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psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
May 08, 2019 - Miscommunication in the OR Leads to Anticoagulation Mishap
Citation Text:
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/training-catalog/leading-healthcare-quality-and-safety
provides healthcare practitioners and others with an introduction to the knowledge and skills needed to lead
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psnet.ahrq.gov/node/35160/psn-pdf
January 02, 2017 - Unlabeled containers lead to patient's death.
January 2, 2017
Cohen MR, Smetzer JL. … Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf.
2005;31(7):414-7. … https://psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
The authors review selected incidents … https://psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
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May 01, 2022 - 2021-2024 Roadmap
Project Contacts Name Title Organization Email Jenna Norton NIDDK Lead … NIH jenna.norton@nih.gov Kevin Abbott NIDDK COR NIH kevin.abbott@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Karen Bertodatti EMI Advisors PM EMI … Advisors karen.bertodatti@emiadvisors.net Laura Marcial RTI Pilot Lead RTI lmarcial@rti.org Beth
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ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=4947970
May 01, 2022 - NIH jenna.norton@nih.gov Kevin Abbott NIDDK COR NIH kevin.abbott@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Karen Bertodatti EMI Advisors PM EMI … Advisors karen.bertodatti@emiadvisors.net Laura Marcial RTI Pilot Lead RTI lmarcial@rti.org Beth … RTI boverman@rti.org Sara Armson RTI Pilot SME RTI sarmson@rti.org David Dorr RTI Pilot - OHSU Site Lead
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ecareplan.ahrq.gov/collaborate/exportword?pageId=4947970
May 01, 2022 - Project Contacts
Name Title Organization Email
Jenna Norton NIDDK Lead … jenna.norton@nih.gov
Kevin Abbott NIDDK COR NIH kevin.abbott@nih.gov
Arlene Bierman AHRQ Lead … AHRQ Arlene.Bierman@ahrq.hhs.gov
Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov … Steve Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein@ahrq.hhs.gov
Karen Bertodatti EMI … Advisors PM EMI Advisors karen.bertodatti@emiadvisors.net
Laura Marcial RTI Pilot Lead RTI
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January 01, 2020 - MCC Project RoadMap
Project Contacts Name Title Organization Email Jenna Norton NIDDK Lead … NIH jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu
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January 01, 2020 - MCC Project RoadMap
Project Contacts Name Title Organization Email Jenna Norton NIDDK Lead … NIH jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu
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January 01, 2020 - MCC Project RoadMap
Project Contacts Name Title Organization Email Jenna Norton NIDDK Lead … NIH jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu
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June 24, 2020 - MCC Project RoadMap
Project Contacts Name Title Organization Email Jenna Norton NIDDK Lead … NIH jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu
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January 01, 2021 - MCC Project RoadMap
Project Contacts Name Title Organization Email Jenna Norton NIDDK Lead … NIH jenna.norton@nih.gov Arlene Bierman AHRQ Lead AHRQ Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ … Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein … Gena Ford Cognitive PM Cognitive Medical Systems gford@cognitivemedicine.com Laura Marcial RTI Pilot Lead … RTI lmarcial@rti.org Alexa Ortiz RTI Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead
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ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=50888706
January 01, 2021 - MCC Project RoadMap
Project Contacts Name Title Organization Email Jenna Norton NIDDK Lead … NIH jenna.norton@nih.gov Arlene Bierman AHRQ Lead AHRQ Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ … Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein … Gena Ford Cognitive PM Cognitive Medical Systems gford@cognitivemedicine.com Laura Marcial RTI Pilot Lead … RTI lmarcial@rti.org Alexa Ortiz RTI Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead
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January 01, 2021 - MCC Project RoadMap
Project Contacts Name Title Organization Email Jenna Norton NIDDK Lead … NIH jenna.norton@nih.gov Arlene Bierman AHRQ Lead AHRQ Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ … Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein … Gena Ford Cognitive PM Cognitive Medical Systems gford@cognitivemedicine.com Laura Marcial RTI Pilot Lead … RTI lmarcial@rti.org Alexa Ortiz RTI Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead
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January 01, 2021 - MCC Project RoadMap
Project Contacts Name Title Organization Email Jenna Norton NIDDK Lead … NIH jenna.norton@nih.gov Arlene Bierman AHRQ Lead AHRQ Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ … Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein … Gena Ford Cognitive PM Cognitive Medical Systems gford@cognitivemedicine.com Laura Marcial RTI Pilot Lead … RTI lmarcial@rti.org Alexa Ortiz RTI Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead
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January 01, 2021 - MCC Project RoadMap
Project Contacts Name Title Organization Email Jenna Norton NIDDK Lead … NIH jenna.norton@nih.gov Arlene Bierman AHRQ Lead AHRQ Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ … Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein … Gena Ford Cognitive PM Cognitive Medical Systems gford@cognitivemedicine.com Laura Marcial RTI Pilot Lead … RTI lmarcial@rti.org Alexa Ortiz RTI Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead
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January 01, 2021 - MCC Project RoadMap
Project Contacts Name Title Organization Email Jenna Norton NIDDK Lead … NIH jenna.norton@nih.gov Arlene Bierman AHRQ Lead AHRQ Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ … Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein … Gena Ford Cognitive PM Cognitive Medical Systems gford@cognitivemedicine.com Laura Marcial RTI Pilot Lead … RTI lmarcial@rti.org Alexa Ortiz RTI Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead
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ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=85688322
May 01, 2022 - NIH jenna.norton@nih.gov Kevin Abbott NIDDK COR NIH kevin.abbott@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Karen Bertodatti EMI Advisors PM EMI … Advisors karen.bertodatti@emiadvisors.net Laura Marcial RTI Pilot Lead RTI lmarcial@rti.org Beth … RTI boverman@rti.org Sara Armson RTI Pilot SME RTI sarmson@rti.org David Dorr RTI Pilot - OHSU Site Lead
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ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=85688323
May 01, 2022 - NIH jenna.norton@nih.gov Kevin Abbott NIDDK COR NIH kevin.abbott@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Karen Bertodatti EMI Advisors PM EMI … Advisors karen.bertodatti@emiadvisors.net Laura Marcial RTI Pilot Lead RTI lmarcial@rti.org Beth … RTI boverman@rti.org Sara Armson RTI Pilot SME RTI sarmson@rti.org David Dorr RTI Pilot - OHSU Site Lead
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ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=85688321
May 01, 2022 - NIH jenna.norton@nih.gov Kevin Abbott NIDDK COR NIH kevin.abbott@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Karen Bertodatti EMI Advisors PM EMI … Advisors karen.bertodatti@emiadvisors.net Laura Marcial RTI Pilot Lead RTI lmarcial@rti.org Beth … RTI boverman@rti.org Sara Armson RTI Pilot SME RTI sarmson@rti.org David Dorr RTI Pilot - OHSU Site Lead
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ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=84115489
May 01, 2022 - NIH jenna.norton@nih.gov Kevin Abbott NIDDK COR NIH kevin.abbott@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Karen Bertodatti EMI Advisors PM EMI … Advisors karen.bertodatti@emiadvisors.net Laura Marcial RTI Pilot Lead RTI lmarcial@rti.org Beth … RTI boverman@rti.org Sara Armson RTI Pilot SME RTI sarmson@rti.org David Dorr RTI Pilot - OHSU Site Lead