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psnet.ahrq.gov/node/865522/psn-pdf
April 10, 2024 - An analysis of incident reports related to electronic
medication management: how they change over time.
April 10, 2024
Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication
management: how they change over time. J Patient Saf. 2024;20(3):202-208.
doi:10.1097/pts.00000…
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psnet.ahrq.gov/node/73414/psn-pdf
June 23, 2021 - Promoting the psychological well-being of healthcare
providers facing the burden of adverse events: a
systematic review of second victim support resources.
June 23, 2021
Busch IM, Moretti F, Campagna I, et al. Promoting the psychological well-being of healthcare providers
facing the burden of adverse events: a sys…
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psnet.ahrq.gov/node/39525/psn-pdf
March 13, 2019 - Effect of bar-code technology on the safety of medication
administration.
March 13, 2019
Poon EG, Keohane C, Yoon CS, et al. Effect of bar-code technology on the safety of medication
administration. New Engl J Med. 2010;362(18):1698-1707. doi:10.1056/NEJMsa0907115.
https://psnet.ahrq.gov/issue/effect-bar-code-tech…
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psnet.ahrq.gov/node/42113/psn-pdf
March 20, 2013 - Preventing in-facility pressure ulcers as a patient safety
strategy: a systematic review.
March 20, 2013
Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic
review. Ann Intern Med. 2013;158(5 Pt 2):410-416. doi:10.7326/0003-4819-158-5-201303051-00008.
https:/…
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digital.ahrq.gov/program/general-patient-safety-program-center-quality-improvement-and-patient-safety
January 01, 2023 - General Patient Safety Program, Center for Quality Improvement and Patient Safety
Program Link: https://www.ahrq.gov/patient-safety/index.html
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model…
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digital.ahrq.gov/location/usa-ky-lexington
January 01, 2023 - USA, KY, Lexington
Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse
Description
This research tests the effectiveness of MedSMA℞T Mobil…
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psnet.ahrq.gov/node/867640/psn-pdf
February 26, 2025 - Patient safety of virtual primary care: a qualitative study
examining risks and mitigation strategies.
February 26, 2025
Lounsbury O, Li E, Lunova T, et al. Patient safety of virtual primary care: a qualitative study examining risks
and mitigation strategies. Health Policy Tech. 2025;14(1):100966. doi:10.1016/j.hlp…
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digital.ahrq.gov/events/national-web-conference-transitions-care
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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digital.ahrq.gov/funding-mechanism/developing-new-clinical-decision-support-disseminate-and-implement-evidence-based
January 01, 2023 - Developing New Clinical Decision Support to Disseminate and Implement Evidence-Based Research Findings (R18)
Scalable Decision Support and Shared Decision Making for Lung Cancer Screening
Description
Researchers successfully developed Decision Precision+, a shared decision mak…
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digital.ahrq.gov/principal-investigator/obrien-matthew-james
January 01, 2023 - O'Brien, Matthew James
Prevent Diabetes Mellitus (PreDM) Clinical Decision Support Intervention in Community Health Centers - Final Report
Citation
O'Brien MJ. Prevent Diabetes Mellitus (PreDM) Clinical Decision Support Intervention in Community Health Centers - Final Report. …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
AHRQ Publication No. 17-0003-19-EF
May 2017
SAY:
The Safe Medication Administration bundle
provides information on high-alert medications
commonly used in labor and d…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm5.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 5: Selecting a Care Management Program Model
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Management Prog…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution
(CANDOR) process and includes;
■ Identifying the existing process
■ Identifying the existing outcome(s)
■ Identifying the desired outcome(s)
■ Identifying and documenting the gap(s)
Who should use t…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/summary.html
July 01, 2021 - Summary
Health Services and Primary Care Research Study: Comprehensive Report
Background
On March 23, 2018, when H.R. 1625, the Consolidated Appropriations Act 2018, became law, Congress directed and authorized the Agency for Healthcare Research and Quality (AHRQ) to contract with an independent entity for …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-sepsis.pdf
July 01, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review
1
Evidence-based Practice Center Rapid Review Protocol
Project Title: Making Healthcare Safer IV: Sepsis Prediction,
Recognition, and Intervention
Review Questions
1. What is the frequency and s…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/high-risk-drugs-protocol.pdf
July 27, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review
1
Evidence-based Practice Center Rapid Response Protocol
Project Title: Making Healthcare Safer IV:
Protocols for High-Risk Drugs: Reducing Adverse Drug Events
Related to Anticoagulants
Review Qu…
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs024849-blumenfeld-final-report-2020.pdf
January 01, 2020 - categories:
• Evidence: Findings and evidence-based guidelines to enhance clinical care that could be
implemented
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www.ahrq.gov/sites/default/files/2024-10/landrigan3-report.pdf
January 01, 2024 - Portions of the software infrastructure redesigned were implemented in
MATLAB.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
December 01, 2017 - Partnering with a senior executive, the team implemented a variety of interventions once it understood
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - prevention that were underutilized for years were included in rapid-response HIT solutions and quickly implemented