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effectivehealthcare.ahrq.gov/sites/default/files/c-diff-infections-nomination-140925.pdf
February 19, 2014 - Update Topic CER 31 Clostridium difficile NSD FINAL
Effectiveness of Early Diagnosis, Prevention,
and Treatment of Clostridium difficile Infection
Nomination …
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psnet.ahrq.gov/issue/electronic-triggers-identify-delays-follow-mammography-harnessing-power-big-data-health-care
September 28, 2016 - Study
Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care.
Citation Text:
Murphy DR, Meyer AND, Vaghani V, et al. Electronic Triggers to Identify Delays in Follow-Up of Mammography: Harnessing the Power of Big Data in Health…
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psnet.ahrq.gov/issue/automated-identification-postoperative-complications-within-electronic-medical-record-using
March 09, 2011 - Study
Classic
Automated identification of postoperative complications within an electronic medical record using natural language processing.
Citation Text:
Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
June 02, 2025 - Prologue: Laying the Foundation
Prologue
Laying the Foundation
Kerm Henriksen, PhD
The volume starts with papers that look to the future and examine the past with respect to patient
safety; however, its overarching theme is assessment. An underlying premise to any volume that
focuses on assessment is tha…
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digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology
January 01, 2023 - Enabling Health Care Decisionmaking through the Use of Health Information Technology
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-07-10066-5
Funding Mechanism(s)
Evidence-…
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psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study
April 29, 2020 - Study
Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.
Citation Text:
Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…
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psnet.ahrq.gov/issue/association-hospital-readmissions-reduction-program-implementation-readmission-and-mortality
November 03, 2021 - Study
Classic
Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure.
Citation Text:
Gupta A, Allen LA, Bhatt DL, et al. Association of the Hospital Readmissions Reduction Program Implem…
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www.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
June 01, 2020 - Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste
Long Description
Principal Investigator: Adam Sapirstein, M.D., Johns Hopkins University, Baltimore, MD
AHRQ Grant No.: HS23553
Project Period: 09/30/14–03/29/19
Description: The goal of the Johns Hopkins Armstrong Institute L…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
March 11, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup: Improving Diagnostic Safety …
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digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2010
January 01, 2010 - Virtual Continuity and its Impact on Complex Hospitalized Patients' Care - 2010
Project Name
Virtual Continuity and its Impact on Complex Hospitalized Patients' Care
Principal Investigator
Smith, Kenneth J.
Organization
University of Pittsburgh
Funding Mechanism
PAR…
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psnet.ahrq.gov/issue/associations-between-double-checking-and-medication-administration-errors-direct
January 18, 2023 - Study
Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients.
Citation Text:
Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational st…
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psnet.ahrq.gov/issue/dedicated-teams-optimize-quality-and-safety-surgery-systematic-review
October 27, 2021 - Review
Dedicated teams to optimize quality and safety of surgery: a systematic review.
Citation Text:
Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.…
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-decision-support-improve-rural-primary-care-quality
January 01, 2023 - Electronic Prescribing and Decision Support to Improve Rural Primary Care Quality
Project Final Report ( PDF , 275.07 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily …
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Z6Rfj-qwfoMbuLp-hBmhzS
May 01, 2021 - Measuring inconsistency in
meta-analyses.
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effectivehealthcare.ahrq.gov/sites/default/files/worker-health_disposition-comments.pdf
May 31, 2016 - this article
and incorporated suggestions in the
section on future research needs that
relates to measuring … Outcomes measuring
persistence should be included in the recommendations for
future study design.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017150-lapane-final-report-2010.pdf
January 01, 2010 - Optimizing Medication History Value in Clinical Encounters with Elderly Patients
Grant Final Report
Grant ID:
1R18 HS017150
Optimizing Medication History Value in Clinical
Encounters with Elderly Patients
Inclusive project dates: 09/30/07 - 09/29/10
Principal Investigator:
Kate Lapane, P…
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and
Reduce Unnecessary Cesarean Deliveries
July 8, 2022
https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-
cesarean-deliveries
Summary
Started in response to rising maternal morbidity and mortality rates in …
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www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdf
January 01, 2024 - Final Progress Report: Improved Patient Safety with Information Technology
Final Progress Report
Title of Project: Improved Patient Safety with Information Technology
Principal Investigator: J. Marc Overhage, MD, PhD
Team Members: Irmina Gradus-Pizlo, MD
Chris Steinmetz, MD
Karen Wolf, MD
JingJin Li, PhD…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
December 01, 2017 - Presentation: Engaging Senior Executives
Engaging Senior Executives
AHRQ Safety Program for Surgery
Onboarding
AHRQ Pub No. 16(18)-0004-15-EF
December 2017
SAY:
In this module we will discuss the importance of senior engagement on your safety program team.
1
Why Do We Need an Executive?
We discussed our PSSA data …
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www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
January 01, 2024 - Final Progress Report: Improving Patient Safety by Reducing Medication Errors
Improving Patient Safety by Reducing Medication Errors
Brian Strom, MD, MPH, Principal Investigator:
Director, Administrative Core; Director, Data Collection Core
Harold I. Feldman, MD, MSCE: Co-Principal Investigator; Co-Director, Ad…