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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41528/psn-pdf
    May 07, 2018 - Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors … https://psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead … https://psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors … https://psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41439/psn-pdf
    May 30, 2012 - Getting doctors to clean their hands: lead the followers. … Getting doctors to clean their hands: lead the followers. … https://psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers This study found that … https://psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers https://psnet.ahrq.gov/

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38584/psn-pdf
    June 17, 2014 - Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. … https://psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and … https://psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-create-culture … https://psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-create-culture

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41937/psn-pdf
    September 26, 2016 - Interruptions lead to errors and unfinished…wait, what was I doing? … https://psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what … https://psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing … https://psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42166/psn-pdf
    June 10, 2018 - Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit … https://psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy- postanesthesia-care-unit … https://psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit … https://psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit

  6. Using Geographic Information to Target Health Disparities: State Experience

    hcup-us.ahrq.gov/reports/race/GeographicInfoIB.jsp
    June 01, 2016 - Incidence of Lead Poisoning by Census Block, 1993-2005 Figure 3 provides another example of how … The data being displayed is the incidence of lead poisoning for 1993 through 2005. … Lead Poisoning Map Shows Huge Disparities in Rate of Affliction," Providence Business News . … Lead Poisoning Map Shows Huge Disparities in Rate of Affliction," Providence Business News . … . 11 For more information, visit the Childhood Lead Action Project.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34663/psn-pdf
    December 23, 2008 - Improving the quality of health care: who will lead? December 23, 2008 Becher EC, Chassin MR. … Improving the quality of health care: who will lead? Health Aff (Millwood). 2001;20(5):164-79. … https://psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead In this review, Becher and … https://psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead

  8. Quality improvement in pediatric well care with an electronic record | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency

    digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/quality-improvement-pediatric
    January 01, 2001 - Purpose of Study:  Measure completeness of well-child visits, immunizations, lead testing and instruction … Design:  Observational study Outcomes:  Immunization rates, rate of instruction sheet distribution and lead … or 8 patient education/instruction sheets. ¤ 98.6% of patients with financial coverage for in-house lead … testing had lead screening performed by 21 months of age, compared to 81% of the general cohort.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43598/psn-pdf
    October 08, 2014 - Clinical faculty: taking the lead in teaching quality improvement and patient safety. … Clinical faculty: taking the lead in teaching quality improvement and patient safety. … https://psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety … https://psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44185/psn-pdf
    September 29, 2017 - Diagnostic errors that lead to inappropriate antimicrobial use. … Diagnostic Errors that Lead to Inappropriate Antimicrobial Use. … https://psnet.ahrq.gov/issue/diagnostic-errors-lead-inappropriate-antimicrobial-use Overuse of antibiotics … https://psnet.ahrq.gov/issue/diagnostic-errors-lead-inappropriate-antimicrobial-use https://psnet.ahrq.gov

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35802/psn-pdf
    January 02, 2017 - Reconciliation failures lead to medication errors. January 2, 2017 Santell JP. … Reconciliation failures lead to medication errors. Jt Comm J Qual Patient Saf. 2006;32(4):225-9. … https://psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors Medication reconciliation … https://psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors https://psnet.ahrq.gov/primer

  12. 109248812 01785C46057642Afbae6E2800Ff4F6Ae-270223-0954-6 (pdf file)

    cmext.ahrq.gov/confluence/download/temp/pdfexport-20230227-270223-0954-5/109248812_01785c46057642afbae6e2800ff4f6ae-270223-0954-6.pdf?contentType=application/pdf
    January 01, 2023 - MCC eCare plan FHIR IG page 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 … Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Evelyn Gallego EMI Advisors Lead EMI Advisors evelyn.gallego … Bertodatti EMI Advisors PM EMI Advisors  karen.bertodatti@emiadvisors.net  Laura Marcial RTI Pilot Lead … rti.org  Jacqueline Bagwell RTI Pilot PM/SME RTI jbagwell@rti.org David Dorr RTI Pilot - OHSU Site Lead

  13. 109248812 2820F13355Bf47Cbb3A71Fc03A1F55A8-270223-1331-116 (pdf file)

    cmext.ahrq.gov/confluence/download/temp/pdfexport-20230227-270223-1331-115/109248812_2820f13355bf47cbb3a71fc03a1f55a8-270223-1331-116.pdf?contentType=application/pdf
    January 01, 2023 - MCC eCare plan FHIR IG page 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 … Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Evelyn Gallego EMI Advisors Lead EMI Advisors evelyn.gallego … Bertodatti EMI Advisors PM EMI Advisors  karen.bertodatti@emiadvisors.net  Laura Marcial RTI Pilot Lead … rti.org  Jacqueline Bagwell RTI Pilot PM/SME RTI jbagwell@rti.org David Dorr RTI Pilot - OHSU Site Lead

  14. 109248812 0E11Febcff1D47C3A4B74247E92346Ed-270223-1332-118 (pdf file)

    cmext.ahrq.gov/confluence/download/temp/pdfexport-20230227-270223-1332-117/109248812_0e11febcff1d47c3a4b74247e92346ed-270223-1332-118.pdf?contentType=application/pdf
    January 01, 2023 - MCC eCare plan FHIR IG page 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 … Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Evelyn Gallego EMI Advisors Lead EMI Advisors evelyn.gallego … Bertodatti EMI Advisors PM EMI Advisors  karen.bertodatti@emiadvisors.net  Laura Marcial RTI Pilot Lead … rti.org  Jacqueline Bagwell RTI Pilot PM/SME RTI jbagwell@rti.org David Dorr RTI Pilot - OHSU Site Lead

