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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
January 01, 2004 - The hospital
and ambulatory clinics serve as a clinical laboratory for students from schools of
medicine … at MCLNO was done, and then a review of all procedures approved for
the medical staff credentialing … their clinical schedules, practices, and systems may preclude the safe and
effective practice of medicine … A report of
the Committee on Quality of Health Care in America,
Institute of Medicine. … Error in medicine. JAMA 1994;272:1851–
7.
Advances in Patient Safety: Vol. 4
162
6.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusForm.pdf
February 06, 2012 - The period of review was 18 months instead of 15 months. … We excluded Site 2 from the known
groups validity analysis; this site is an adolescent medicine clinic … In 1990, the Institute of Medicine (IOM)
defined quality as the degree to which health services for … IOM, 1990-Institute of Medicine, Medicare: A Strategy for Quality Assurance, Volume 1. … IOM, 2001-Institute of Medicine, Crossing the Quality Chasm: A New Health System for the 21st Century
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www.ahrq.gov/news/newsletters/e-newsletter/954.html
April 01, 2025 - Interventions for Substance Use Disorders in Adolescents: A Systematic Review synthesizes research on … New Research and Evidence From AHRQ Rapid Review: Supply Chain Disruption Monitoring Programs . … Systematic Review (draft open for comment through May 5): Living Systematic Review on Cannabis and Other … and Mental Health in Children and Adolescents: A Systematic Review . … Experts from Duke University School of Medicine and the University of Michigan discussed how a strong
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
September 01, 2023 - content expertise but rather for experience with the context and setting specific to the
case for review … vulnerabilities to cognitive errors.20
Individuals may benefit from standardized tools designed to help them review … The National Academies of Sciences, Engineering, and Medicine. … Harvard Business Review. 2023 Feb 15. https://hbr.org/2023/02/
what-is-psychological-safety. … Reflective practice in healthcare education: an umbrella review.
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www.ahrq.gov/sites/default/files/2024-07/ferguson2-report.pdf
January 01, 2024 - Four
Planning Meetings were designed to assess progress, review plans, and direct additional activities … clinical services, the MFM physicians participate in partnering
facilities’ quality assurance and case review … outcomes measurements that could be collected
from all three partners without requiring a medical record review … reliable patient satisfaction survey tool that would also meet the
reading levels of rural populations: Review … variable was recorded as either currently available electronically
or only available through chart review
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2025 - Percentage with plan to obtain medicines (of patients prescribed medicine). … Percentage with medicine reconciliation completed. RED Workstation. AHCP. 6. … Review with the patient what to do if a problem arises. … This can be done by conducting a chart review for at least 10 percent of RED patients, defined as either … Taking Action Monitoring the RED improves outcomes only if staff review the results and take action.
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2025 - Percentage with plan to obtain medicines (of patients prescribed medicine). … Percentage with medicine reconciliation completed. RED Workstation. AHCP. 6. … Review with the patient what to do if a problem arises. … This can be done by conducting a chart review for at least 10 percent of RED patients, defined as either … Taking Action Monitoring the RED improves outcomes only if staff review the results and take action.
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www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
January 01, 2024 - Four iterations of the map were printed on poster-sized paper for review. … Manasseh, Director of the Inpatient Medicine service. … This includes (1) patient education
specific to the admitting diagnosis and any comorbidities; (2) a review … of outstanding laboratory or diagnostic tests; (4) review of the discharge
medication regimen, including … Medical mistakes No process to discuss and fix Increase ease of error reporting with formal review
Page
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www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
January 01, 2025 - small conference grant was used to provide partial support for the conference,
Diagnostic Error in Medicine … Conference
attendees represented a wide range of interests and specialty backgrounds in clinical medicine … Conference Proceedings: These are the published proceedings of the Conference Diagnostic
Error in Medicine … Diagnostic Error in Medicine. Adv Health Sci Educ
Theory Pract. 2009 Sep;14 Suppl 1. … Diagnostic error in medicine: introduction.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatus-References.pdf
February 06, 2012 - Medical Care
Review 37(7):653–698.
