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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter8.html
December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure
Chapter 8. Lessons Learned and Suggestions for Data
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Table of Contents
ARRA ACTION: Comparative Effectiveness of Health Care Delive…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdiscalldoc.docx
June 02, 2025 - Postdischarge Followup Phone Call Documentation Form
Patient name:
Caregiver(s) name(s):
Relationship to patient:
Notes:
Discharge date:
Principal discharge diagnosis:
Interpreter needed? Y N Language/Dialect:
Prior to phone call:
Review:
Health history
Medicine lists for consistency
Medicine list for ap…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/postdischarge-doc.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 5 (continued)
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Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Ra…
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effectivehealthcare.ahrq.gov/sites/default/files/interventions-horizon-scan-high-impact-1306.pdf
June 01, 2013 - nonadherence
accounts for approximately $290 billion in avoidable medical spending per year.27 Multiple
pharmacies … Diffusion: Motivational interviewing in the pharmacy setting has been performed at many retail
pharmacies … (Deerfield, IL) piloted a study in Walgreens
pharmacies to determine the effectiveness of pharmacist
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psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - Looking for Meds in All the Wrong Places
October 1, 2012
Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
The Case
A 40-year-old uninsured woman with anxiety ran out of her prescribed clonazepam and had a seizure. She
went to t…
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psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
September 01, 2015 - Good Night's Sleep Gone Wrong
Citation Text:
Gillis CM, Degrado J, Anger KE. Good Night's Sleep Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-7.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 7: Screenshot 3: Pharmacy—Medication Reconciliation
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introdu…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-7.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 7: Screenshot 3: Pharmacy—Medication Reconciliation
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introdu…
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www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
January 01, 2024 - Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine
Principal Investigator/Program Director (Last, First, Middle): Fairbanks, Rollin Jonathan
1. title page
The ED Pharmacist as a Safety Measure in Emergency Medicine
Supported by: Agency for Healthcare Research and Quality
Grant N…
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psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - systems—CPOE systems used primarily in outpatient practices that allow direct transmittal of prescriptions to pharmacies—have
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap6tab26.html
December 01, 2017 - Table 26. Utilization of education and case management service by type of visit among adults with diabetes who had at least one visit. Fiscal year 2010
ARRA Grant Initiative
Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recom…
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psnet.ahrq.gov/node/40586/psn-pdf
March 21, 2017 - Adopting real-time surveillance dashboards as a
component of an enterprisewide medication safety
strategy.
March 21, 2017
Waitman LR, Phillips IE, McCoy AB, et al. Adopting real-time surveillance dashboards as a component of
an enterprisewide medication safety strategy. Jt Comm J Qual Patient Saf. 2011;37(7):326-3…
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psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-errors
June 16, 2019 - Meeting/Conference Proceedings
Proceedings of a summit on preventing patient harm and death from IV medication errors.
Citation Text:
Proceedings of a summit on preventing patient harm and death from i.v. medication errors. doi:10.2146/ajhp080406.
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Format:
DO…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2011
January 01, 2011 - This project reviewed prescriptions from commercial pharmacies to identify electronic prescription (e-prescribing
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psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
January 23, 2017 - SPOTLIGHT CASE
Total Parenteral Nutrition, Multifarious Errors
Citation Text:
Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Format:
…
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digital.ahrq.gov/sites/default/files/docs/lesson/09-0023-ef-bcma.pdf
December 01, 2008 - Using Barcode Medication Administration to Improve Quality and Safety
Using Barcode Medication
Administration to Improve
Quality and Safety
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov Health IT
http://www.ahrq.gov/
Using Barcode Medication …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
March 21, 2008 - take messages
about medication refills; nurses and medical assistants call or fax prescriptions to pharmacies … for medication orders,
refills, and responses to phone, fax, and e-mail questions from patients and pharmacies
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/caren-ginsberg-slides-6-11.pdf
June 02, 2025 - organizational culture supports patient safety
Hospital
(2004)
Nursing
Home
(2008)
Medical
Office
(2009)
Community … Pharmacy
(2012)
Ambulatory
Surgery
Center
(2015)
11
Overview of AHRQ’s Patient Safety Priorities
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psnet.ahrq.gov/node/49533/psn-pdf
March 01, 2007 - Staggered Sensitivity Results
March 1, 2007
Guglielmo JB. Staggered Sensitivity Results. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/staggered-sensitivity-results
The Case
A 60-year-old woman with squamous cell carcinoma of the glottis underwent laryngectomy, anterior neck
dissection, and pectoralis fla…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter2.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 2. What is Care Coordination?
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Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapter 4, Emerging T…