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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/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…
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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…
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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-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…
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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-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 …
-
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…
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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…
-
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…
-
www.ahrq.gov/teamstepps/primarycare/igpcobt.html
December 01, 2012 - Return to Contents
Advocacy and Assertion
Say:
Advocacy and assertion interventions are
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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.
-
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.
-
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
-
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
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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