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  1. Massachusetts Alliance for Communication and Resolution Following Medical Injury. | PSNet

    psnet.ahrq.gov/issue/massachusetts-alliance-communication-and-resolution-following-medical-injury
    May 03, 2023 - Multi-use Website Massachusetts Alliance for Communication and Resolution Following Medical Injury. Citation Text: Massachusetts Alliance for Communication and Resolution Following Medical Injury. Betsy Lehman Center for Patient Safety. Copy Citation Save Save…

  2. Collaborative for Accountability and Improvement. | PSNet

    psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
    August 14, 2018 - Multi-use Website Collaborative for Accountability and Improvement. Citation Text: Collaborative for Accountability and Improvement. University of Washington. Copy Citation Save Save to your library Print Download PDF Share Facebook Twi…

  3. Stem-Cell-Children Surveillance (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/stem-cell-children_surveillance.pdf
    October 29, 2012 - extra-ocular retinoblastoma not involving the CNS (stage 4a RB) and trilateral retinoblastoma.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857059/psn-pdf
    November 29, 2023 - Because patient care handovers involving multiple specialists in multiple care environments have been

  5. Electronic Health Record Use, Work Environments & Patient Outcomes - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs023805-kutney-lee-final-report-2019.pdf
    January 01, 2019 - This suggests that hospitals with better work environments may be involving nurses in the selection

  6. Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
    January 01, 2024 - During the pilot phase, 14 interviews involving 25 interviewees were conducted at the two pilot hospitals … WWTK investigators conducted a total of 10 evaluation interviews involving 13 unit and hospital leaders … In total, 52 evaluation interviews involving 90 interviewees were conducted at the nine hospitals implementing

  7. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
    January 01, 2023 - and physiologic test results AE due to the receipt of wrong, contaminated, or no anesthesia gas AE involving … invasive, non-OR procedure – Incorrect non-OR procedure AE involving invasive, non-OR procedure – … Laceration or unintended puncture AE involving invasive, non-OR procedure – Unintended iatrogenic

  8. Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
    February 01, 2005 - The first concern was that any report involving public presentation or publication in the peer- reviewed … hypothetical obstetrics or neonatology department that uses traditional screening mechanisms (i.e., those involving … At first, it seemed unlikely that presenting or publishing data involving the electronic signatures

  9. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
    January 01, 2025 - A medication error can be described as “any error involving the prescribing, ordering, selection, or … SEIPS 101 tools, which reveals the anesthesia medication delivery system to be complex and non-linear, involving … A user-centered design approach was utilized to design the icons, involving identifying each icon’s

  10. CER 229 Evidence Summary: Opioid Treatments for Chronic Pain (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/cer-229-opioid-treatments-chronic-pain-evidence-summary.pdf
    April 01, 2020 - was accompanied by marked increases in rates of opioid use disorder and drug overdose mortality2-4 involving … health status/quality of life, mental health outcomes, sleep, doses of opioid used (for comparisons involving … For meta-analyses involving nonopioids (opioids versus nonopioids, opioids plus nonopioids vs.

  11. Appendicitis Research-Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/appendicitis_research-protocol.pdf
    December 09, 2013 - with abdominal pain more challenging and result in technical difficulties when using US.35-37 Tests involving … Discrepancies will be resolved by consensus involving a third investigator. … by Source: www.effectivehealthcare.ahrq.gov Published online: December 9, 2013 10 consensus involving

  12. AcademyHealth Electronic Data Methods (EDM) Forum for Comparative Effectiveness Research - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/u13hs19564-holve-final-report-2013.pdf
    January 01, 2013 - these, the research team needs assessment and stakeholder needs assessment were research activities involving … result of these discussions, the EDM Forum supported a set of three collaborative methods projects involving … Involving Patients and Consumers in Research: New Opportunities for Meaningful Engagement in Research

  13. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/antiplatelet-treatment_research-protocol.pdf
    November 22, 2011 - Questions 3 (comparative effectiveness of test-and-treat strategies) and 4: management strategies involving … Disagreements regarding article eligibility will be resolved by consensus involving a third reviewer … Meta-analyses involving cross-over trials: methodological issues. Int J Epidemiol. 2002;31:140-149

  14. Ambulatory Care Compact to Organize Risk and Decision-making (ACCORD) - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017190-chueh-final-report-2011.pdf
    January 01, 2011 - proposed to design a primary care delivery system (ACCORD) to transform care within the MGPC-PBRN by involving … limitation of the ACCORD study population to patient portal users will make benchmark comparisons involving … This patient population will be analyzed for patient-centered outcome measures involving patient experience

  15. An Interactive Preventive Health Record (IPHR) to Promote Patient-Centered Preventive Care - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r18hs017046-krist-final-report-2011.pdf
    January 01, 2011 - Methods: Randomized controlled trial involving 5,500 patients invited to use the IPHR or receive usual … IPHR overview 6 Methods Study Design We conducted a randomized controlled trial involving … This brochure has been the basis for much of our communications strategy for subsequent projects involving

  16. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)

    datatools.ahrq.gov/action-alliance/wp-content/uploads/sites/8/2025/09/qsrs-2021-2023-adverse-event-data-report.pdf
    January 01, 2025 - and physiologic test results AE due to the receipt of wrong, contaminated, or no anesthesia gas AE involving … invasive, non-OR procedure – Incorrect non-OR procedure AE involving invasive, non-OR procedure – … Laceration or unintended puncture AE involving invasive, non-OR procedure – Unintended iatrogenic

  17. Overview to the HCUP Nationwide Inpatient Sample (NIS), 2001

    hcup-us.ahrq.gov/db/nation/nis/NIS_Introduction_2001.jsp
    January 01, 2001 - Will not use the data concerning individual establishments for commercial or competitive purposes involving … information in the data sets concerning individual establishments for commercial or competitive purposes involving … others to use the data concerning individual establishments (1) for commercial or competitive purposes involving

  18. Industrial and Systems Engineering and Health Care: Critical Areas of Research (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/BackgroundReport082310.pdf
    May 01, 2010 - Such an approach is described as involving multiple stakeholders such as patients, provider, payers … , industry, and policymakers and involving realignment of incentives to support the use of evidence-based … recognition that improving the health care delivery system will require a multifaceted response, involving

  19. AHRQ Slide Template-Widescreen

    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-child-adolesc-mental-health-grand-rounds.pptx
    May 22, 2025 - In addition, the planners and instructors listed have agreed that all recommendations involving clinical

  20. Meeting Minutes, November 2018 | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/events/nac/2018-11-nac/nacmtg1118-minutes.html
    April 01, 2019 - How can AHRQ fit into the arena involving clinical decision support?
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