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  1. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/engage/faq.html
    April 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Frequently Asked Questions Implementation Be Prepared to Be Engaged Create a Safe Medicine List Together Teach-Back Warm Handoff Plus Implementation 1. How do I get leadership buy-in? Leaders play an imp…

  2. Denver Health: How a Safety Net System Maximizes Its Value (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_denver_health.pdf
    April 01, 2019 - Denver Health: How a Safety Net System Maximizes Its Value Denver Health: How a Safety Net System Maximizes Its Value The Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies to help health system chief executive officers (CEOs) and other C-suite leaders better understand t…

  3. University of Utah Health: Creating a Formula for Value-Based Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_utah_health.pdf
    April 01, 2019 - University of Utah Health: Creating a Formula for Value-Based Care University of Utah Health: Creating a Formula for Value- Based Care The Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies to help health system chief executive officers and other C-suite leaders better unde…

  4. Mixup Beyond the Medication Label | PSNet

    psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
    June 01, 2014 - Mixup Beyond the Medication Label Citation Text: Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60746/psn-pdf
    July 29, 2020 - Misdiagnosis of a Pelvic Mass versus Pregnancy July 29, 2020 Leiserowitz GS, Herding H. Misdiagnosis of a Pelvic Mass versus Pregnancy. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy The Case A 28-year-old woman arrived at the Emergency Department (ED) complaining o…

  6. Hold the tPA | PSNet

    psnet.ahrq.gov/web-mm/hold-tpa
    July 29, 2020 - Hold the tPA Citation Text: Fagan SC. Hold the tPA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840255/psn-pdf
    November 16, 2022 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions November 16, 2022 Carayon P, Werner N, Makkenchery A, et al. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions . PSNet [internet]. 2022. https://psnet.ahrq.gov/perspecti…

  8. Disposition of Comments_Comparative Effectiveness Review No. 246: Management of High-Need, High-Cost Patients: A "Best Fit" Framework Synthesis, Realist Review, and Systematic Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/hnhc-disposition-comments.pdf
    October 29, 2021 - Disposition of Comments_Comparative Effectiveness Review No. 246: Management of High-Need, High-Cost Patients: A "Best Fit" Framework Synthesis, Realist Review, and Systematic Review Comparative Effectiveness Review Disposition of Comments Report Title: Management of High-Need, High-Cost Patients: A “Best…

  9. Adverse Events Associated with COVID-19 Pharmaceutical Treatments (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/COVID-19-pharmaceutical-treatments.pdf
    December 23, 2023 - Adverse Events Associated with COVID-19 Pharmaceutical Treatments Evidence-based Practice Center Rapid Review Protocol Project Title: Adverse Events Associated with COVID-19 Pharmaceutical Treatments I. Background and Objectives for the Systematic Review The Public Readiness and Emergency Preparedness A…

  10. McCormack-notes-151008 copy - Teresa (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/mccormack-presentation.pdf
    May 29, 2025 - McCormack-notes-151008 copy - Teresa My talk today is about engaging patients with  low health  literacy. 1 Health literacy is a key factor in securing access to healthcare services. So in my talk today, I’ll talk a little bit about health literacy and what it is, how we measure health literacy and the sta…

  11. Rural Wisconsin Health Cooperative Transforming Healthcare Quality Through Information Technology: Readiness Assessment (pdf file)

    digital.ahrq.gov/sites/default/files/docs/survey/rwhc-thqit-readiness-assessment.pdf
    June 16, 2021 - Rural Wisconsin Health Cooperative Transforming Healthcare Quality Through Information Technology: Readiness Assessment Rural Wisconsin Health Cooperative Transforming Healthcare Quality Through Information Technology: Readiness Assessment Reedsburg Area Medical Center, Reedsburg WI This is a questionnaire designe…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863641/psn-pdf
    February 28, 2024 - Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training February 28, 2024 Haugstetter M, Hines S, Sousane Z, et al. Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork…

  13. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
    January 01, 2021 - Spotlight Spotlight The Consequences of Miscommunication Regarding a Possible Artifact Source and Credits • This presentation is based on the June 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Kriti Gwal, MD o AHRQ WebM&M Edit…

  14. Medication Overdose | PSNet

    psnet.ahrq.gov/web-mm/medication-overdose
    September 01, 2011 - Medication Overdose Citation Text: Kaushal R. Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49709/psn-pdf
    May 01, 2014 - Raise the Bar May 1, 2014 Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/raise-bar The Case A 57-year-old man presented to an ambulatory surgery center for excision of a right groin lipoma. The patient was seen and evaluated by an anesthesiologist who was new to the cente…

  16. STATISTICAL BRIEF #431: Influenza Immunization Rates for the Adult U.S. Civilian Noninstitutionalized Population, 2001 and 2011

    meps.ahrq.gov/data_files/publications/st431/stat431.shtml
    March 01, 2014 - STATISTICAL BRIEF #431: Influenza Immunization Rates for the Adult U.S. Civilian Noninstitutionalized Population, 2001 and 2011   Skip to main content An official website of the Department of Health & Human Services …

  17. Final Progress Report: Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Record Registry (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/alpern-report.pdf
    January 01, 2024 - Final Progress Report: Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Record Registry Title: Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Record Registry Principal Investigator and Team Members: Elizabeth R. Alpern, MD, MSCE Organization: Northwester…

  18. Missed TB | PSNet

    psnet.ahrq.gov/web-mm/missed-tb
    March 03, 2010 - Missed TB Citation Text: FitzGerald MJ, Menzies D. Missed TB. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841493/psn-pdf
    December 14, 2022 - Telehealth and Patient Safety. December 14, 2022 O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/telehealth-and-patient-safety Background In recent years, telehealth, or the delivery of healthcare over a distance using telecommunications techno…

  20. Is It Safe to Be Direct? | PSNet

    psnet.ahrq.gov/web-mm/it-safe-be-direct
    September 30, 2015 - Is It Safe to Be Direct? Citation Text: Kulkarni NS, Williams M. Is It Safe to Be Direct?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…
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