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psnet.ahrq.gov/node/35748/psn-pdf
February 02, 2011 - authors discuss the lack of standardization in this process, the current views on recertification as a
mechanism
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psnet.ahrq.gov/node/43447/psn-pdf
November 20, 2015 - evaluating-effect-safety-culture-error-reporting-comparison-managerial-and-
staff-perspectives
Voluntary error reporting is a critical mechanism
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psnet.ahrq.gov/node/36013/psn-pdf
September 22, 2010 - Given the emphasis on reporting
systems, the authors suggest this as an alternative mechanism to encourage
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psnet.ahrq.gov/node/37757/psn-pdf
March 10, 2011 - workarounds-barcode-medication-administration-systems-their-occurrences-
causes-and-threats
Bar code technology is being rapidly adopted as a mechanism
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psnet.ahrq.gov/issue/rating-hospitals-stars-feds-latest-plan-measure-quality-most-controversial
May 11, 2016 - This news article discusses problems with the Centers for Medicare and Medicaid Services rating mechanism
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hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp
September 01, 2025 - Suicide E codes: Mechanism of Injury:
Suicide E Codes (external cause of injury codes) are assigned … However, for users who wish to assign these E codes to a mechanism of injury CCS, an optional CCS category … These optional CCS categories follow the CDC’s classification of E codes into mechanism of injury categories … ***************************************/
/* Reassign CCS to the Optional CCS for */
/* Suicide mechanism
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digital.ahrq.gov/funding-mechanism/maintain-and-expand-healthcare-cost-and-utilization-project-hcup-2006-2011
January 01, 2011 - Maintain and Expand the Healthcare Cost and Utilization Project (HCUP) 2006 - 2011
Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims Data
Description
This project designed the Adding Clinical Data Toolkit to help statewide data org…
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digital.ahrq.gov/ahrq-funded-projects/implementing-low-literacy-multimedia-information-technology-system-enhance/annual-summary/2012
January 01, 2012 - Principal Investigator
Hahn, Elizabeth
Organization
Northwestern University
Funding Mechanism … Hahn reported that an automated mechanism for developing survivorship care plans could facilitate the
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digital.ahrq.gov/ahrq-funded-projects/improving-asthma-care-integrated-safety-net-through-commercially-available/annual-summary/2009
January 01, 2009 - presented in the NAEPP 2007 Guidelines for the Diagnosis and Management of Asthma. ( Achieved )
Create a mechanism … The project did succeed at establishing an Epic-supported mechanism through which clinicians could invoke
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-care-compact-organize-risk-and-decisionmaking-accord/annual-summary/2011
January 01, 2011 - Investigator
Chueh, Henry
Organization
Massachusetts General Hospital
Funding Mechanism … Providers felt that a mechanism to expose patients to appropriate topics and educational materials prior
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digital.ahrq.gov/ahrq-funded-projects/implementing-low-literacy-multimedia-information-technology-it-system-enhance/annual-summary/2011
January 01, 2011 - Principal Investigator
Hahn, Elizabeth
Organization
Northwestern University
Funding Mechanism … Hahn reports that an automated mechanism for developing survivorship care plans could facilitate the
-
psnet.ahrq.gov/node/39213/psn-pdf
October 03, 2017 - Even when errors
are discussed, learning opportunities may be limited due to lack of a formal mechanism
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psnet.ahrq.gov/node/42023/psn-pdf
May 25, 2013 - to address these limitations of the Global Trigger Tool, with
the goal of developing a sustainable mechanism
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psnet.ahrq.gov/node/43915/psn-pdf
September 27, 2017 - One proposed mechanism to explain this relationship is missed nursing care.
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psnet.ahrq.gov/perspective/conversation-maureen-bisognano
February 26, 2025 - Context + Mechanism = Outcome. … In other words, the culture and context matter, the leaders matter, and the mechanism is the change concept—it's … Hence, the theory was that if you understood your culture and you had a mechanism that you could try … For me quality improvement is about leaders understanding their local context, it's taking the mechanism … attention to that outcome so that you're watching every day or every week—in this particular ICU is this mechanism
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/48-prep-colorectal-facilitator.docx
June 01, 2023 - Oral Antibiotics and Mechanical Bowel Prep for SSI Prevention for Colorectal Surgery: Facilitator Guide AHRQ Safety Program for Improving Surgical
Care and Recovery
Slide Title and Commentary
Slide Number and Slide
Title slide: Oral Antibiotics and Mechanical Bowel Prep for SSI Prevention for Colorectal Surgery
H…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
January 01, 2017 - Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients
AHRQ Safety Program for
Mechanically Ventilated Patients
Low Tidal Volume Ventilation Guide for
Reducing Ventilator-Associated Events
in Mechanica…
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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-slides.html
February 01, 2017 - Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Introduction and Evidence for Early Mobility: A Protocol To Get Patients…
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digital.ahrq.gov/ahrq-funded-projects/robust-health-data-infrastructure
January 01, 2023 - Project Details -
Completed
Contract Number
13-717F-13
Funding Mechanism
-
digital.ahrq.gov/ahrq-funded-projects/data-individual-health
January 01, 2023 - Project Details -
Completed
Contract Number
14-721F-14
Funding Mechanism