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7881. The Medication Metronome Project | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project
      January 01, 2023 - The Medication Metronome Project Project Final Report ( PDF , 850.24 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this…

7882. From blaming to learning: re-framing organisational learning from adverse incidents. | PSNet
      psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents
      October 05, 2022 - Study From blaming to learning: re-framing organisational learning from adverse incidents. Citation Text: Gray D, Williams S. From blaming to learning: re‐framing organisational learning from adverse incidents. Learn Org. 2011;18(6):438-453. doi:10.1108/09696471111171295. Copy Citatio…

7883. A safety maturity model for technology-induced errors. | PSNet
      psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors
      June 15, 2022 - Review A safety maturity model for technology-induced errors. Citation Text: Borycki EM, Kushniruk AW. A safety maturity model for technology-induced errors. Stud Health Technol Inform. 2022;289:447-451. doi:10.3233/shti210954. Copy Citation Format: DOI Google Scholar BibTe…

7884. Diabetes Mellitus (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/diabetes-horizon-scan-high-impact-1306.pdf
      January 01, 2016 - This test indicates the patient’s average blood sugar level for the previous 2 or 3 months. … a high-magnification ophthalmoscope, the ophthalmologist can identify the retinal thickening that indicates … a high-magnification ophthalmoscope, the ophthalmologist can identify the retinal thickening that indicates

7885. Layout 1 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/09-0031-EF_cpoe.pdf
      January 01, 2009 - Layout 1 Inpatient Computerized Provider Order Entry (CPOE) Findings from the AHRQ Health IT Portfolio Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Health IT Inpatient Computerized Provider Order Entry (CPOE) Findings from the AHRQ Health IT Portfolio Prepared for:…

7886. Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs018171-arora-final-report-2013.pdf
      January 01, 2013 - Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology - Final Report Grant Final Report Grant ID: R18HS18171 Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology Inclusive Project Da…

7887. #14 SUBSTANCE ABUSE (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1312.pdf
      December 01, 2013 - #14 SUBSTANCE ABUSE AHRQ Healthcare Horizon Scanning System – Potential High-Impact Interventions Report Priority Area 14: Substance Abuse Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.…

7888. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/001-clabsi-prevention-webinar-slides.pptx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Prevention of Central Line-Associated Bloodstream Infections ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Prevention of CLABSI 1 Educational Objectives Define a central line-…

7889. Inpatient Computerized Provider Order Entry (CPOE) | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
      January 01, 2023 - Inpatient Computerized Provider Order Entry (CPOE) Findings from the AHRQ Health IT Portfolio Prepared for: Agency for Healthcare Research and Quality  U.S. Department of Health and Human Services  540 Gaither Road  Rockville, MD 20850  www.ahrq.gov Contract No. 290-04-0016 Prepared by…

7890. Geographic Variation in Hospital Inpatient List Prices in the United States, 2013 #209
      hcup-us.ahrq.gov/reports/statbriefs/sb209-Geographic-Variation-Hospital-Inpatient-Prices.jsp
      August 01, 2016 - Geographic Variation in Hospital Inpatient List Prices in the United States, 2013 #209 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Conta…

7891. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
      January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) 325 Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) Rona Patey, Rhona Flin, Georgina Fletcher, Nicola Maran, Ronnie Glavin Abstract Safety research in high-reliability industries, such as aviation, has clearly shown that t…

7892. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Miranda.pdf
      July 01, 2004 - Speaking Plainly: Communicating the Patient’s Role in Health Care Safety 139 Speaking Plainly: Communicating the Patient’s Role in Health Care Safety David J. Miranda, Paula K. Zeller, Rosemary Lee, Christopher P. Koepke, Howard E. Holland, Farah Englert, Elaine K. Swift Abstract The development and tes…

7893. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet
      psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
      May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue Samantha Jacques, PhD, and Eric Williams, MD, MS, MMM | May 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Jacques S, Williams E. Reducing the Safety Hazar…

7894. Inpatient Computerized Provider Order Entry (CPOE) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/lesson/09-0031-ef-inpatient-cpoe.pdf
      January 01, 2009 - Inpatient Computerized Provider Order Entry (CPOE) Inpatient Computerized Provider Order Entry (CPOE) Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Health IT http://www.ahrq.gov/ Inpatient Computerized Provider Order Entry (CPOE) Prepared for:…

7895. Dec-2016-Cholesterol-Wg-Notes (doc file)
      cds.ahrq.gov/sites/default/files/workgroups/211/dec-2016-cholesterol-wg-notes.docx
      January 01, 2016 - Cholesterol Management Work Group Meeting Summary Date 12/09/16 Time 2:00 – 4:00 PM EST AGENDA · Welcome and Introductions · CDS Connect Project Overview · CDS Cholesterol Management Work Group Overview and Planning · CDS Cholesterol Management Environmental Scan Findings and Artifacts · CDS Cho…

7896. June 2021 CDS Connect Work Group Slides (pdf file)
      cds.ahrq.gov/sites/default/files/workgroups/13461/CDS_Connect_WG_June_2021_Slides_0.pdf
      January 01, 2021 - June 2021 CDS Connect Work Group Slides June 2021 CDS Connect Work Group Call Meeting Agenda Schedule Topic 3:00 - 3:02 • Roll Call, Michelle Lenox (MITRE) 3:02 - 3:05 • Review of the Agenda, Maria Michaels (CDC) 3:05 - 3:50 • Using CDS to Reduce Harm From Drug-Drug Interactions: Case Study of Warfarin and N…

7897. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33735/psn-pdf
      August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It August 1, 2012 Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it Perspective At any point in time, …

7898. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
      October 01, 2010 - Spotlight Case July 2008 Spotlight Case October 2010 Dangerous Dialysis * * Source and Credits This presentation is based on the October 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jean L. Holley, MD, University of Illinois, Urbana-…

7899. Overview of Link Plus (pdf file)
      hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or17.pdf
      June 16, 2014 - Overview of Link Plus Overview of Link Plus Probabilistic Record Linkage Software Acknowledgements Slides adapted from training materials developed by CDC– NPCR Faculty: • Melissa Jim, CDC/IHS melissa.jim@ihs.gov • David Espey, CDC/IHS david.espey@ihs.gov CDC/Link Plus development and training: …

7900. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
      June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Hospital Transfer Self-Assessment Worksheet Purpose The Hospital Transfer Self-Assessment Worksheet can help nursing home staff identify and review care that they provide that may lead to avoidable transf…