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www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
January 01, 2024 - The three big-box pharmacists and one retail pharmacist rated their confidence level to be
below 75% … box
40% Big box
30% Big box
* Pharmacist recruited because patient had few medication
discrepancies … their
medications
25% (2) (2) Independent
Disadvantages Time consuming 100% (8) (2) Retail
(3) Big … Organizational-level
management
50% (4) (2) Retail
(2) Big box
Perceived and actual
behavioral … Care coordinators 67.5% (5) (1) Retail
(1) Big box
(2) Independent
(1) Long-term care
Patient is a
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psnet.ahrq.gov/issue/small-effort-big-payoffautomated-maximum-dose-alerts-hard-stops
June 10, 2018 - Newspaper/Magazine Article
Small effort, big payoff...automated maximum dose alerts … Citation Text:
Small effort, big payoff...automated maximum dose alerts with hard stops. … Copy URL
Cite
Citation
Citation Text:
Small effort, big … May 7, 2014
Your high-alert medication list—relatively useless without associated risk-reduction
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitresourcelist.pdf
January 01, 2019 - HIT Resource List
Improving Health Information Technology Patient
Safety: A Resource List for Users … Purpose
This document provides a list of references to websites and other publicly available practical … How To Use This Resource List
Resources are listed in alphabetical order, organized by the Surveys on … While this process is not easy and takes time, efficiently managed
workflow redesign can make a big difference … Rather, the list reflects ECRI’s judgment about which risks should receive
priority now.
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psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
September 23, 2020 - The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big … The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools … The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools … January 16, 2019
CMS seeks to add 9 hospital-acquired conditions to no-pay list.
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-d.html
June 01, 2020 - List of Other Research Gaps Identified by Study Participants
Health Services and Primary Care … Policy
Organization of Care
Impact of big policy changes
There is not enough definitive … research done on the impacts of big policy changes on the health care system (i.e., the impact of the … data on privacy, especially for information on behavioral health and substance abuse, and the role of big
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psnet.ahrq.gov/issue/cms-seeks-add-9-hospital-acquired-conditions-no-pay-list
November 10, 2010 - Newspaper/Magazine Article
CMS seeks to add 9 hospital-acquired conditions to no-pay list … article reports that the Centers for Medicare and Medicaid Services (CMS) has proposed expanding the list … The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big
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digital.ahrq.gov/sites/default/files/docs/page/2006Adams_051311comp.pdf
June 05, 2006 - Could we, perhaps, maybe, with a little
luck…narrow the list of EHRs adopted in RI? … had accomplished the
following things:
Built a greater understanding among participants of the big … professional
organizations
Developed a set of our own selection criteria and created our
“short list … P4P environment
– How group purchasing might help all physicians
Physician leaders stepped up in a big … leaders emerge (and they will)-organize
the meetings and stand back and let them lead
– Give them a big
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psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction
May 07, 2014 - Newspaper/Magazine Article
Your high-alert medication list—relatively useless without … Citation Text:
Your high-alert medication list—relatively useless without associated risk-reduction … Cite
Citation
Citation Text:
Your high-alert medication list—relatively … June 26, 2013
Small effort, big payoff...automated maximum dose alerts with hard stops
-
psnet.ahrq.gov/issue/tracking-progress-improving-diagnosis-framework-defining-undesirable-diagnostic-events
September 01, 2021 - The authors propose developing a list of clinical contexts and specific diseases prone to diagnostic … a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big … January 23, 2019
Diagnostic performance dashboards: tracking diagnostic errors using big
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
June 02, 2025 - Create a Safe Medicine List Together
Create a Safe
Medicine List Together
AHRQ
Guide to Improving … Our practice has chosen to adopt Create a Safe Medicine List Together and [list other strategies]. … together
• Documenting the list in the EHR
• Reviewing and reconciling the list
• Updating the EHR … Having knee pain when riding or walking is a big concern. … – Create safe medicine list
together.
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meps.ahrq.gov/data_files/publications/st274/stat274.shtml
December 01, 2009 - Adults ages 25-44 were more than twice as likely as adults age 65 and over to feel it was a big … Uninsured adults ages 18-64 were more likely to report that accessing a specialist was a big problem … those with Medicare and supplemental public insurance were much more likely to report access was a big … adults ages 25-44 were more than twice as likely as elderly adults age 65 and over to feel it was a big … A big problem, A small problem, Not a problem.
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psnet.ahrq.gov/issue/graphical-display-diagnostic-test-results-electronic-health-records-comparison-8-systems
November 11, 2020 - March 20, 2019
Problem list completeness in electronic health records: a multi-site study … April 24, 2018
Computerized triggers of big data to detect delays in follow-up of chest … Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big
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psnet.ahrq.gov/node/33875/psn-pdf
March 01, 2019 - RW: Many issues arise as we think about integration, partnerships, and big places buying little places … Does having the EHR the same solve a bunch
of these problems or not that big of a deal? … If a system were to become one big
system with an interoperable EHR, that's fabulous. … , being agnostic as to whose system or how quality and safety is managed, but
being sure there's a list … We have developed a list of questions that a PSA surgeon would want to know going to a new
hospital
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psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
February 06, 2019 - May 11, 2017
ISMP's List of High-Alert Medications in Acute Care Settings. … January 14, 2024
ISMP's List of Confused Drug Names. … November 2, 2014
Small patients, big consequences in medical errors.
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www.ahrq.gov/news/newsroom/case-studies/202401.html
February 01, 2024 - Simulation Dictionary , which international simulation experts developed to standardize the growing list … It’s a big outfit, with 24 full-time and 120 part-time employees,” he said.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
July 01, 2023 - characteristics include maintaining a positive outlook, emphasizing dedication to project aims, focusing on the "big … characteristics include maintaining a positive outlook, emphasizing dedication to project aims, focusing on the "big … characteristics include maintaining a positive outlook, emphasizing dedication to project aims, focusing on the "big … A red arrow points to the right, to a circle captioned "Processes" and the following list:
Inside … A red arrow points to the right, to a circle captioned "Processes" and the following list:
Inside
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psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-leading-drug
June 10, 2018 - May 7, 2018
Survey on LASA drug name pairs: who knows what’s on your list and the best … October 17, 2018
Small effort, big payoff...automated maximum dose alerts with hard stops … June 10, 2018
ISMP updates its list of drug name pairs with Tall man letters.
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psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents
February 15, 2011 - March 14, 2022
Serious misdiagnosis-related harms in malpractice claims: the "Big Three … for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big … October 26, 2011
Development of a core drug list towards improving prescribing education
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www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
July 01, 2018 - Action Checklist
Obtain a list of all shuttered hospitals in the area (likely available from State … Select best candidates for surge use from list of shuttered hospitals. … If a new target surge facility or facilities are needed, the team will reassess the list of shuttered … However, there should also be big-picture management team oversight to ensure that nothing is missed … However, there should also be big-picture management team oversight to ensure that smooth operations
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digital.ahrq.gov/sites/default/files/docs/citation/r13hs029275-final-report-gisondi-2023.pdf
January 01, 2023 - establish a 10-year research agenda for precision emergency
medicine, defined as the targeted use of big … • Objective 1: Describe the current state of the literature and scientific evidence for using “big … LIST OF PUBLICATIONS AND PRODUCTS
The study investigators and the Society for Academic Emergency Medicine … LIST OF PUBLICATIONS AND PRODUCTS
Acrobat Accessibility Report
Accessibility … rows in each column
Summary Skipped Tables must have a summary
Lists
Rule Name Status Description
List