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  1. Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims. | PSNet

    psnet.ahrq.gov/issue/cognitive-errors-and-logistical-breakdowns-contributing-missed-and-delayed-diagnoses-breast
    March 02, 2011 - Study Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims. Citation Text: Poon EG, Kachalia A, Puopolo AL, et al. Cognitive errors and logistical breakdowns contributin…

  2. Resilient actions in the diagnostic process and system performance. | PSNet

    psnet.ahrq.gov/issue/resilient-actions-diagnostic-process-and-system-performance
    November 13, 2024 - Study Resilient actions in the diagnostic process and system performance. Citation Text: Smith MW, Giardina TD, Murphy DR, et al. Resilient actions in the diagnostic process and system performance. BMJ Qual Saf. 2013;22(12):1006-13. doi:10.1136/bmjqs-2012-001661. Copy Citation Fo…

  3. Is failure mode and effect analysis reliable? | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-reliable
    August 15, 2012 - Study Is failure mode and effect analysis reliable? Citation Text: Shebl NA, Franklin BD, Barber N. Is failure mode and effect analysis reliable? J Patient Saf. 2009;5(2):86-94. doi:10.1097/PTS.0b013e3181a6f040. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  4. Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. | PSNet

    psnet.ahrq.gov/issue/applying-lean-sigma-solutions-mistake-proof-chemotherapy-preparation-process
    September 02, 2015 - Commentary Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. Citation Text: Aboumatar HJ, Winner L, Davis RO, et al. Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. Jt Comm J Qual Patient Saf. 2010;36(2):79-86. Cop…

  5. A recurring call to action: every healthcare organization needs a medication safety officer! | PSNet

    psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety-officer
    March 03, 2021 - Newspaper/Magazine Article A recurring call to action: every healthcare organization needs a medication safety officer! Citation Text: A recurring call to action: every healthcare organization needs a medication safety officer! ISMP Medication Safety Alert! Acute care edition. February…

  6. Strengthening Primary Care – New Reimbursement Models | The Academy

    integrationacademy.ahrq.gov/news-and-events/news/strengthening-primary-care-new-reimbursement-models
    October 22, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  7. New Language Accessibility Priorities at HHS | The Academy

    integrationacademy.ahrq.gov/news-and-events/news/new-language-accessibility-priorities-hhs
    August 19, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  8. Final Evaluation Report -- State and Regional Demonstration in Health Information Technology: Indiana (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-in-evaluation-report.pdf
    July 01, 2015 - Final Evaluation Report -- State and Regional Demonstration in Health Information Technology: Indiana Final Evaluation Report State and Regional Demonstration in Health Information Technology: Indiana HEALTH IT Final Contract Report Indiana Health Information Exchange: Evaluation R…

  9. 2016-08 (pdf file)

    hcup-us.ahrq.gov/reports/methods/2016-08.pdf
    January 01, 2016 - HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 5600 Fishers Lane Room 07W17B Mail Stop 7W25B Rockville, MD 20857 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email: hcup@ahr…

  10. 2005 HCUP Nationwide Inpatient Sample (NIS) Comparison Report

    hcup-us.ahrq.gov/db/nation/nis/reports/2005niscomparisonrpt.jsp
    November 01, 2015 - 2005 HCUP Nationwide Inpatient Sample (NIS) Comparison Report An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …

  11. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
    July 01, 2023 - PowerPoint Presentation SPPC-II Toolkit Obstetric Hemorrhage Scenarios Safety Program for Perinatal Care II Teamwork Toolkit AHRQ Pub. No. 23-0046 July 2023 Frontline SPPC-II SCRIPT In this handout we have compiled all of the case scenarios presented in the SPPC-II Teamwork Toolkit for AIM’s Obstetric Hemorrhage …

  12. Episiotomy (Overuse) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0083episiotomy.pdf
    March 01, 2016 - Episiotomy (Overuse) Episiotomy (Overuse) Section 1. Basic Measure Information 1.A. Measure Name Episiotomy (Overuse) 1.B. Measure Number 0083 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measures to a broad audience. This measure is aim…

  13. Improving Outpatient Safety of Older Adults through Electronic Patient Portals - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs024071-lindquist-final-report-2018.pdf
    January 01, 2018 - Improving Outpatient Safety of Older Adults through Electronic Patient Portals - Final Report 1 AHRQ Grant Final Progress Report Title of Project: Improving Outpatient Safety of Older Adults through Electronic Patient Portals Principal Investigator and Team Members: • Lee A. Lindquist – MD, MPH, MBA (Pr…

  14. Characteristics of Safety-Net Hospitals, 2014 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb213-Safety-Net-Hospitals-2014.pdf
    January 01, 2014 - Characteristics of Safety-Net Hospitals, 2014 1 October 2016 Characteristics of Safety-Net Hospitals, 2014 Janet Pagon Sutton, Ph.D., Raynard E. Washington, Ph.D., Kathryn R. Fingar, Ph.D., M.P.H., and Anne Elixhauser, Ph.D. Introduction As defined by the Institute of Medicine, the healt…

  15. Inpatient Stays Involving Atrial Fibrillation, 1998-2014 #236

    hcup-us.ahrq.gov/reports/statbriefs/sb236-Atrial-Fibrillation-Hospital-Stays-Trends.jsp
    February 01, 2018 - Inpatient Stays Involving Atrial Fibrillation, 1998-2014 #236 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …

  16. Inpatient Stays Involving Atrial Fibrillation, 1998-2014 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb236-Atrial-Fibrillation-Hospital-Stays-Trends.pdf
    August 22, 2017 - Inpatient Stays Involving Atrial Fibrillation, 1998-2014 1 February 2018 Inpatient Stays Involving Atrial Fibrillation, 1998–2014 Elisabeth Kato, M.D., M.R.P., Quyen Ngo-Metzger, M.D., M.P.H., Kathryn R. Fingar, Ph.D., M.P.H., Kimberly W. McDermott, Ph.D., and Anne Elixhauser, Ph.D. Intro…

  17. Characteristics of Safety-Net Hospitals, 2014 #213

    hcup-us.ahrq.gov/reports/statbriefs/sb213-Safety-Net-Hospitals-2014.jsp
    October 01, 2016 - Characteristics of Safety-Net Hospitals, 2014 #213 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs …

  18. 3. Breadth and Focus Areas of Federal Agency Research Portfolios in HSR and PCR | Agency for Healthcare Research and Quality

    www.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
    July 01, 2021 - 3. Breadth and Focus Areas of Federal Agency Research Portfolios in HSR and PCR Health Services and Primary Care Research Study: Comprehensive Report This chapter addresses the study’s first key question: What is the breadth and focus of federally funded HSR and PCR? There are two main components to this chap…

  19. In Conversation with Edwin Boudreaux about Suicide Prevention | PSNet

    psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
    March 25, 2025 - In Conversation with Edwin Boudreaux about Suicide Prevention Edwin Boudreaux, PhD; Bryan Gale, MA; Sarah Mossburg, Phd | March 24, 2025  Also Read the Essay View more articles from the same authors. Citation Text: Boudreaux E, Gale B, Mossburg SE. In Conversati…

  20. Suicide Prevention | PSNet

    psnet.ahrq.gov/perspective/suicide-prevention
    March 24, 2025 - Suicide Prevention Edwin Boudreaux, PhD; Bryan Gale, MA; Sarah Mossburg, PhD | March 25, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Boudreaux E, Gale B, Mossburg SE. Suicide Prevention. PSNet [internet]. Rockville (…
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