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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Masica_112.pdf
November 30, 2010 - Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse Drug Events: Study Methods
Evaluation of a Medication Therapy Management
Program in Medicare Beneficiaries at High Risk
of Adverse Drug Events: Study Methods
Andrew L. Masica, MD, MSc; Daniel R. Touchette, P…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pcc-slides.html
June 01, 2018 - Chartbook on Person- and Family-Centered Care: Slide Presentation
National Healthcare Quality and Disparities Report
Slide 1
National Healthcare Quality and Disparities Report
Chartbook on Person- and Family-Centered Care
September 2016
Slide 2
National Healthcare Quality and Disparities Report
…
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www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
January 01, 2025 - Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors
Principal Investigator/Program Director (Last, first, middle): Greenes, David S.
Automated Lab Test Follow-up to Reduce Medical Errors
Principal Investigator: David S. Greenes, MD
Department of Medicine, Children’s Hospital Boston
Team …
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www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care
PROL IN HOME HEALTH CARE
Title: Process Reliability and Organizational Learning in Home Health Care
Principal Investigator and Team Members:
Michael P. Silver, MPH Principal Investigator
Cher Edmonds Study Coordinator
Robert…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/falls-prevention-in-older-adults-counseling-and-preventive-medication-2012
May 15, 2012 - Share to Facebook
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archived
Final Recommendation Statement
Falls Prevention in Older Adults: Counseling and Preventive Medication
May 15, 2012
Recommendations made by the USPSTF are i…
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hcup-us.ahrq.gov/moa.pdf
March 28, 2022 - HEALTHCARE COST AND UTILIZATION PROJECT (HCUP)
HCUP MOA, version 14.2 (3/7/2022) 1 Prepared on: __/__/__
NRD
HEALTHCARE COST AND UTILIZATION PROJECT (HCUP)
MEMORANDUM OF AGREEMENT
Sample Memorandum of Agreement
This Memorandum of Agreement (MOA) is made between the ,…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs028104-final-report-zhang-2024.pdf
January 01, 2024 - A Novel Approach for Supporting Care Coordination Across Distributed Emergency Care Teams - Final Report
AHRQ Grant Final Progress Report
• Title of Project: A novel approach for supporting care coordination across
distributed emergency care teams
• Principal Investigator and Team Members:
Zhan Zhang, PhD…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room
Patient Identification Errors in the Operating Room 11-1
11. Patient Identification Errors in the Operating
Room
Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H.
Introduction
In the first Making Health Care Safer …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs
VHA’s National Falls Collaborative and
Prevention Programs
Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN;
Julia Neily, MS, MPH; James P. Bagian, MD, PE
Abstract
Falls are a high-volume, high-cost problem in he…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
February 26, 2008 - Error Producing Conditions in the Intensive Care Unit
Error Producing Conditions in the
Intensive Care Unit
Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD
Abstract
Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas
where errors occur frequently is t…
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20
October 23, 2019 - Database/Directory
Hospital Survey on Patient Safety Culture 2.0.
Citation Text:
Hospital Survey on Patient Safety Culture 2.0. Rockville, MD: Agency for Healthcare Research and Quality; 2019.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0368_11-08-2010.pdf
January 01, 2010 - Effective Health Care
Topic Number: 0310
Document Completion Date: 06-23-11
1
Results of Topic Selection Process & Next Steps
Mindfulness for mental health will go forward for refinement as a systematic review. The scope of this
topic, including populations, interventions, comparators, an…
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings
January 26, 2023 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment® for Perioperative Settings.
Citation Text:
ISMP Medication Safety Self Assessment® for Perioperative Settings. Institute for Safe Medication Practices
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psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version-03-beta
September 06, 2011 - Measurement Tool/Indicator
Common Formats for Event Reporting.
Citation Text:
Common Formats for Event Reporting. National Quality Forum.
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psnet.ahrq.gov/issue/healthcare-cost-and-utilization-project-hcup
December 24, 2008 - Database/Directory
Healthcare Cost and Utilization Project (HCUP).
Citation Text:
Healthcare Cost and Utilization Project (HCUP). Agency for Healthcare Research and Quality.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process
January 01, 2023 - Process Improvement
Lean
Description
Lean is a systematic method for streamlining a process by identifying and eliminating unnecessary elements of a process that do not contribute value to the desired outcome or the product being created (also known as waste). The seven types …
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psnet.ahrq.gov/issue/avoiding-errors-associated-insulin-therapy
April 06, 2022 - Commentary
Avoiding errors associated with insulin therapy.
Citation Text:
Avoiding errors associated with insulin therapy. Cohen H. Medscape CME/CE. May 14, 2009.
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hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section4_2.pdf
January 01, 2008 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2008 47
EXHIBIT 4.2 Cost Factors Accounting for Growth by Principal Diagnosis
-15 -10 -5 0 5 10 15 20
Acute renal failure (14.2%)
Mood disorders (2.4%)
Pneumonia (1.1%)
Chronic obstructive pulmonary disease and
bronchiectasis (…
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psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-medicine
December 09, 2014 - Special or Theme Issue
Patient Safety in Pediatric Emergency Medicine.
Citation Text:
Patient Safety in Pediatric Emergency Medicine. Frush KS, Hohenhaus SM eds. Clin Pediatr Emerg Med. 2006;7(4):213-283.
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psnet.ahrq.gov/issue/hanys-report-report-cards
February 12, 2020 - Book/Report
HANYS' Report on Report Cards.
Citation Text:
HANYS' Report on Report Cards. Rensselaer, NY: Healthcare Association of New York State; November 2019.
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