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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
January 01, 2025 - News Media and Health Care Providers at the Crossroads of Medical Adverse
Events
Pamela Whitten, Mohan … ix
Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings
Robyn R.M. … Park
High-Hanging Fruit: Improving Transitions in Health Care
Shawn J. Perry, Robert L. … Grady
Health Information Technology
“Safeware”: Safety-Critical Computing and Health Care Information … Personal Health Records to Improve Health Information Exchange and Patient
Safety
James R.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
January 01, 2025 - Grady
Health Information Technology
“Safeware”: Safety-Critical Computing and Health Care Information … The Impact of Health Information Technology on Work Process and Patient
Care in Labor and Delivery … Consolidated Imaging: Implementing a Regional Health Information Exchange
System for Radiology in Southern … Personal Health Records to Improve Health Information Exchange and Patient
Safety
James R. … Park
High-Hanging Fruit: Improving Transitions in Health Care
Shawn J. Perry, Robert L.
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www.ahrq.gov/health-literacy/professional-training/lepguide/app-f.html
September 01, 2020 - Crossing the Quality Chasm: A New Health System for the 21st Century. … Int J Qual Health Care . Apr 2007;19(2):60-67. Epub 2007 Feb 2002. … Am J Public Health . Sep 2005;95(9):1561-1567.
Price-Wise G. … Health Affairs Blog. November 19, 2008. … School of Public Health. National Health Law Program; 2010.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step3.html
March 01, 2019 - Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health … Resources for Building Stakeholder Groups
AHRQ Effective Health Care Program Stakeholder Guide . … Establishing a Child Health Improvement Partnership: A How-to Guide (from the Vermont Child Health Improvement … provided youth group members with training and education to help with self-care for their mental and behavioral … health needs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pptx
November 19, 2008 - Intl J Qual Health Care 2007;19(2):60-67. Epub 2007 Feb 2.
Flores G, Laws MB, Mayo SJ, et al. … Finally, the interpreter can serve as a cultural broker, helping health care providers understand the … In many other health care settings, medical interpreters are trained to serve as cultural brokers and … present during the entire patient encounter, and (4) ensuring that the interpreter is fully informed and integrated … health care providers, and previous negative experiences with speaking up.
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www.ahrq.gov/prevention/chronic-care/decision/mcc/mccpublications.html
May 01, 2014 - Health care task difficulty among older adults with multimorbidity. Med Care . … Health Serv Outcomes Res Method. 2013;13:219 - 240.
DeLia D, Cantor J. … Factors affecting costs in Medicaid populations with behavioral health disorders. Med Care . … Paths to success: optimal and equitable health outcomes for all. … Assessment of morbidity over time in predicting health outcomes. Med Care .
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www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
January 01, 2025 - Policy
Institute for Health, Health Care Policy and Aging Research
Rutgers, the State University … , health policy
2
Final Grant Progress Report
Bridging the Gap between EMS and Health Services … protocols,3 the evidence
base for EMS organization and financing is much smaller and it is not well integrated … EMS-based health services research
Dr. … urges more coordination with the state’s hospital
ED’s to ensure that pre-hospital information is integrated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - • The 1999 Institute of Medicine report To Err is Human: Building a Safer Health System
focused the … attention of the health care community and the public on the estimation that
between 48,000 and 98,000 … Healthcare organizations must systematically identify
and mitigate patient safety risks and hazards with an integrated
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas3.html
March 01, 2013 - The specific health and community resources available and accessible in each community are unique and … The clinician is supported by a team of health professionals whose roles are diverse. … The Expanded Chronic Care Model: Integrating Population Health Promotion. … A community-based organization that employs allied health professionals—mental health specialists, alcohol … A patient received behavioral counseling by visiting a community organization he/she was referred to.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323.pptx
April 25, 2023 - any advancement to patient care
Support coordination of care efforts, particularly for patients with behavioral … health and developmental disabilities.
