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  1. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-overall-structure.pdf
    September 22, 2021 - EvidenceNOW: Building State Capacity to Advance Equity in Heart Health EvidenceNOW: Building State Capacity to Advance Equity in Heart Health State-Level Cooperative MEDICAID & OTHER PAYERS RESEARCH INSTITUTIONS COMMUNITY ORGANIZATIONS PRIMARY CARE ORGANIZATIONS OTHER KEY STAKEHOLDERS QUALITY IMPROVEMENT O…
  2. www.ahrq.gov/news/challenge-winners.html
    May 01, 2024 - Winners Chosen in Challenge Competition to Advance AHRQ’s CDS Connect Four winners have been awarded $25,000 each for ideas on how to advance the functionality, value and accessibility of AHRQ’s CDS Connect platform.  CDS Connect is a freely available web-based resource that enables the clinical decision suppo…
  3. effectivehealthcare.ahrq.gov/sites/default/files/delilberative-methods-design-yegian.pdf
    April 19, 2012 - Using Deliberative Methods to Engage the Public: How to design and implement an effective deliberative session Slide 1 Using Deliberative Methods to Engage the Public: How to design and implement an effective deliberative session Agency for Healthcare Research and Quality Community Forum April 19, 2012 Slid…
  4. pso.ahrq.gov/pso/academic-medical-center-amc-pso
    December 22, 2010 - SHARE: More topics in this section Return to Search Academic Medical Center (AMC) PSO PSO Number: P0103 Components of Parent Org(s): Risk Management Foundation of the Harvard Medical Insti…
  5. psnet.ahrq.gov/taxonomy/term/3488
    December 12, 2020 - Latent Error (or Latent Condition) The terms active and latent as applied to errors were coined by Reason . Latent errors (or latent conditions) refer to less apparent failures of organization or design that contributed to the occurrence of errors or allowed them to cause harm to patients. For instance, whereas …
  6. effectivehealthcare-admin.ahrq.gov/sites/default/files/delilberative-methods-design-yegian.pdf
    April 19, 2012 - Using Deliberative Methods to Engage the Public: How to design and implement an effective deliberative session Slide 1 Using Deliberative Methods to Engage the Public: How to design and implement an effective deliberative session Agency for Healthcare Research and Quality Community Forum April 19, 2012 Slid…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60889/psn-pdf
    January 01, 2021 - Expert consensus on currently accepted measures of harm. September 9, 2020 Logan MS, Myers LC, Salmasian H, et al. Expert consensus on currently accepted measures of harm. J Patient Saf. 2021;17(8):e1726-e1731. doi:10.1097/pts.0000000000000754. https://psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842432/psn-pdf
    January 11, 2023 - Medication errors: the year in review: January through December 2021. January 11, 2023 Pharmacy Practice News Special Edition. December 13, 2022: 43-54. https://psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021 Medication errors continue to occur despite long-standing efforts to redu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60833/psn-pdf
    September 15, 2020 - Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. August 19, 2020 Institute for Safe Medication Practices. September 15, 2020. https://psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global- medication-safety Medication error reporting is key to …
  10. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-overall-structure.pdf
    September 22, 2021 - EvidenceNOW: Building State Capacity to Advance Equity in Heart Health EvidenceNOW: Building State Capacity to Advance Equity in Heart Health State-Level Cooperative MEDICAID & OTHER PAYERS RESEARCH INSTITUTIONS COMMUNITY ORGANIZATIONS PRIMARY CARE ORGANIZATIONS OTHER KEY STAKEHOLDERS QUALITY IMPROVEMENT O…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43409/psn-pdf
    February 25, 2015 - Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. February 25, 2015 Hébert G, Netzer F, Ferrua M, et al. Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. Eur J Cancer. 2015;51(3):427-35. doi:10.1016/j.ejca.2014.12.002. https://psnet.ahrq.gov/issu…
  12. www.ahrq.gov/evidencenow/tools/workflow-analysis-qi.html
    November 01, 2018 - Workflow Analysis for Quality Improvement (QI) in Primary Care Resource: Workflow Analysis for Quality Improvement  (PDF, 1.7 MB, 17 pages) This presentation explains how primary care practices can use workflow analysis for quality improvement in all office systems—such as scheduling, patient flow, and billin…
  13. digital.ahrq.gov/ahrq-funded-projects/tjr-guru-mobile-app-shared-informed-decisionmaking-total-joint-replacement/final-report
    January 01, 2023 - TJR Guru--a Mobile App for Shared Informed Decisionmaking in Total Joint Replacement Surgery - Final Report Citation Tulu, B. TJR Guru--a Mobile App for Shared Informed Decisionmaking in Total Joint Replacement Surgery - Final Report. (Prepared by Worcester Polytechnic Institute under Grant No. R21 HS…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50838/psn-pdf
    January 29, 2020 - Start the new year off right by preventing these top 10 medication errors and hazards. January 29, 2020 ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2):1-6. https://psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards Medication errors routinely c…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60976/psn-pdf
    September 30, 2020 - Dangerous wrong-route errors with tranexamic acid. September 30, 2020 National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices. National Alert Network. September 9, 2020. https://psnet.ahrq.gov/issue/dangerous-wrong…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44991/psn-pdf
    April 20, 2016 - Does an insulin double-checking procedure improve patient safety? April 20, 2016 Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. https://psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44531/psn-pdf
    September 30, 2015 - Never Events for Hospital Care in Canada: Safer Care for Patients. September 30, 2015 Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN: 9781460666180. https://psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients The never events list was dev…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60951/psn-pdf
    September 23, 2020 - A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. September 23, 2020 Edmonton, Alberta; Canadian Patient Safety Institute: 2020. ISBN: 9781926541846. https://psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality- im…
  19. www.ahrq.gov/evidencenow/projects/urinary/resources/interactive-pathway-flowchart.html
    January 01, 2023 - Back to MUI Resources Interactive Urinary Incontinence Care Pathway Flowchart Resource This document is available on the AHRQ website (PDF, 173 KB) Summary This UI care pathway flowchart was created using draw.io by the EMPOWER study team to aid practices participating in the…
  20. www.ahrq.gov/evidencenow/heart-health/cholesterol/guideline.html
    September 01, 2018 - 2013 ACC/AHA Guideline on Treatment of Cholesterol to Reduce CVD Resource title: 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults . Resource description: This clinical guideline, published in Circulation in 2011, outlines how to treat hig…