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8881. Improving Consumer Health IT Application Development: Lessons From Other Industries Findings from Key Informant Interviews (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/developmentmethodskeyinformantinterviewsreport.pdf
      July 10, 2012 - Improving Consumer Health IT Application Development: Lessons From Other Industries Findings from Key Informant Interviews Improving Consumer Health IT Application Development: Lessons From Other Industries Findings from Key Informant Interviews Prepared for: Agency for Healthcare Research and Quality U.…

8882. Health care as if health mattered. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/bringing-measurement-point-care/citation/health-care-if-health-mattered
      January 01, 2023 - Health care as if health mattered. Citation Frieden TR, Mostashari F. Health care as if health mattered. JAMA 2008 Feb 27;299(8):950-2. Link Frieden TR, Mostashari F. Health care as if health mattered. JAMA 2008 Feb 27;2… Principal Investigator Wu, Winfred Project Name Br…

8883. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35466/psn-pdf
      November 09, 2005 - Abbott Diabetes Care blood glucose meters. November 9, 2005 https://psnet.ahrq.gov/issue/abbott-diabetes-care-blood-glucose-meters This announcement alerts patients and practitioners to a problem with glucose meters made by Abbott Diabetes Care. The meters have a measurement setting that, if inadvertently switched,…

8884. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37423/psn-pdf
      December 19, 2007 - Patient Safety. December 19, 2007 Intern J Health Care Qual Assur. 2007;20(7):555-632. https://psnet.ahrq.gov/issue/patient-safety-5 This special issue includes articles by authors from Australia, Israel, France, Iran, and Belgium that explore ideas such as building a culture of safety, replacing medical equipment…

8885. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37152/psn-pdf
      September 05, 2007 - Why pay for mistakes? September 5, 2007 https://psnet.ahrq.gov/issue/why-pay-mistakes Recently, CMS ruled that Medicare will no longer cover certain preventable errors. In this op-ed piece, the author discusses why this new rule will drive hospitals to implement safety measures. https://psnet.ahrq.gov/issue/why-pa…

8886. BLUES project list of refined metrics | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/blues-project-list-refined
      January 01, 2023 - BLUES project list of refined metrics Description A list of clinical outcome and process measures chosen for an AHRQ study examining diabetes. Document Source The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health…

8887. CDS Connect Work Group October 2021 Summary (pdf file)
      cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Summary.pdf
      January 01, 2021 - CDS Connect Work Group October 2021 Summary Clinical Decision Support (CDS) Connect Work Group (WG) Meeting Summary October 21, 2021 3:00-4:00 pm ET Attendees: 39 people, including 3 phone dial-ins Organization Attendees AHRQ Sponsors Steve Bernstein, Edwin Lomotan, Mario Teran, James Swiger (4) WG…

8888. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-safety-practices_research-protocol.pdf
      November 09, 2011 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: November 9, 2011 Evidence-based Practice Center Systematic Review Protocol Project Title: Critical Analysis of the Evidence for Patient Safety Practices I. Background and Objectives fo…

8889. Understanding Drivers of Health Care Disparities and Developing Targeted Interventions
      hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca9.jsp
      July 01, 2014 - Understanding Drivers of Health Care Disparities and Developing Targeted Interventions An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Conta…

8890. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33825/psn-pdf
      January 01, 2017 - Rethinking Root Cause Analysis January 1, 2016 Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis Annual Perspective 2016 Introduction Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…

8891. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
      February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Learn From Defects in Care of Mechanically Ventilated Patients Slide 2: Learning Objectives Af…

8892. SOPS® Value and Efficiency Supplemental Item Set for the SOPS Medical Office Survey - English (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/value-efficiency-supplemental-item-english.pdf
      March 01, 2023 - SOPS® Value and Efficiency Supplemental Item Set for the SOPS Medical Office Survey - English SOPS® Value and Efficiency Supplemental Item Set for the SOPS Medical Office Survey Language: English • Purpose: This supplemental item set was designed for use with the core SOPS® Medical Office Survey to help medical…

8893. Appendix: Profiles of the CHIPRA Quality Demonstration States’ Stakeholder Engagement Initiatives | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1app.html
      March 01, 2019 - Appendix: Profiles of the CHIPRA Quality Demonstration States’ Stakeholder Engagement Initiatives Implementation Guide Number 1 This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Childr…

8894. Chipra202-Materials Via (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_VIA.pdf
      June 02, 2025 - Attachment 6A.1 Description of the Chicago Pediatric Quality and Safety Consortium Hospitals CPQSC: Institution Characteristics Advocate – Oak Lawn Advocate – Park Ridge Lurie Children’s Prentice Mount Sinai Stroger Type of Institution Children’s Hospital with pediatric residency program and fell…

8895. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49838/psn-pdf
      August 01, 2018 - An Untimely End Despite End-of-Life Care Planning August 1, 2018 Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning The Case A 76-year-old man was admitted to the intensive care unit (…

8896. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-references.html
      June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors References Previous Page   Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Introduction Elic…

8897. FINAL WORKGROUP CHARTER: CDS STANDARDS AND REGULATORY FRAMEWORKS (pdf file)
      cdsic.ahrq.gov/sites/default/files/2023-01/Final%20Workgroup%20Charter_CDS%20Standards%20and%20Regulatory%20Frameworks_Personnel%20Update_Jan26.pdf
      January 01, 2023 - FINAL WORKGROUP CHARTER: CDS STANDARDS AND REGULATORY FRAMEWORKS FINAL WORKGROUP CHARTER: CDS STANDARDS AND REGULATORY FRAMEWORKS O C T O B E R 2 0 2 2 Agency for Healthcare Research and Quality: Clinical Decision Support Innovation Collaborative (CDSiC) Presented by: NORC at the Universit…

8898. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
      May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool D.4i 1 Selected Best Practices and Suggestions for Improvement PSI 12: Perioperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT) Why Focus on DVT/PE…

8899. Learning From Defects
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
      April 01, 2025 - Learning From Defects Learning From Defects Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention | Surgical Services Learning From Defects 1 Educat…

8900. Diagnostic Safety Research (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/DiagnosticSafety-flier.pdf
      November 01, 2024 - Diagnostic Safety Research 1 Diagnostic Safety Research at the Agency for Healthcare Research and Quality Diagnostic Error Diagnostic error is a significant and underrecognized threat to patient safety. Diagnostic errors are common, consequential, and costly and contribute to avoidable suffering and prevent…