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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-205-fullreport.pdf
January 01, 2014 - Ashe Pediatrics
implemented the Developmental Screening Follow-up: Follow-up Referral Tracking measure … data required for the measure are readily available,
retrievable without undue burden, and can be implemented … Sites
for which NLP techniques cannot be implemented will require workflow modifications or
changes … Health IT Other Functions
If the measure is implemented in an EHR or other health IT system, how might
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/payment-and-reimbursement
January 01, 2018 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Integrating Behavioral Health & Primary Care
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - Failure to Rescue
January 29, 2025
Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/failure-rescue
Updated in January 2025 by Irina Tokareva RN, BSN, MAS, CPHQ and Patrick Romano, MD, MPH. PSNet
primers are regularly reviewed and updated to ensure that they reflect cur…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-slides.pptx
January 01, 2017 - Presentation: Program Overview
Assess Patient Safety Culture Using the
Hospital Survey on Patient Safety
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-30-EF
January 2017
Using HSOPS ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After t…
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psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - In the MARQUIS study, five US hospitals implemented one to seven evidence-based interventions for 791
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - effectiveness for reducing errors can be enhanced when—
they are created or adapted to meet unit needs
they are implemented
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/treatment-approaches
January 01, 2020 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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cdsic.ahrq.gov/sites/default/files/2023-08/Innovation%20Center%20Q2%202023%20Progress%20Report.pdf
January 01, 2023 - CDSiC Innovation Center: Quarterly Report
INNOVATION CENTER PROGRESS REPORT
J U L Y 2 0 2 3
CDSiC Innovation Center:
Quarterly Report
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicago…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/mississippi
January 01, 2023 - Mississippi
Team Description
Information & Quality Healthcare (IQH) and its partners have been designated by the Office of the Governor, State of Mississippi, to assess how privacy and security laws and business practices affect the exchange of electronic health information.
Widespread …
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/contingency-diagram
January 01, 2023 - Contingency Diagram
Description
The contingency diagram uses brainstorming to generate a list of problems that could arise from a process. Once problems are identified, then solutions to the problems are determined.
Uses
When identifying causes of potential problems.
When developing soluti…
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psnet.ahrq.gov/node/40932/psn-pdf
July 05, 2016 - Health IT and Patient Safety: Building Safer Systems for
Better Care.
July 5, 2016
Committee on Patient Safety and Health Information Technology, Board on Health Care Services, Institute
of Medicine. Washington, DC: National Academies Press; 2011. ISBN: 9780309221122.
https://psnet.ahrq.gov/issue/health-it-and-pat…
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psnet.ahrq.gov/node/37757/psn-pdf
March 10, 2011 - Workarounds to barcode medication administration
systems: their occurrences, causes, and threats to patient
safety.
March 10, 2011
Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems:
their occurrences, causes, and threats to patient safety. J Am Med Inform Assoc. 20…
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psnet.ahrq.gov/node/39338/psn-pdf
April 30, 2014 - The effect of multidisciplinary care teams on intensive
care unit mortality.
April 30, 2014
Kim MM, Barnato AE, Angus DC, et al. The effect of multidisciplinary care teams on intensive care unit
mortality. Arch Intern Med. 2010;170(4):369-76. doi:10.1001/archinternmed.2009.521.
https://psnet.ahrq.gov/issue/effect-…
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psnet.ahrq.gov/node/849595/psn-pdf
May 31, 2023 - Effect of an emergency department process improvement
package on suicide prevention: the ED-SAFE 2 cluster
randomized clinical trial.
May 31, 2023
Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement
package on suicide prevention: the ED-SAFE 2 cluster randomized c…
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psnet.ahrq.gov/node/866353/psn-pdf
July 24, 2024 - A clinical pharmacist-led transitions of care program for
veterans with two planned care transitions (hospital to
skilled care and skilled care to home) amid the COVID-19
pandemic.
July 24, 2024
Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care program for veterans
with two plan…
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psnet.ahrq.gov/node/47467/psn-pdf
January 21, 2019 - Application of electronic trigger tools to identify targets
for improving diagnostic safety.
January 21, 2019
Murphy DR, Meyer AN, Sittig DF, et al. Application of electronic trigger tools to identify targets for improving
diagnostic safety. BMJ Qual Saf. 2019;28(2):151-159. doi:10.1136/bmjqs-2018-008086.
https://…
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psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
June 24, 2020 - Journal Article
E-collection: Safety and Error Prevention in Health.
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May 3, 2017
The increasing implementation of health informati…
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psnet.ahrq.gov/node/47547/psn-pdf
February 13, 2019 - Prevention of prescription opioid misuse and projected
overdose deaths in the United States.
February 13, 2019
Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected
Overdose Deaths in the United States. JAMA Netw Open. 2019;2(2):e187621.
doi:10.1001/jamanetworkopen.2018.76…
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apg.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Appendix G. Safety and Adverse Events
Previous Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
References
Appendix A. …
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apg.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Appendix G. Safety and Adverse Events
Previous Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
References
Appendix A. …