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psnet.ahrq.gov/node/33616/psn-pdf
August 01, 2005 - The Unfinished Patient Safety Agenda
August 1, 2005
Aiken LH. The Unfinished Patient Safety Agenda. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
Perspective
The goal set by the Institute of Medicine (IOM) in 1999 to reduce medical errors by half within 5 years has
no…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/functional-specs.html
December 01, 2017 - Functional Specifications for Pressure Ulcer Healing
AHRQ’s Safety Program for Nursing Homes: On-Time Prevention
These functional specifications will cover the following:
General Information
Report Specifications
Specifications for Each Pressure Ulcer Healing Report
1.0. General Information
1.1. Bac…
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Algorithm-Based Decision Support System Guides
Trauma Staff During Initial Treatment, Leading to Fewer
Medical Errors
Originally published on March 3, 2021
Last updated on March 16, 2021
https://psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-
initial-treatment
Summar…
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www.ahrq.gov/sites/default/files/2024-04/wolfson-report.pdf
January 01, 2024 - Final Progress Report: Conference: Physician-Level Interventions: What Works to Improve Quality of Care
Conference:
Physician-Level Interventions:
What Works to Improve Quality of Care
Principal Investigator: Daniel Wolfson
Team Members: Christine Cassel, Ann Greiner, Eric Holmboe
Organization: American Board of…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - and obstetric rapid
response
Carle Foundation Hospital built on a prior statewide perinatal safety initiative … The implementation
team saw the initiative as an opportunity to create a
platform for subsequent improvements … He recognized that it would take time to build
support for the initiative, and for physicians and staff … During a previous initiative, the unit tracked how
many debriefing forms were filled out, which did … “GETTING INVOLVED RIGHT
AWAY ON A QUALITY
INITIATIVE WHEN YOU ARE
A NEWLY OPENED HOSPITAL
SENDS A
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - and obstetric rapid
response
Carle Foundation Hospital built on a prior statewide perinatal safety initiative … The implementation
team saw the initiative as an opportunity to create a
platform for subsequent improvements … He recognized that it would take time to build
support for the initiative, and for physicians and staff … During a previous initiative, the unit tracked how
many debriefing forms were filled out, which did … “GETTING INVOLVED RIGHT
AWAY ON A QUALITY
INITIATIVE WHEN YOU ARE
A NEWLY OPENED HOSPITAL
SENDS A
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-145-fullreport.pdf
July 01, 2016 - ADHD Chronic Care Follow Up
ADHD Chronic Care Follow-up
Section 1. Basic Measure Information
1.A. Measure Name
ADHD Chronic Care Follow-up
1.B. Measure Number
0145
1.C. Measure Description
Please provide a non-technical description of the measure that conveys what it measures to
a broad audience.
Percenta…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.458_slideshow.ppt
October 01, 2018 - Spotlight
Spotlight
Overdiagnosis and Delay: Challenges in Sepsis Diagnosis
1
Source and Credits
This presentation is based on the October 2018
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Ifedayo Kuye, MD, MBA, and Chanu Rhee, MD, MPH, …
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapd.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix D. Mapping ICD9 and CPT Codes
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Admi…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/arar-nh-et-al-2005
January 01, 2005 - Arar NH et al. 2005 "Communicating about medications during primary care outpatient visits: the role of electronic medical records."
Reference
Arar NH, Wen L, McGrath J, et al. Communicating about medications during primary care outpatient visits: the role of electronic medical records. Inform Prim Ca…
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digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology/annual-summary/2008
January 01, 2008 - Detecting Med (Medication) Errors in Rural Hospitals Using Technology - 2008
Project Name
Detecting Med (Medication) Errors in Rural Hospitals Using Technology
Principal Investigator
Brown, Andrew
Organization
University of Mississippi Medical Center
Funding Mechanism…
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - References
Related Resources From the Same Author(s)
The Safe Patient Flow Initiative
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psnet.ahrq.gov/node/840139/psn-pdf
November 16, 2022 - CDC Clinical Practice Guideline for Prescribing Opioids
for Pain - United States, 2022.
November 16, 2022
Dowell D, Ragan KR, Jones CM, et al. CDC Clinical Practice Guideline for Prescribing Opioids for Pain —
United States, 2022. MMWR Recomm Rep. 2022;71(3):1-95. doi:10.15585/mmwr.rr7103a1.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/43446/psn-pdf
May 06, 2015 - A qualitative evaluation of the barriers and facilitators
toward implementation of the WHO surgical safety
checklist across hospitals in England: lessons from the
"Surgical Checklist Implementation Project."
May 6, 2015
Russ SJ, Sevdalis N, Moorthy K, et al. A qualitative evaluation of the barriers and facilitator…
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psnet.ahrq.gov/node/61099/psn-pdf
November 04, 2020 - Twelve-month review of infusion pump near-miss
medication and dose selection errors and user-initiated
"good save" corrections: retrospective study.
November 4, 2020
Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and
dose selection errors and user-Initiated "good…
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psnet.ahrq.gov/node/866646/psn-pdf
September 04, 2024 - Adverse events and perceived abandonment: learning
from patients' accounts of medical mishaps.
September 4, 2024
Schlesinger M, Dhingra I, Fain BA, et al. Adverse events and perceived abandonment: learning from
patients’ accounts of medical mishaps. BMJ Open Qual. 2024;13(3):e002848. doi:10.1136/bmjoq-2024-
002848…
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psnet.ahrq.gov/node/73374/psn-pdf
June 09, 2021 - Effects of pharmacist-conducted medication
reconciliation at discharge on 30-day readmission rates of
patients with chronic obstructive pulmonary disease.
June 9, 2021
Singh D, Fahim G, Ghin HL, et al. Effects of pharmacist-conducted medication reconciliation at discharge
on 30-day readmission rates of patients wi…
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psnet.ahrq.gov/node/42178/psn-pdf
April 10, 2013 - Outside case review of surgical pathology for referred
patients: the impact on patient care.
April 10, 2013
Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients:
the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. doi:10.5858/arpa.2012-0088-OA.
htt…
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www.ahrq.gov/policymakers/chipra/measure_retirement/index.html
February 01, 2014 - Background Report on 2013 Retirement of Measures from the Child Core Set
Next Page
Table of Contents
Background Report on 2013 Retirement of Measures from the Child Core Set
Abstract
Background
Methods
Results
Conclusions
References
Appendix A.
Appendix B.
Appendix C.
Appendix D…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact6.html
July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
Conclusion
Previous Page Next Page
Table of Contents
Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
Introduction on Diagnostic Documentation
History of EHR…