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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - US internal medicine program director perceptions of alignment of graduate medical education and institutional
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/infantile-epilepsy-amended-protocol.pdf
March 07, 2021 - Amended Protocol: Management of Infantile Epilepsy
Evidence-based Practice Center Systematic Review Protocol
Project Title: Management of Infantile Epilepsy
Initial Publication Date: February 3, 2021
Amendment Dates: February 17, 2021, March 7, 2021
(Amendments Details–see Section VII)
I. Backgrou…
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis
Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025
Also Read the Essay
View more articles from the same authors.
Citation T…
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - The Evolution of Root Cause Analysis
Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Behrhorst J, Gale B, Van CM. Th…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2024-virtual-research-meeting-summary-prems-proms.pdf
January 01, 2024 - CAHPS 2024 Research Meeting Summary
Consumer Assessment of Healthcare Providers and Systems
(CAHPS®)
2024 Research Meeting Summary
Patient-Reported Experience and Outcome
Measures (PREMs and PROMs) in
Research and Clinical Practice
November 2024
2
Table of Contents
Introduction ......................…
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digital.ahrq.gov/sites/default/files/docs/page/PHTMA.pdf
December 01, 2004 - This study was approved by the Institutional Re-
view Board of Partners Healthcare System.
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psnet.ahrq.gov/node/34678/psn-pdf
February 09, 2011 - Changes in rates of autopsy-detected diagnostic errors
over time: a systematic review.
February 9, 2011
Shojania KG, Burton EC, McDonald KM, et al. Changes in rates of autopsy-detected diagnostic errors over
time: a systematic review. JAMA. 2003;289(21):2849-2856.
https://psnet.ahrq.gov/issue/changes-rates-autopsy…
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psnet.ahrq.gov/node/43287/psn-pdf
July 02, 2014 - Mind the gap between recommendation and
implementation—principles and lessons in the aftermath
of incident investigations: a semi-quantitative and
qualitative study of factors leading to the successful
implementation of recommendations.
July 2, 2014
Wrigstad J, Bergström J, Gustafson P. Mind the gap between recom…
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psnet.ahrq.gov/node/35617/psn-pdf
January 01, 2016 - Reconciling medications at admission: safe practice
recommendations and implementation strategies.
June 13, 2011
Rogers G, Alper E, Brunelle D, et al. Reconciling Medications at Admission: Safe Practice
Recommendations and Implementation Strategies. Jt Comm J Qual Patient Saf. 2016;32(1):37-50.
doi:10.1016/s1553-7…
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psnet.ahrq.gov/issue/center-consumer-health-care-information-patient-safety-center
February 04, 2025 - Multi-use Website
Center for Consumer Health Care Information Patient Safety Center.
Save
Save to your library
Print
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March 6, 2005
The Center's efforts for pati…
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psnet.ahrq.gov/node/47223/psn-pdf
August 14, 2018 - Six Building Blocks: A Team-Based Approach to
Improving Opioid Management in Primary Care.
August 14, 2018
MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute,
University of Washington.
https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-op…
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psnet.ahrq.gov/node/36186/psn-pdf
September 30, 2010 - Findings of the first consensus conference on medical
emergency teams.
September 30, 2010
DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical
Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e.
https://psnet.ahrq.gov/issue/findings-first-c…
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psnet.ahrq.gov/node/865338/psn-pdf
March 27, 2024 - Analysis of intervention employability in pharmacy-
related medication safety reports at a tertiary medical
center.
March 27, 2024
Crozier N, Robinson E, Murtagh NC, et al. Analysis of intervention employability in pharmacy-related
medication safety reports at a tertiary medical center. Hosp Pharm. 2024;59(2):210-…
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psnet.ahrq.gov/node/47379/psn-pdf
November 14, 2018 - Analysis of medication therapy discontinuation orders in
new electronic prescriptions and opportunities for
implementing CancelRx.
November 14, 2018
Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new
electronic prescriptions and opportunities for implementing C…
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digital.ahrq.gov/location/usa-va-reston
January 01, 2023 - USA, VA, Reston
"First, Do No Harm": Using Health Information Technology to Reduce Use of Preventive Services with Potential Harms
Description
This project convened a meeting in March of 2010 with experts to discuss “don’t do” recommendations by clinicians to their patients in…
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psnet.ahrq.gov/node/45695/psn-pdf
December 14, 2016 - Significant reduction in preanalytical errors for
nonphlebotomy blood draws after implementation of a
novel integrated specimen collection module.
December 14, 2016
Le RD, Melanson SEF, Petrides AK, et al. Significant Reduction in Preanalytical Errors for Nonphlebotomy
Blood Draws After Implementation of a Novel I…
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psnet.ahrq.gov/node/35309/psn-pdf
January 02, 2017 - Advising patients about patient safety: current initiatives
risk shifting responsibility.
January 2, 2017
Entwistle V, Mello MM, Brennan TA. Advising Patients About Patient Safety: Current Initiatives Risk
Shifting Responsibility. Jt Comm J Qual Patient Saf. 2005;31(9):483-494. doi:10.1016/s1553-
7250(05)31063-4.
…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumkozo.html
October 01, 2014 - Kozower, Benjamin
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: University of Virginia
Grant Title: Mortality Assessment in Lung Cancer Resection
Grant Number: K08 HS0180…
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www.ahrq.gov/cpi/about/otherwebsites/talkingquality.ahrq.gov/index.html
September 01, 2017 - TalkingQuality
Mission
TalkingQuality represents the Agency’s ongoing effort to support and guide the many organizations that produce and disseminate consumer reports on the quality of care offered by health care providers (e.g., hospitals, health plans, medical groups, nursing homes, and individual physicia…
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psnet.ahrq.gov/node/46546/psn-pdf
January 10, 2018 - Using an online quiz-based reinforcement system to
teach healthcare quality and patient safety and care
transitions at the University of California.
January 10, 2018
Shaikh U, Afsar-Manesh N, Amin AN, et al. Using an online quiz-based reinforcement system to teach
healthcare quality and patient safety and care tra…