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digital.ahrq.gov/sites/default/files/docs/page/2006ClancyKeyesYoung_051211comp.pdf
June 16, 2021 - Acknowledging Our Track Chairs
Acknowledging Our Track Chairs
Steve Simon, Harvard Medical School
Jack Starmer, Vanderbilt University
Atif Zafar, Indiana University
Marc Overhage, Regenstrief Institute
Mark Frisse, Vanderbilt University
Jan Walker, Partners Health Care and Cntr for Health IT Leadership
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
January 01, 2020 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript
January 2020 https://www.ahrq.gov/sops/index.html 1
Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Sa…
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digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery
January 01, 2023 - Nursing Home Information Technology (IT): Optimal Medication and Care Delivery
Project Final Report ( PDF , 184.99 KB) Disclaimer
Disclaimer
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March 01, 2017 - What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety
Sara J. Singer, MBA, PhD | September 1, 2013
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January 01, 2011 - HIT implementation in critical access hospitals: ... [J Med Syst. 2011] - PubMed - NCBI
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April 01, 2019 - Hip Fractures in Older Patients: the Case for Geriatrics
Comanagement
April 1, 2019
Rogers S, Ward D. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
The Case
An 82-year-old man …
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psnet.ahrq.gov/node/49827/psn-pdf
April 01, 2018 - Walking Patient, Missing Drain
April 1, 2018
Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/walking-patient-missing-drain
The Case
A 43-year-old woman with a history of metastatic breast cancer was admitted to the hospital for an elective
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4h_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4h
Selected Best Practices and Suggestions for Improvement
PDI 10: Postoperative Sepsis
Why focus on postoperative sepsis in children?
• Posto…
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psnet.ahrq.gov/node/33846/psn-pdf
November 01, 2017 - The Role of Patient-facing Technologies to Empower
Patients and Improve Safety
November 1, 2017
Rozenblum R, Bates DW. The Role of Patient-facing Technologies to Empower Patients and Improve
Safety. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-imp…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4v
Selected Best Practices and Suggestions for Improvement
PDI 10: Postoperative Sepsis
Why focus on postoperative sepsis in children?
• Postoperative s…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/outcomes-dental-services-rapid-research.pdf
May 01, 2025 - crown,
endodontic
procedure, and
partial or full
removable
denture
Controls: dental
care only
managed
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www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
January 01, 2024 - Intravenous medications, especially continuous drips, are commonly managed
with infusion pump systems
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
January 01, 2025 - Baseline data, however, showed that 59 percent of physicians expressed
dissatisfaction with the way they managed
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025232-holden-final-report-2019.pdf
January 01, 2019 - Power to the patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care - Final Report
FINAL PROGRESS REPORT
Power to the patient: Design and Test of Closed-Loop Interactive IT for Geriatric
Heart Failure Self-Care
Ric…
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February 01, 2019 - She has managed the suite of Safety
Culture Surveys since 2006.
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psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
June 30, 2021 - It's not necessarily that the OR will look very different; it's just how all these resources are managed
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psnet.ahrq.gov/perspective/covid-19-and-built-environment
June 30, 2021 - It's not necessarily that the OR will look very different; it's just how all these resources are managed
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June 01, 2022 - An official website of the Department of Health & Human Services
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September 01, 2013 - What We've Learned About Leveraging Leadership and
Culture to Affect Change and Improve Patient Safety
September 1, 2013
Singer SJ. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve
Patient Safety. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/what-weve-learned-ab…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-COPD.pdf
June 02, 2021 - Chronic Obstructive Pulmonary Disease Exacerbations
Diagnosis
• A COPD exacerbation should be considered in a resident with a known history of COPD and increased
cough, shortness of breath, or sputum production from baseline.1-3
• COPD exacerbations are commonly triggered by respiratory virus infections (e.g.…