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digital.ahrq.gov/national-webinars/role-health-it-improve-medication-management
January 01, 2023 - Role of Health IT to Improve Medication Management
Event Date:
September 13, 2018 | 1:00pm – 2:30pm ET
Event Materials:
Presentation Slides ( PDF , 2.18 MB) Q&A ( PDF , 448 KB)
Note: The full description of Dr. Margie Snyder’s project is pending publication in a p…
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psnet.ahrq.gov/node/46297/psn-pdf
March 21, 2018 - Reasons for computerised provider order entry (CPOE)-
based inpatient medication ordering errors: an
observational study of voided orders.
March 21, 2018
Abraham J, Kannampallil TG, Jarman A, et al. Reasons for computerised provider order entry (CPOE)-
based inpatient medication ordering errors: an observational s…
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psnet.ahrq.gov/node/48139/psn-pdf
July 17, 2019 - 'Poking the skunk': ethical and medico-legal concerns in
research about patients' experiences of medical injury.
July 17, 2019
Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about
patients' experiences of medical injury. Bioethics. 2019;33(8):948-957. doi:10.1111/bi…
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psnet.ahrq.gov/node/47694/psn-pdf
February 06, 2019 - Association of pharmaceutical industry marketing of
opioid products with mortality from opioid-related
overdoses.
February 6, 2019
Hadland SE, Rivera-Aguirre A, Marshall BDL, et al. Association of Pharmaceutical Industry Marketing of
Opioid Products With Mortality From Opioid-Related Overdoses. JAMA Netw Open. 201…
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - But what I've learned in academics is that nothing goes fast, and that has been true of the evolution
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www.ahrq.gov/research/publications/search.html?page=2
September 01, 2023 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 21 - 30 of 191 Publications displayed
Find Publications by Keyword or Topi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/brownslides.pdf
June 02, 2025 - Digestive Health Clinic, LLC: Slide Presentation
34
34
Digestive Health Clinic, LLC
Idaho Endoscopy Center, LLC
Erin Brown, RN
Director of Nursing Services
35
35
Digestive Health Clinic (DHC)
• State-of-the-art physician-owned outpatient healthcare
facility
• Provides for the comprehensive care o…
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cdsic.ahrq.gov/sites/default/files/2024-09/CDSiC%20Infographic%202024_508_0.pdf
January 01, 2024 - Patient Preferences Are Essential to Bringing the Patient Into Focus
Patient Preferences Are
Essential to Bringing
the Patient Into Focus
Patient preferences are an essential component of the patient voice and their
subsequent use in patient-centered clinical decision support
(PC CDS) can advance pati…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-Clinical-Leaders-Guide.pdf
September 01, 2022 - Guide for Clinical Leaders: Calibrate Dx: A Resource To Improve Diagnostic Decisions
Guide for Clinical Leaders
Calibrate Dx: A Resource To Improve Diagnostic Decisions
To achieve diagnostic excellence, clinicians need feedback on their diagnostic performance. Calibrate Dx
is a resource to help clinicians find and…
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www.ahrq.gov/action-alliance/competencies-affinity-group/index.html
May 01, 2025 - Healthcare Safety Competencies Affinity Group
Background The AHRQ National Action Alliance Healthcare Safety Competencies Affinity Group provided a forum for identifying and exploring the patient and workforce safety competencies needed by our healthcare workforce to support the safety of healthcare delivery. …
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/cusp-mrsa-prevention.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of …
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www.ahrq.gov/patient-safety/news-events/psaw-2023/index.html
March 01, 2023 - Patient Safety Awareness Week 2023
AHRQ, together with our colleagues from the U.S. Department of Health and Human Services (HHS), the Health Services Resources Administration, the Institute for Healthcare Improvement , and other dedicated patient safety advocates, are observing Patient Safety Awareness Week. …
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www.ahrq.gov/talkingquality/translate/web/pathways/measures.html
October 01, 2015 - Let Consumers Select Measures or Measure Categories To Compare
Over time, more measures are being developed that are appropriate for consumer reporting. These measures assess different entities, address different aspects of quality, and in some cases, are specific to a particular disease or condition or a certa…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/elicitation/cg-narratives.html
June 01, 2025 - CAHPS Clinician & Group Narrative Item Set
Originally known as the Narrative Item Elicitation Approach, the first CAHPS Narrative Item Set asks patients about their experiences in ambulatory care settings. The items were developed to be used with the CAHPS Clinician & Group Survey (CG-CAHPS) but they can also b…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/twomorees-slides/Two-More-Es-and-How-to-Spread-Dec-13-2011-508.ppt
January 01, 2011 - Project Report - Lean Sigma
Two More E’s and How to Spread
Learning Objectives
To think ahead about ways to make your investment of time and improvements in BSI rates last forever
To make sure all patients in your institution have access to the same level of safety in their care
Implementation Framework
Al…
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psnet.ahrq.gov/issue/can-first-year-medical-students-acquire-quality-improvement-knowledge-prior-substantial
April 24, 2019 - Study
Can first-year medical students acquire quality improvement knowledge prior to substantial clinical exposure? A mixed-methods evaluation of a pre-clerkship curriculum that uses education as the context for learning.
Citation Text:
Brown A, Nidumolu A, Stanhope A, et al. Can first-y…
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psnet.ahrq.gov/issue/prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings
February 17, 2021 - Study
Classic
Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis.
Citation Text:
Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across…
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psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
August 20, 2018 - Study
Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.
Citation Text:
Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Development of an online morbidity, mortality, and near-miss reporting system to ide…
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psnet.ahrq.gov/issue/reporting-and-using-near-miss-events-improve-patient-safety-diverse-primary-care-practices
June 22, 2011 - Study
Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes.
Citation Text:
Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Pr…
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psnet.ahrq.gov/issue/strength-safety-measures-introduced-medical-practices-prevent-recurrence-patient-safety
May 01, 2024 - Study
Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study.
Citation Text:
Müller BS, Lüttel D, Schütze D, et al. Strength of safety measures introduced by medical practices to prevent a recurrence of pati…