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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
    March 21, 2008 - Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study John Lynch, MPH; Jonathan Rosen, MD; H. Andrew Selinger, MD; John Hickner, MD, MSc Abstract Objective: The objective of this study wa…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
    December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
    June 05, 2008 - News Media and Health Care Providers at the Crossroads of Medical Adverse Events News Media and Health Care Providers at the Crossroads of Medical Adverse Events Pamela Whitten, PhD; Mohan J. Dutta, PhD; Serena Carpenter, PhD; Graham D. Bodie Abstract In 2005, Indiana Governor Mitch Daniels issued an executi…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
    January 20, 2008 - Common Cause Analysis: Focus on Institutional Change Common Cause Analysis: Focus on Institutional Change Anne Marie Browne, MSN, RN; Robert Mullen, PharmD; Jeanette Teets, MSN, CRNP, RN; Annette Bollig, MSN, RN; James Steven, MD, SM Abstract The Children’s Hospital of Philadelphia has created a mechanism …
  5. www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
    January 01, 2024 - Meeting Minutes (Draft), November 2023 Minutes from the November 16, 2023, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 12, 2023, Meeting Summary AHRQ Director’s Highlights Consumer Experience Measurement: C…
  6. www.ahrq.gov/sites/default/files/publications/files/finalsummary.pdf
    February 21, 2016 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program The National Evaluation of the CHIPRA Quality Demonstration Grant Program Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program FINAL SUMMARY This report was prepared for the Agen…
  7. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finalsummary.pdf
    February 21, 2016 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program The National Evaluation of the CHIPRA Quality Demonstration Grant Program Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program FINAL SUMMARY This report was prepared for the Agen…
  8. www.ahrq.gov/teamstepps/primarycare/igpcobt.html
    December 01, 2012 - Return to Contents   Advocacy and Assertion Say: Advocacy and assertion interventions are
  9. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqdr16/2016qdrintromethods.pdf
    July 01, 2017 - Introduction and Methods they cannot access high-quality health care and to develop effective interventions
  10. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2017nhqdr-intro-methods.pdf
    November 01, 2018 - people with multiple chronic conditions cannot access high-quality healthcare and to develop effective interventions
  11. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/joseph3-report.pdf
    August 31, 2021 - events are often caused by a combination of active and latent failures (inherent in the system), and interventions
  12. www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
    January 01, 2024 - events are often caused by a combination of active and latent failures (inherent in the system), and interventions
  13. www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
    June 01, 2020 - Development (i.e., documented strategies and materials to facilitate implementation of health care interventions
  14. www.ahrq.gov/sites/default/files/2024-07/uhrig-report.pdf
    January 01, 2024 - al., 2001b; McCormack et al., 2001c) as well as standard guidelines for developing health education interventions
  15. www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
    January 01, 2024 - Further study of this is warranted to better define relationships identify interventions that can reduce
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
    November 01, 2017 - Cochrane handbook for systematic reviews of interventions. Cochrane DCollaboration, 2011.
  17. www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
    November 01, 2017 - Cochrane handbook for systematic reviews of interventions. Cochrane DCollaboration, 2011.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
    January 01, 2003 - residency training Most mistakes do not lead to adverse patient outcomes Opportunity to apply interventions … interaction during the workday, in order to create more opportunity for learning practices, through such interventions
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-fullreport.pdf
    January 01, 2020 - experimental studies, all conducted in patients with type 1 diabetes, have shown that transition preparation interventions … The ADAPT measure should stimulate interventions in clinical practice designed to improve the quality
  20. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-7.pdf
    January 01, 2023 - Importance Care coordination interventions have been shown to: • Reduce mortality among patients with … at the end of life, and • Improve glycemic control among patients with diabetes.1 Care coordination interventions

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