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digital.ahrq.gov/sites/default/files/docs/publication/r13hs021022-agarwal-final-report-2013.pdf
January 01, 2013 - 2011 – 2013 Workshop on Health IT & Economics (WHITE) - Final Report
Grant Final Report
Grant ID: 1R13HS021022
2011 – 2013 Workshop on Health IT & Economics
(WHITE)
Inclusive Dates: 09/01/11 – 11/30/13
Principal Investigator:
Ritu Agarwal, PhD
Team Members:
Guodong Gao, PhD
Jeffrey M…
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psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - Multiple High-Risk Events Involving Workflow for Wasting
of Medications Used by Anesthesia
July 29, 2020
Nguyen DD, Harper TA, Cello R. Multiple High-Risk Events Involving Workflow for Wasting of Medications
Used by Anesthesia. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/multiple-high-risk-events-involvi…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
October 01, 2024 - Including members from different roles and all relevant stakeholder groups leads to a better understanding
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - sponge because they thought the sponge
radiopaque markers were just wires from electrode monitoring leads
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
July 01, 2023 - Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19
1
Hospital Deaths for Common Heart
Conditions Increased While
Hospitalizations Decreased During
the First Year of COVID-19
Deaths From Heart Disease Increased in 2020
Heart disease is the mo…
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - WebM&M Cases
Uterine Artery Injury during Cesarean Delivery Leads
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psnet.ahrq.gov/node/49475/psn-pdf
March 01, 2005 - as instances of human ("operator") error.(12,13)
The view that technology is relatively infallible leads
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psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - October 1, 2016
WebM&M Cases
Lapse in Antibiotics Leads
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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - In practice, this tension is exactly what leads to cases such as the one presented here.
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psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
October 31, 2023 - Configuring drug-disease alerts in EHRs is complex, as available software often leads to excessive unimportant
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Appendix D. Sample Production Agenda for the In-Person Training
Previous Page Next Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_5_Comm_Comp_508.docx
June 02, 2025 - Strategy 2: Communicating for Improve Quality (Tool 5)
Overview of Communication Competencies
Effective communication between clinicians, patients, and families can lead to better health care outcomes and improved quality and safety. The following list identifies behaviors to help clinicians build partnerships with pa…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasrefs.html
July 01, 2018 - Clinical-Community Relationships Measures (CCRM) Atlas
References
Previous Page Next Page
Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was the Clinical-Community Relationships Measures Atlas Developed?
2. What Is a Clinical-Comm…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-packet-va.pdf
October 01, 2015 - Heart of Virginia Healthcare
Heart of Virginia
Healthcare
Restoring the joy in primary care.
I
:7
•
Heart of Virginia Healthcare is one of seven cooperatives in the country funded by the
Agency for Healthcare Research and Quality’s EvidenceNow initiative.
Of…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact5.html
July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
The Future of Diagnostic Documentation
Previous Page Next Page
Table of Contents
Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
Introduction on Diagnostic Do…
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psnet.ahrq.gov/node/73902/psn-pdf
September 29, 2021 - sources, as well as bacteremia of unknown origin.2 The purulent fluid collection
associated with SEA leads
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psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - And that lack leads to risks and quality and safety gaps.
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - artifacts can cause alarms highlighting system malfunctions (called technical alarms; an example is a "leads
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cds.ahrq.gov/sites/default/files/cds/artifact/476/CDS%20Pain%20Management%20Summary%20Quick%20Start%20Guide_final_1.pdf
July 23, 2024 - CDS Repository Working Group Charter
CDS Pain Management Summary Quick Start Guide
The Pain Management Summary displays relevant patient-centered data to inform pain management decisions.
It includes concepts outlined in the CDC Guideline for Prescribing Opioids for Chronic Pain.
To View the Pain Man…
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psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
February 15, 2024 - Press Release/Announcement
FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products.
Citation Text:
FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…