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  1. 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.
  2. 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.
  3. 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?
  4. 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 medicineInternal 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.
  5. 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
  6. 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.
  7. 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
  8. 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 InternalMedicine, 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
  9. 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 medicalspecialty 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.
  10. 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
  11. 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.
  12. 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.
  13. 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.
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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.

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