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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - Rake
Abstract
Soon after the 1999 Institute of Medicine report, To Err Is Human, was released,
the … Introduction
In fall 1999, the Institute of Medicine (IOM) released its groundbreaking
report, To … standardized reporting would ensure consistency throughout a
health care organization and would enable internal … A report of
the Committee on Quality of Health Care in America,
Institute of Medicine.
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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/Advances-Henriksen_104.pdf
January 01, 2025 - agreement that safety problems in health care are problems of
psychology and engineering, not problems of medicine … First, they are “adaptive”; they self-adjust in response to internal changes and external inputs. … Henriksen); University of Chicago, Department of Family Medicine (Ms. … Hamilton); Harvard School of Medicine, Brigham and Women’s
Hospital, Partners HealthCare (Dr.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - The Institute of Medicine (IOM) report, To Err Is Human:
Building a Safer Health System,3 brought widespread … reporting and the resultant access to comparative data have
prompted individual facilities to conduct internal … A report
of the Committee on Quality of Health Care in
America, Institute of Medicine. … Institute of Medicine. Patient safety: achieving a new
standard of care. … The Institute of Medicine report on
medical errors: could it do harm?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
January 01, 2003 - For example,
the use of ketamine and propofol by gastroenterologists, emergency medicine
physicians … Pilot studies
were conducted in the interventional radiology department and the emergency
medicine … Internal physiological data files captured
the development of hypoxia and hemodynamic behavior over … A report
of the Committee on Quality of Health Care in
America, Institute of Medicine. … Human error in medicine. Mahweh, NJ:
Lawrence Erlbaum Associates; 1994.
22.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap.html
October 01, 2014 - Additional call center functions include maternal-fetal medicine consults, transportation arrangements … Central Plains also has implemented its own internal evaluation to assess patient health and program
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www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
January 01, 2024 - Archives of physical medicine and rehabilitation, 2009. 90(6): p. 1009-1017.
11. Hogan, N. and D.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
July 01, 2023 - Physicians, including obstetricians,family medicine doctors, pediatricians,and anesthesiologists. … These processes may require interactions that take place inside the team (internal) or outside the team … Internal team processes focus on the resources the team developed to organize and manage the workload
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www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
January 01, 2024 - with assistance from two expert
consultants: James Flanagan (PhD, MD), Associate Professor, Clinical Internal … Medicine,
University of Iowa, and Medical Director of Informatics, Language and Computing, Inc.;
and … Together, these
factors strained some of the project’s internal communication and evaluation processes
-
www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
January 01, 2025 - significant
improvements in anesthesia safety.18 Anesthesiology is now acknowledged as the
leading medical … specialty addressing patient safety.19 Incident reporting systems have
also been implemented in transfusion … medicine. … Error in medicine. JAMA 1994;272:1851-57.
12
20. … Military Medicine. 2001;166:350-353.
45. Johnson C.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-237-fullreport.pdf
October 01, 2019 - The Q-
METRIC expert panel included nationally recognized experts representing pediatrics, family
medicine … It is highly likely that Medicaid programs have internal data sources (e.g., demographic
information … However, it is highly likely that Medicaid programs have internal data sources
(e.g., demographic information … Last Name: Freed, MD, MPH
Title: Percy and Mary Murphy Professor of Pediatrics, School of Medicine
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-implementation-guide.pdf
April 16, 2022 - These data are also critical to maintaining internal support for your
hybrid program and to your efforts … American Journal of Medicine. … American Journal of Medicine.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-proceedings.pdf
October 01, 2021 - the needs of PLWMCC
and emphasized AHRQ’s long history of reaching out to stakeholders to support internal … During the final Day 1 plenary session, Malaz Boustani, MD, MPH, Professor of Medicine at
Indiana University … School of Medicine and the author of Agile Implementation: A Model for
Implementing Evidence-Based … Identifying methods and approaches for addressing limitations and challenges associated
with evidence-based medicine … How should genomic medicine be integrated into EHR?
Integration/Social and Medical Care
1.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
March 28, 2008 - obtain desired outcomes (goals).13 PPMs for treating patients with type 2 diabetes are based on
the internal … Institute of Medicine. To err is human: Building a
safer health system. … Internal model control. 1. A
unifying review and some new results.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - Use a reconciled medication list to
discuss the purpose of each medicine, how much to take,
how to take
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www.ahrq.gov/sites/default/files/2025-02/kerber-report.pdf
January 01, 2025 - In
a recent survey, 94% (95% confidence interval [CI], 90%-97%) of emergency medicine
physicians supported … 60 minutes = 2); and diabetes (either past medical history or current use
of an oral hypoglycemic medicine … Academic emergency
medicine : official journal of the Society for Academic Emergency Medicine
2013;20
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
December 01, 2017 - Ulcers At Risk for Delayed Healing Report
Care plan meetings
✓
Dietary Department internal … MDS assessment documentation
✓
Nurse shift change report
✓
Rehab Department internal … meeting
✓
On-Time Weekly Pressure Ulcer Treatment Summary Report
Rehab department internal … X
Dietary Department internal review
This is a weekly meeting within the Dietary … Department heads
Rehab Department internal review
Department team weekly
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
July 01, 2016 - On-Time Ulcers At Risk for Delayed Healing Report
Care plan meetings
√
Dietary Department internal … review
√
MDS assessment documentation
√
Nurse shift change report
√
Rehab Department internal … √
Existing
New
On-Time Weekly Pressure Ulcer Treatment Summary Report
Rehab department internal … X
Dietary Department internal review
This is a weekly meeting within the Dietary Department … X
X
Quality improvement review
Department heads
Rehab Department internal review
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www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
January 01, 2025 - This exploratory project used human factors methods in a variety of specific situations
in emergency medicine … Findings from the study reflect circumstances that are prevalent across the
emergency medicine work … Patients the staff intends to admit to an intensive
care unit (ICU) or medicine ward bed (termed “boarders
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
March 01, 2020 - 2014) used the 3D-CAM to evaluate 201 patients aged 75 and older, who had been
admitted to general medicine … or geriatric medicine services. … Detection of delirium in hospitalized older general
medicine patients: A comparison of the 3D-CAM and … patients
aged ≥75 years
Two non-intensive
care general
medicine units at
a single academic
medical … or geriatric
medicine services
Large urban
teaching hospital
Compared with the reference
standard
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
September 01, 2022 - www.ahrq.gov
Contract No: HHSP233201500020I
Task Order: HHSP23337003T
Prepared by:
Johns Hopkins Medicine … EXHIBIT 1: NATIONAL PROJECT TEAM AND PARTNERS
Organization Role
Johns Hopkins Medicine
(JHM)
JHM … Johns Hopkins Medicine, NORC at the University of Chicago. … Johns Hopkins Medicine, NORC at the University of Chicago. … Johns Hopkins Medicine, NORC at the University of Chicago.