Donabedian A. 1988. The quality of care. … pediatrics.aappublications.org/content/early/2011/06/01/peds.2010-1775.full.pdf
IOM, 1990-Institute of Medicine … IOM, 2001-Institute of Medicine, Crossing the Quality Chasm: A New Health System for the 21st Century … IOM, 2006, Appendix E-Institute of Medicine, Committee on Redesigning Health Insurance Performance
Measures
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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-Stalhandske_71.pdf
February 23, 2008 - provided by residents, often in
specialties where intubation training is not routine, such as internal medicine … In one hospital, two
internal medicine chief residents live on the hospital grounds for a year and provide … officers, respiratory therapists, anesthesiologists, and field advisory committees for
anesthesia, medicine … This is a real change from
traditional medicine. … A solution that would have been the most costly was to
add in-house anesthesia staff or emergency medicine
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Stone.pdf
January 01, 2004 - Institute of Medicine.
Washington, DC: National Academy Press; 2004.
2. … A report of
the Committee on Quality of Health Care in America,
Institute of Medicine. … Medical
Care Research and Review 2004;61(1):3–37.
8. Krein S, Hofer T, Kerr E, et al. … Perceived organizational
support: a review of the literature. … Occupational and
Environmental Medicine 2003;60(4):217–78.
29.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
January 01, 2003 - Data were tested by an instrument
review panel of experts. … • Setting of institutional goals for performance review. … Incidence and acceptance of errors in
medicine. … Institute of Medicine, Committee on Quality of Health
Care in America. … A report of
the Committee on Quality of Health Care in America,
Institute of Medicine.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - A review of discharge planning research of older adults 1990-2008. … A review of the evidence. J Clin Nurs 2009;18(18):2539–46.
7. … Explain medicines to the patient and family daily and at any time medicine is administered. … Go over each medicine with the patient and family. … Use teach back and ask them to repeat back what each medicine is and when and how to take it.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
August 01, 2025 - Kiser and Eltha Muriel Kiser Professor of Pediatrics
Duke University School of Medicine
Teamwork … Training Interventions on Safety Culture and Patient Safety in Emergency Departments: A Systematic
Review … Patricia Posa, R.N., B.S.N., M.S.A., CCRN, FAAN
Quality and Patient Safety Program Manager
Hospital Medicine … • A strategy to assemble the patient care team members to review important
patient care and safety issues … Structure and Outcomes of IDR in Hospitalized Medicine Patients: Systematic Review.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
March 01, 2004 - Helmreich
Abstract
Spurred by a controversial report from the Institute of Medicine on the prevalence … Both hospitals participating in this study also support an incident review
process. … Care providers who
were involved or witnessed the event are required to attend the review process. … Approximately 70 percent
of care providers who had been involved in a review process believed such … A report of
the Committee on Quality of Health Care in America,
Institute of Medicine.
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/Dec-2024-IAWG-roster.pdf
January 01, 2024 - CMS Senior Medical Advisor, Medical Officer, Consultant for
Claims Review
Brian D. … NIH Staff Scientist, Applied Clinical Informatics Branch,
National Library of Medicine
Michael Kurilla … DeBakey VA
Medical Center and Baylor College of Medicine
Reena Duseja, M.D., M.S.
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www.ahrq.gov/news/newsletters/e-newsletter/916.html
June 01, 2024 - AHRQ Views: Advancing Evidence-Based Medicine With Clinical Decision Support . … AHRQ Views: Advancing Evidence-Based Medicine With Clinical Decision Support AHRQ’s ongoing research … The webinar will feature presentations from experts at the Cincinnati College of Medicine who will discuss … The study, published in Journal of General Internal Medicine , analyzed data from more than 700 adult … Review additional new publications in PSNet’s current issue , including recent cases and commentaries
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www.ahrq.gov/news/newsroom/case-studies/201539.html
January 01, 2016 - "That review really stood out," said Mr. Mitchell. … The [AHRQ] review carried a lot of weight." … "The value [of the AHRQ reviews] is really having this unbiased review."
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-intro-slides.pdf
October 12, 2017 - years
• Discuss how the CAHPS program is advancing the science
of patient experience assessment
• Review … Yale School of Public Health
• Ron Hays, Ph.D., Adjunct Researcher, RAND
Corporation; Professor of Medicine