  15. 109248812 6Dee57Ff4D3F4Acebe78F58356Bddb1F-270223-1334-120 (pdf file)

    cmext.ahrq.gov/confluence/download/temp/pdfexport-20230227-270223-1334-119/109248812_6dee57ff4d3f4acebe78f58356bddb1f-270223-1334-120.pdf?contentType=application/pdf
    January 01, 2023 - MCC eCare plan FHIR IG page 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 … Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Evelyn Gallego EMI Advisors Lead EMI Advisors evelyn.gallego … Bertodatti EMI Advisors PM EMI Advisors  karen.bertodatti@emiadvisors.net  Laura Marcial RTI Pilot Lead … rti.org  Jacqueline Bagwell RTI Pilot PM/SME RTI jbagwell@rti.org David Dorr RTI Pilot - OHSU Site Lead

  16. 109248812 6728F10Bfcd1448995E756Ddd3C330A0-270223-1337-122 (pdf file)

    cmext.ahrq.gov/confluence/download/temp/pdfexport-20230227-270223-1337-121/109248812_6728f10bfcd1448995e756ddd3c330a0-270223-1337-122.pdf?contentType=application/pdf
    January 01, 2023 - MCC eCare plan FHIR IG page 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 … Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Evelyn Gallego EMI Advisors Lead EMI Advisors evelyn.gallego … Bertodatti EMI Advisors PM EMI Advisors  karen.bertodatti@emiadvisors.net  Laura Marcial RTI Pilot Lead … rti.org  Jacqueline Bagwell RTI Pilot PM/SME RTI jbagwell@rti.org David Dorr RTI Pilot - OHSU Site Lead

  17. 109248812 9F5A1Ece400F4Ef3910C4Ef187075211-270223-1342-128 (pdf file)

    cmext.ahrq.gov/confluence/download/temp/pdfexport-20230227-270223-1342-127/109248812_9f5a1ece400f4ef3910c4ef187075211-270223-1342-128.pdf?contentType=application/pdf
    January 01, 2023 - MCC eCare plan FHIR IG page 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 … Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Evelyn Gallego EMI Advisors Lead EMI Advisors evelyn.gallego … Bertodatti EMI Advisors PM EMI Advisors  karen.bertodatti@emiadvisors.net  Laura Marcial RTI Pilot Lead … rti.org  Jacqueline Bagwell RTI Pilot PM/SME RTI jbagwell@rti.org David Dorr RTI Pilot - OHSU Site Lead

  18. 109248812 2Cd727133Fb742Faa0Ab149Cb055314C-270223-1340-126 (pdf file)

    cmext.ahrq.gov/confluence/download/temp/pdfexport-20230227-270223-1340-125/109248812_2cd727133fb742faa0ab149cb055314c-270223-1340-126.pdf?contentType=application/pdf
    January 01, 2023 - MCC eCare plan FHIR IG page 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 … Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Evelyn Gallego EMI Advisors Lead EMI Advisors evelyn.gallego … Bertodatti EMI Advisors PM EMI Advisors  karen.bertodatti@emiadvisors.net  Laura Marcial RTI Pilot Lead … rti.org  Jacqueline Bagwell RTI Pilot PM/SME RTI jbagwell@rti.org David Dorr RTI Pilot - OHSU Site Lead

  19. 109248812 9A5D50D104D84192953954C282864022-270223-1339-124 (pdf file)

    cmext.ahrq.gov/confluence/download/temp/pdfexport-20230227-270223-1339-123/109248812_9a5d50d104d84192953954c282864022-270223-1339-124.pdf?contentType=application/pdf
    January 01, 2023 - MCC eCare plan FHIR IG page 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 … Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Evelyn Gallego EMI Advisors Lead EMI Advisors evelyn.gallego … Bertodatti EMI Advisors PM EMI Advisors  karen.bertodatti@emiadvisors.net  Laura Marcial RTI Pilot Lead … rti.org  Jacqueline Bagwell RTI Pilot PM/SME RTI jbagwell@rti.org David Dorr RTI Pilot - OHSU Site Lead

  20. 109248812 D89De92A1D0C4B4486D21E3Dfb1D9Fa8-270223-1344-130 (pdf file)

    cmext.ahrq.gov/confluence/download/temp/pdfexport-20230227-270223-1344-129/109248812_d89de92a1d0c4b4486d21e3dfb1d9fa8-270223-1344-130.pdf?contentType=application/pdf
    January 01, 2023 - MCC eCare plan FHIR IG page 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 … Lead AHRQ Steve.Bernstein@ahrq.hhs.gov Evelyn Gallego EMI Advisors Lead EMI Advisors evelyn.gallego … Bertodatti EMI Advisors PM EMI Advisors  karen.bertodatti@emiadvisors.net  Laura Marcial RTI Pilot Lead … rti.org  Jacqueline Bagwell RTI Pilot PM/SME RTI jbagwell@rti.org David Dorr RTI Pilot - OHSU Site Lead
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