18
Question 3
19
Question 3 Summary
Leverage resources … focus areas
Workplace Change Collaborative – National Framework on Burnout and Moral Injury in the Health … infrastructure & community health programs
Ensure access to the most advanced, safest technologies for … COVID, postpartum women for hypertension management, mental health management and coordinated substance
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www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration ( … Christiana Care Health System: Safety Mentor Program ( PDF , 501 KB )
Michele Campbell, et al. … News Media and Health Care Providers at the Crossroads of Medical Adverse Events ( PDF , 129 KB ) … Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings ( PDF , 156 KB ) … Personal Health Records to Improve Health Information Exchange and Patient Safety ( PDF , 803 KB )
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-toolkit.pdf
July 13, 2020 - Department of Health and Human Services. … The intended audiences for this toolkit include states, health plans, health systems, improvement
partners … The measurement
specifications and QI strategies can be used by states, health plans, health systems … END USERS
Potential end users of the measure include local and state health departments, health plans … The improvement team integrated hypotheses, data, and office
1.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
November 01, 2014 - Description of the Health System
Heights Hospital is part of a safety net system, an integrated health … youth health services, mental health services, a methadone treatment program, an AIDS center, a Level … Soon, Heights began using Lean in behavioral health because of its large presence among the hospital … Heights Hospital, value streams have included the ED, perioperative surgical services, ambulatory care, behavioral … He had a small and well integrated team, which helped in achieving successful outcomes.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
March 01, 2004 - The Anesthesia Ergonomics Research Laboratory assisted in refining
novel techniques of behavioral and … Academic members integrated patient safety
issues into the undergraduate and graduate medical, pharmacy … To err is
human: building a safer health system. … Health Affairs 2003
Sep–Oct;22(5):157–65.
5. Young D. … Am J Health Syst Pharm. 2004 Mar
1;61(5):434, 437–8.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/igsitmonitor.pdf
February 12, 2014 - B-5-9
Situation
Monitoring STEP
Slide
SAY:
In a busy health … TeamSTEPPS 2.0 | Situation Monitoring
STATUS OF THE PATIENT
SAY:
In a health … Health care providers are just as prone to human error as the
general population. … The health care environment is dynamic, requiring team members
to continually reassess situations to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - Items marked with an asterisk (*) can be integrated into your hospital’s electronic health record with … Reference: Adapted from Singapore Ministry of Health Nursing Clinical Practice Guidelines on Prevention … program should include:
Individually-tailored fall prevention strategies
Education to patient/family and health … Education programs should target primarily health care providers, patients, and caregivers.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - Department of Health and Human Services. … Department of Health and Human Services. … interprofessional consensus group convened by SIDM in 2019.52
Patient Safety Vignettes
Vignette 1: Behavioral … Committee on Diagnostic Error in Health Care, Board on Health Care Services, Institute of Medicine, … E-learning for
health professionals.
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www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
January 01, 2025 - Setting and Participants
We conducted this research within UW Health, which is an integrated health … This component is clinician facing first and integrated into the electronic health record (EHR). … Figure 3 outlines how intervention components were integrated into the ED discharge process. … The final intervention was integrated into the electronic health record as described in
Table 11. … International Journal of Integrated Care.
2002;2(1):1-9. doi:10.1016/S1096-4959(03)00375-0
73.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
January 01, 2009 - Improving culture within the health care setting requires the culture model to be based on the understanding … An infection reduction project of the Michigan Health and Hospital Association Keystone Center for Patient … Slide 13
SAY:
Frontline staff
There are actually two sets of activities that take place in any health … Additionally, staffing and coverage issues can increase the likelihood for medication or health care … When CUSP tools become integrated into routine daily and weekly workflows, the process of improving safety
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www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
January 01, 2024 - Develop, deploy, and evaluate an N-of-1 trial service, integrated into a formulary restriction program … American Journal of Health-System
Pharmacy, 67(12):1017-24.
2.2.B.1. … American Journal of Health-System Pharmacy, 67, 1265-1273.
3.B.4. … Value Health. 2010. Volume: 13
Issue: 3 Pages: A209-A209
5.B.2. … Medication guide comprehension and health literacy. Doctoral dissertation.