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psnet.ahrq.gov/issue/preventing-medication-errors-quality-chasm-series
January 04, 2009 - Book/Report
Classic
Preventing Medication Errors: Quality Chasm Series.
Citation Text:
Preventing Medication Errors: Quality Chasm Series. Aspden P, Wolcott J, Bootman JL, et al, eds; Institute of Medicine, Committee on Identifying and Preventing Medication …
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psnet.ahrq.gov/issue/achieving-institute-medicines-6-aims-quality-midst-opioid-crisis-considerations-emergency
June 24, 2015 - Commentary
Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department.
Citation Text:
Waszak DL, Fennimore LA. Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: consider…
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psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety
January 06, 2015 - Book/Report
Classic
Americans' Experiences With Medical Errors and Views on Patient Safety.
Citation Text:
Americans' Experiences With Medical Errors and Views on Patient Safety. Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute;…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chaudhry-b-et-al-2006
January 01, 2006 - Chaudhry B et al. 2006 "Systematic review: impact of health information technology on quality, efficiency, and costs of medical care."
Reference
Chaudhry B, Wang J, Wu SY, et al. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Me…
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effectivehealthcare.ahrq.gov/sites/default/files/depression_hi_impact.pdf
October 01, 2014 - #05 DEPRESSION
AHRQ Healthcare Horizon Scanning System – Potential High
Impact Interventions Report
Priority Area 05: Depression and Other Mental Health
Disorders
Potential High Impact Interventions Report
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Huma…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series
National Action Alliance to Advance Patient Safety
Webinar Series
Engaging Boards and Executive Leadership In Safety
August 22, 2023
Beth Daley Ullem
Founder and CEO, Quality and Safety First
National Action Alliance To Advance …
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psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
March 26, 2015 - Right Place, Right Drug, Wrong Strength
Citation Text:
Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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Format:
Google Scholar BibTeX En…
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effectivehealthcare.ahrq.gov/sites/default/files/substanceabuse_hi_impact.pdf
January 01, 2012 - #14 SUBSTANCE ABUSE
AHRQ Healthcare Horizon Scanning System – Potential High
Impact Interventions Report
Priority Area 14: Substance Abuse
Potential High Impact Interventions Report
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540…
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www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
September 01, 2016 - Biosketches
Jason Adelman, MD, MS
Chief Patient Safety Officer and Associate Chief Quality Officer
Columbia University Medical Center/New York-Presbyterian Hospital
Dr. Adelman is the Chief Patient Safety Officer and Associate Chief Quality Officer at Columbia University Medical Center/NewYork-Presbyter…
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psnet.ahrq.gov/issue/safemedicationuseca
October 10, 2012 - Multi-use Website
SafeMedicationUse.ca.
Citation Text:
SafeMedicationUse.ca. Institute for Safe Medication Practices Canada; ISMP Canada.
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psnet.ahrq.gov/node/38706/psn-pdf
June 17, 2009 - Experience with a trigger tool for identifying adverse drug
events among older adults in ambulatory primary care.
June 17, 2009
Singh R, McLean-Plunckett EA, Kee R, et al. Experience with a trigger tool for identifying adverse drug
events among older adults in ambulatory primary care. Qual Saf Health Care. 2009;18(…
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www.ahrq.gov/takeheart/training/module-2/index.html
December 01, 2022 - Module 2: Systems Change: Laying the Foundation, Leadership, and Action Plans
YouTube embedded video: https://www.youtube-nocookie.com/embed/IJQC58AGQD0
Video: Systems Change: Laying the Foundation, Leadership, and Action Plans (1:05:01)
Slides: Systems Change: Laying the Foundation, Leadership, and…
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www.ahrq.gov/cpi/about/health-services-research.html
March 01, 2025 - Health Services Research at AHRQ
Health services research (HSR) is the field of study that examines the quality, safety, and affordability of healthcare delivery from the perspectives of patients, caregivers, and clinical professionals. HSR examines many facets of healthcare, including organizational structures…
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psnet.ahrq.gov/node/34131/psn-pdf
March 07, 2005 - Safetyleaders.org
March 7, 2005
Texas Medical Institute of Technology
https://psnet.ahrq.gov/issue/safetyleadersorg
Safetyleaders.org is a knowledge management system provided to hospital leaders and performance
experts. Portions of the site are not accessible to individuals whose organizations are not actively in…
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psnet.ahrq.gov/node/35151/psn-pdf
March 29, 2007 - Identifying and Preventing Medication Errors.
March 29, 2007
Institute of Medicine; IOM
https://psnet.ahrq.gov/issue/identifying-and-preventing-medication-errors
The Institute of Medicine was directed by Congress to conduct a comprehensive study on medication
safety and quality. This web site disseminates informat…
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digital.ahrq.gov/sites/default/files/docs/page/2006StromPepper_051211comp.pdf
June 16, 2021 - Role of IT in Improving Patient Safety
Brian L. Strom, M.D., M.P.H.
Chair and Professor, Department of Biostatistics
and Epidemiology
Director, Center for Clinical Epidemiology
and Biostatistics
George S. Pepper Professor of Public Health and
Preventive Medicine
Professor of Biostatistics and Epidemiology,
Me…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroupmeeting-notes-july2022.pdf.pdf
November 03, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
July Meeting Summary
Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on
Appropriations requested that “A…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
December 01, 2017 - as well as any other quality improvement of patient safety efforts that you might undertake at your institution … And we all hear about improving safety culture and how important it is that we do that in our institution … safety team, to develop action plans, and finally, have a partnership with senior executives in your institution
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
June 03, 2014 - as well as any other quality improvement of patient safety efforts that you might undertake at your institution … And we all hear about improving safety culture and how important it is that we do that in our institution … safety team, to develop action plans, and finally, have a partnership with senior executives in your institution
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digital.ahrq.gov/sites/default/files/docs/page/PHTMA.pdf
December 01, 2004 - a result of decreased
dictation, chart pulls, or medication ordering may finan-
cially benefit the institution … The observations
were performed in clinics associated with one institution
and may not be fully generalizable … The sal-
ary of physicians in the institution is primarily produc-
tivity-based and this may motivate