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psnet.ahrq.gov/node/50773/psn-pdf
January 08, 2020 - Effect of cognitive aids on adherence to best practice in
the treatment of deteriorating surgical patients: a
randomized clinical trial in a simulation setting.
January 8, 2020
Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the
Treatment of Deteriorating Surgic…
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psnet.ahrq.gov/node/72544/psn-pdf
December 09, 2020 - Design and implementation of an analgesia, sedation, and
paralysis order set to enhance compliance of pro re nata
medication orders with Joint Commission medication
management standards in a pediatric ICU.
December 9, 2020
Procaccini D, Rapaport R, Petty BG, et al. Design and Implementation of an analgesia, sedati…
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psnet.ahrq.gov/node/47382/psn-pdf
August 29, 2018 - Parenteral opioid shortage—treating pain during the
opioid-overdose epidemic.
August 29, 2018
Bruera E. Parenteral Opioid Shortage - Treating Pain during the Opioid-Overdose Epidemic. N Engl J Med.
2018;379(7):601-603. doi:10.1056/NEJMp1807117.
https://psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-…
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psnet.ahrq.gov/node/41313/psn-pdf
January 18, 2017 - Apology for errors: whose responsibility?
January 18, 2017
Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12.
https://psnet.ahrq.gov/issue/apology-errors-whose-responsibility
Although victims of adverse events have clearly expressed their preferences for full error disclos…
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psnet.ahrq.gov/node/44179/psn-pdf
November 20, 2015 - Routine failures in the process for blood testing and the
communication of results to patients in primary care in
the UK: a qualitative exploration of patient and provider
perspectives.
November 20, 2015
Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for blood testing and the communication…
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psnet.ahrq.gov/node/73340/psn-pdf
June 02, 2021 - Can patients contribute to enhancing the safety and
effectiveness of test-result follow-up? Qualitative
outcomes from a health consumer workshop.
June 2, 2021
Thomas J, Dahm MR, Li J, et al. Can patients contribute to enhancing the safety and effectiveness of test?
result follow?up? Qualitative outcomes from a hea…
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psnet.ahrq.gov/node/47198/psn-pdf
August 22, 2018 - Health IT Safe Practices for Closing the Loop.
August 22, 2018
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018.
https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop
Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/amermanslides.pdf
June 02, 2025 - Using the AHRQ Pharmacy Survey on Patient Safety Culture
Safety Survey
Dawn Amerman
Manager
Dexter Pharmacy and Village Pharmacy II
Reasons for Taking the Survey
• Provided staff with an opportunity to give
uncensored feedback
• Offered staff a sense of being part of the
solutions
• Let staff know t…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4fig3txt.html
June 01, 2014 - Care Coordination Measures Atlas Update
Figure 3. Frequency of Care Coordination Domains Measured by EHR-Based Measures (Text Description)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Ca…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-11.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.11. Dissemination of Results from Lean Projects Throughout the Organization
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Cas…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-7-table-8.pdf
June 02, 2025 - Table 8. Differences in ADAPT Survey Scores Based on Race/Ethnicity
Table 8: Differences in ADAPT su…
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psnet.ahrq.gov/node/73242/psn-pdf
May 12, 2021 - Strategies to prevent missed nursing care: an
international qualitative study based upon a positive
deviance approach.
May 12, 2021
Longhini J, Papastavrou E, Efstathiou G, et al. Strategies to prevent missed nursing care: an international
qualitative study based upon a positive deviance approach. J Nurs Manag. 20…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6txt.html
February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B12: Fall Interventions Monitor
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overvie…
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digital.ahrq.gov/principal-investigator/schnipper-jeffrey-lawrence
September 13, 2018 - Schnipper, Jeffrey Lawrence
Electronic Medication Adherence Reporting and Feedback During Care Transitions - Final Report
Citation
Schnipper J. Electronic Medication Adherence Reporting and Feedback During Care Transitions - Final Report. (Prepared by Brigham and Women's Hospi…
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digital.ahrq.gov/principal-investigator/davison-rod
January 01, 2023 - Davison, Rod
Evaluating success. Strategies and challenges for understanding IT implementation in a rural hospital.
Citation
Spetz J, Keane D. Evaluating success. Strategies and challenges for understanding IT implementation in a rural hospital. J Healthc Inf Manag 2009 Winte…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/autoimmune-disease-rapid-research.pdf
November 01, 2024 - Rapid Response_The Association Between Outcomes and Dental Services in Persons With Autoimmune Disease Treated With Biologics and Other Immunosuppressants: A Rapid Response Review
Rapid Evidence Product
The Association Between Outcomes and Dental
Services in Persons With Autoimmune Disease
Treated With…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-behavior-programs_research-protocol.pdf
June 05, 2014 - 1
Evidence-‐based
Practice Center Systematic Review Protocol
Project title: Behavioral Programs for
Diabetes Mellitus
I . Background and Objectives for the Systematic Review
The high burden of diabetes necessitates careful attention to factors contributing to optimal
diabetes care and self-management i…
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www.ahrq.gov/ncepcr/tools/workforce-financing/white-paper.html
July 01, 2019 - Rare or complex problems should be managed through active coordination with specialty care via periodic
-
digital.ahrq.gov/sites/default/files/docs/page/Frisse.ppt
June 08, 2005 - Department more than 10 times in a year
Emergency Department Activity
Sources:
1 – Data supplied by Memphis Managed … Jude Children’s Research Hospital, Shelby County/Health Loop, UTMG, LabCorp, Memphis Managed Care-TLC
-
digital.ahrq.gov/sites/default/files/docs/resource/Timeline_at_a_glance_high_level_snapshot_on_the_progress.pdf
June 17, 2005 - use MED
VPN tunnel
Complete
Complete
Initial call
in
process
of being
schedule
d
Memphis
Managed