 2011
Operator: Excuse me, everyone, and thank you for holding. Please be aware that each of your lines in a listen-only mode. At the conclusion of today’s presentation, we will open the floor for questions. At that time, instructions will be given as …
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hcup-us.ahrq.gov/reports/race/R_E_Disparities_rpt.jsp
July 01, 2016 - This policy, which will be implemented by 2012, establishes a standard that applies to all DPH databases … strives to make disparities a more fundamental tenant of policy recommendations as health reform is implemented
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - Patient and Family Engagement for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Patient and Family Engagement for Perinatal Safety
Say:
The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand w…
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psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
November 03, 2015 - Health Care Worker Presenteeism: A Challenge for Patient Safety
Julia E. Szymczak, PhD | October 1, 2017
View more articles from the same authors.
Citation Text:
Szymczak JE. Health Care Worker Presenteeism: A Challenge for Patient Safety. PSNet [internet]. Rockvi…
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - Is the Admission Drug Dose Too Low?
Citation Text:
Kaushal R, Abramson EL. Is the Admission Drug Dose Too Low?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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Format:
Google Scholar BibTeX EndNote X3…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Identifying_Areas_to_Improve_2012_03_01_Transcript.pdf
January 01, 2012 - Identifying Areas to Improve
Identifying Areas to Improve
March 2012 Podcast
Speaker
Donna Farley, Senior Health Policy Analyst and Co-lead, RAND CAHPS Team
Moderator
Carla Zema, Consultant, CAHPS User Network; Assistant Professor of Economics and Health Policy, Saint
Vincent College
Presentation A…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.html
May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module
Slide 1: Patient and Family Engagement in the Surgical Environment Module
Slide 2: Learning Objectives
Image: Learning objectives are presented in a series of steps:
Define patient and family engagement.
Explain the importance of engagin…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085textdesc.pdf
January 01, 2012 - Clinical Topic
Text Description for PCPI eSpecification
Copyright 2012 American Medical Association and the National Committee for Quality Assurance. All rights reserved.
Clinical Topic Maternity Care
Measure Title Behavioral Health Risk Assessment
Measure # MC-3
Measure
Description
Percentage of pati…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-6.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
References
Previous Page
Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: Stat…
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psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
January 29, 2021 - Is that solution for IV or irrigation?: Fluid administration errors in the operating room.
Citation Text:
Bohringer C. Is that solution for IV or irrigation?: Fluid administration errors in the operating room.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of He…
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www.ahrq.gov/ncepcr/reports/grants-impact/model-state.html
February 01, 2017 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Model State Enhancement Efforts
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Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
…
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psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room
Citation Text:
Kriss RS. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room. PSNet [internet]. Rockville (MD): Agency for H…
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www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
February 01, 2017 - Ventilator-Associated Event Surveillance: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Ventilator-Associated Event Surveillance
Say:
This module will focus on ventilator-associated event surveillance and how it can be used in your unit.
Slide 2: Learning Objectiv…