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psnet.ahrq.gov/issue/implementation-safety-checklists-surgery-realist-synthesis-evidence
November 20, 2015 - Review
Implementation of safety checklists in surgery: a realist synthesis of evidence.
Citation Text:
Gillespie BM, Marshall AP. Implementation of safety checklists in surgery: a realist synthesis of evidence. Implement Sci. 2015;10:137. doi:10.1186/s13012-015-0319-9.
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psnet.ahrq.gov/issue/aviation-and-healthcare-comparative-review-implications-patient-safety
February 14, 2018 - Review
Aviation and healthcare: a comparative review with implications for patient safety.
Citation Text:
Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/20542704156…
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psnet.ahrq.gov/issue/development-and-evaluation-observational-tool-assessing-surgical-flow-disruptions-and-their
June 17, 2009 - Study
Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance.
Citation Text:
Parker SEH, Laviana AA, Wadhera RK, et al. Development and evaluation of an observational tool for assessing surgical flow disruption…
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psnet.ahrq.gov/node/33770/psn-pdf
August 01, 2014 - In Conversation With… Urmimala Sarkar, MD, MPH
August 1, 2014
In Conversation With… Urmimala Sarkar, MD, MPH. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
Editor's note: Urmimala Sarkar, MD, MPH, is associate professor of medicine at the University of
California, S…
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-1.pdf
September 08, 2016 - Shared Decisionmaking To Improve Patient Safety, Education, and Empowerment
Case Study
Problem Addressed
In many health care situations, there is not necessarily a
“correct” decision. Often, multiple options are available,
such as testing or treatment, where risks and expected
outcomes must be balanced with patie…
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cdsic.ahrq.gov/cdsic/AI-viewpoint
February 25, 2025 - :
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HHS.gov
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Main navigation
CDS Home
CDS Innovation Collaborative
An official website of the Department of Health & Human Services
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/webinars/chsp-webinar-slides-011221.pdf
January 12, 2021 - Advancing Understanding of Health Care Delivery Using the AHRQ Compendium of U.S. Health Systems
Advancing Understanding of
Health Care Delivery
Using the Compendium of
U.S. Health Systems
January 12, 2021
Presenters
Genna Cohen
Mathematica
Michael Furukawa
Agency for Healthcare
Research and Quality
David J…
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - Medication Reconciliation With a Twist (or Dare We Say, a
Patch?)
May 1, 2014
Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
Case Objectives
Appreciate that medication discrepanc…
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psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
July 10, 2024 - In Conversation With… Thomas J. Nasca, MD, MACP
April 1, 2016
Citation Text:
In Conversation With… Thomas J. Nasca, MD, MACP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - SNFs: Opening the Black Box
Citation Text:
Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy
Citation Text:
Do T, Scott FJ. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…
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digital.ahrq.gov/sites/default/files/docs/page/Crandall.ppt
September 01, 2005 - PowerPoint Presentation
Effective IT Implementation in Health Care
Patient Safety and National Resource Center Annual Conference
June 2005
Donald Crandall, MD, FACS
Trinity Health – Our Communities
Sixth largest tax-exempt health system in the United States
Operating revenues of $5.3 billion
44,000…
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digital.ahrq.gov/sites/default/files/docs/citation/r13hs028546-kennedy-final-report-2022.pdf
January 01, 2022 - Improving Technology Innovation in Medicaid Programs – Final Report
FINAL PROGRESS REPORT
“Improving Technology Innovation in Medicaid Programs”
Susan Kennedy, MPP, MSW, Senior Director
AcademyHealth
August 3, 2021-August 2, 2022
Sheena Patel, Federal Project Officer
Agency for Healthcare Research and Qualit…
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psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
February 01, 2023 - SPOTLIGHT CASE
Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump
Citation Text:
Bagley B, Zuidema D, Crossen S, et al. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump . PSNet [internet]. Rockville (MD): Agency for Heal…
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effectivehealthcare.ahrq.gov/sites/default/files/s9.pdf
October 01, 2007 - ORIGINAL ARTICLE
Medicare Part D Data
Major Changes on the Horizon
Leslie M. Greenwald, PhD
Background: The 3 primary administrative data sets developed by
the Centers for Medicare and Medicaid services (CMS) to support
the Medicare Part D program implementation represent a valuable
source of data for health service…
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effectivehealthcare.ahrq.gov/products/worker-health/research
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017102-gorman-final-report-2011.pdf
January 01, 2011 - RxSafe: Shared Medication Management and Decision Support for Rural Clinicians
Grant Final Report
Grant ID: 1R18HS017102
RxSafe: Shared Medication Management and Decision
Support for Rural Clinicians
Inclusive project dates: 09/01/07 - 08/31/11
Principal Investigator:
Paul N. Gorman, MD*
…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/oral-health-children-adolescents-screening-preventive-interventions
November 07, 2023 - Share to Facebook
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Final Recommendation Statement
Oral Health in Children and Adolescents Aged 5 to 17 Years: Screening and Preventive Interventions
November 07, 2023
Recommendations made by…
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cdsic.ahrq.gov/sites/default/files/2023-08/Exec%20Sum_SMD%20Workflow%20Measurement%20Approaches%20Report%20to%20AHRQ%208.9.23_508.pdf
January 01, 2023 - Workflow/lifeflow integration PC CDS elements and how the intervention was deployed to integrate within