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www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
January 01, 2025 - Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report
Leveraging Existing Assessments of Risk Now (LEARN)
Final Report
PI: Donna Woods, EdM, PhD
Jane Holl, MD, MPH; Sally Reynolds, MD; Robert Wears, MD; Ellen Schwalenstocker,
PhD; Jonathan Young; O…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
October 01, 2014 - Massachusetts Hospital Improves Medication Reconciliation With AHRQ Toolkit
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March 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Masspro, the Massachusetts Quality Improvement Organization (QIO), worked with New England Rehabilitation …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-5.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Conclusions
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Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive Summary
Introducti…
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integrationacademy.ahrq.gov/sites/default/files/2020-07/Grant_Summary_NC.pdf
January 01, 2020 - Increasing Access to Medication-Assisted Treatment (MAT) in Rural Primary Care Practices-- R18 Grants
Increasing Access to
Medication-Assisted Treatment (MAT)
in Rural Primary Care Practices—R18 Grants
UNC Extension for Community Healthcare
Outcomes for Rural Primary Care
Medication-Assisted Treatme…
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psnet.ahrq.gov/issue/learning-words-they-rarely-teach-medical-school-im-sorry
February 07, 2019 - Newspaper/Magazine Article
Learning words they rarely teach in medical school: 'I'm Sorry.'
Citation Text:
Learning words they rarely teach in medical school: 'I'm Sorry.' Freidman RA.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-3.html
June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action
How Can Leaders Drive Improvements in Diagnostic Safety?
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Table of Contents
Leadership To Improve Diagnosis: A Call to Action
Diagnostic Safety as a Challenge for Healthcare Leadership
Why Are Leaders Essential to Diagnosti…
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digital.ahrq.gov/ahrq-funded-projects/hopscore-electronic-outcomes-based-emergency-triage-system
January 01, 2023 - HopScore: An Electronic Outcomes-Based Emergency Triage System
Project Final Report ( PDF , 945.48 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - liability carriers include:
Communication-and-resolution programs: the challenges and lessons learned
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www.ahrq.gov/sites/default/files/wysiwyg/nqsleverfactsheet.pdf
May 01, 2014 - National Quality Strategy: Using Levers to Achieve Improved Health and Health Care
National Quality Strategy: Using Levers to
Achieve Improved Health and Health Care
About the National Quality Strategy
The National Quality Strategy is the first-ever national effort backed by legislation to align public- and
privat…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-1.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Introduction
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Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurement of Diagnostic Safety
Getting Ready for Measurement: O…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips82.html
October 01, 2014 - Five Nebraska Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Across Care Settings
Search All Impact Case Studies
November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider …
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psnet.ahrq.gov/issue/predicting-future-big-data-machine-learning-and-clinical-medicine
June 28, 2017 - Commentary
Predicting the future—big data, machine learning, and clinical medicine.
Citation Text:
Obermeyer Z, Emanuel EJ. Predicting the future—big data, machine learning, and clinical medicine. N Engl J Med. 2016;375(13):1216-1219. doi:10.1056/nejmp1606181.
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psnet.ahrq.gov/issue/vital-signs-core-metrics-health-and-health-care-progress
November 24, 2021 - Book/Report
Vital Signs: Core Metrics for Health and Health Care Progress.
Citation Text:
Vital Signs: Core Metrics for Health and Health Care Progress. Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washingto…
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digital.ahrq.gov/program-overview/research-stories/machine-learning-algorithm-improve-use-interpreters-hospitalized
January 01, 2023 - A Machine Learning Algorithm to Improve the Use of Interpreters for Hospitalized Patients with Complex Care Needs
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Improving Equity in Healthcare with Digital Healthcare Solutions
A machine learning, predictive analytic i…
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psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa
November 18, 2015 - Book/Report
Classic
The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA.
Citation Text:
The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Vaughan D. Chicago, IL: University of Chicago Press; 1996. ISBN…
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psnet.ahrq.gov/issue/safeguarding-patients-complexity-science-high-reliability-organizations-and-implications-team
March 31, 2021 - Commentary
Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare.
Citation Text:
McKeon LM, Oswaks JD, Cunningham PD. Safeguarding patients: complexity science, high reliability organizations, and implications for te…
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psnet.ahrq.gov/issue/presenting-complaint-use-language-disempowers-patients
July 13, 2022 - Commentary
Presenting complaint: use of language that disempowers patients.
Citation Text:
doi:10.1136/bmj-2021-066720.
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DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/measure-dx-implementing-pathways-discover-and-learn-diagnostic-errors
August 25, 2021 - Commentary
Measure Dx: implementing pathways to discover and learn from diagnostic errors.
Citation Text:
Bradford A, Shofer M, Singh H. Measure Dx: Implementing pathways to discover and learn from diagnostic errors. Int J Qual Health Care. 2022;34(3):mzac068. doi:10.1093/intqhc/mzac068.…
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psnet.ahrq.gov/issue/challenges-health-care-simulation-are-we-learning-anything-new
February 27, 2019 - Commentary
Challenges in health care simulation: are we learning anything new?
Citation Text:
Henriksen K, Rodrick D, Grace EN, et al. Challenges in Health Care Simulation: Are We Learning Anything New? Acad Med. 2018;93(5):705-708. doi:10.1097/ACM.0000000000001891.
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psnet.ahrq.gov/issue/patient-safety-learning-laboratories-advancing-patient-safety-through-design-systems
July 22, 2024 - Grant Announcement
Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, and Health Services Research (R18 Clinical Trial Optional).
Citation Text:
Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Enginee…