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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017837-feldman-final-report-2012.pdf
January 01, 2012 - medications database provided by a
commercial source (First DataBank) widely used in hospitals and pharmacies
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digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - inpatient hospitals, ambulatory
care facilities, long-term care facilities, and other areas such as pharmacies
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psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - 1, 2014
The relationships among work stress, strain and self-reported errors in UK community … pharmacy.
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www.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
January 01, 2024 - Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids
FINAL PROGRESS REPORT
Risk of Acute Asthma Associated with the Pediatric Use of Opioids
Principal Investigator: Hua Chen, MD, PhD1
Co-Investigator: Harold J. Farber, MD, MSPH2,3
Organization
…
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psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department
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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 01, 2017 - Facilitator Guide: Tools for Sustainability: Premortem and Scorecard
Slide Title and Commentary
Slide Number and Slide
Tools for Sustainability: Premortem and Scorecard
SAY:
This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, this module is designed to…
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - Hospital at Home? Care Reduces Costs, Readmissions,
and Complications and Enhances Satisfaction for Elderly
Patients.
April 7, 2021
https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-
and-enhances
Summary
The Hospital at Homesm program provides hospital-level care…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6f.pdf
March 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
…
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hcup-us.ahrq.gov/reports/statbriefs/sb260-Social-Determinants-County-Opioid-Rates-Hospital-Use-2016.pdf
January 01, 2016 - population rates of opioid-related inpatient stays and ED visits also had a greater
average density of pharmacies
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs018865-wood-final-report-2015.pdf
January 01, 2015 - radiology reports;
medication lists from pharmacy benefit management companies (PBMs) and retail pharmacies
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digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
August 01, 2011 - Guide to Reducing Unintended Consequences of Electronic Health Records
Guide to Reducing Unintended Consequences
of Electronic Health Records
Contract No. HHSA290200600017I
Prepared by: RAND Corporation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5…
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www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
January 01, 2025 - Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults
AHRQ Grant Final Progress Report
Grant Award Number: R18 HS026624
Project Title: Engineering Safe Care Journeys for Vulnerable Older Adults
Grantee Organization: University of Wisconsin – Madison
Project Period: September 30, 2018 –…
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effectivehealthcare.ahrq.gov/sites/default/files/s81.pdf
October 01, 2007 - ORIGINAL ARTICLE
Developing Indicators of Inpatient Adverse Drug Events
Through Nonlinear Analysis Using Administrative Data
Jonathan R. Nebeker, MS, MD,*†‡§ Paul R. Yarnold, PhD,¶ Robert C. Soltysik, MS,�
Brian C. Sauer, PhD,†‡ Shannon A. Sims, MD, MS,** Matthew H. Samore, MD,†‡§**
Randall W. Rupper, MD, MPH,*†‡ Ka…
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-5.html
July 01, 2019 - Case Example #5: WellMed
This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract Nos. 2…
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www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
January 01, 2024 - Final Progress Report: Quality Care and Error Reduction in Rural Hospitals
Principal Investigator: Cook, Ann F.
Title of the Project: Quality Care and Error Reduction in Rural Hospitals
Principal Investigator: Ann Cook, Ph.D.
Co-investigator: Helena Hoas, Ph.D.
Team Member: Katarina Guttmannova, Ph.D.
Organizat…
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www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety
Title: VTE Safety Toolkit: A Systems Approach to Patient Safety
Principal Investigator: Brenda K. Zierler, PhD1
Team Members:
Ann Wittkowsky, PharmD2
Robb Glenny, MD3
Seth Wolpin, PhD1
Jung-Ah Lee, MN1
Gene Peterson, MD, PhD3
Fre…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Antimicrobial Perioperative Prophylaxis: Part 2
Beyond the Basics
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Pro…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems
337
Work System Analysis: The Key to
Understanding Health Care Systems
Ben-Tzion Karsh, Samuel J. Alper
Abstract
Many articles in the medical literature state that medical errors are the result of
systems problems, require systems analyses, a…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-256-telehealth-women-disposition-comments.pdf
June 16, 2022 - Did the study include pharmacies as Walgreens and Walmart have
set up private telehealth rooms. … Schools, pharmacies,
and prisons were outside the
scope of this review.
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hcup-us.ahrq.gov/reports/PDMPsAndOpioidHospitalizations.pdf
October 03, 2017 - about supplies of prescription opioids
obtained from illicit sources, such as through illegal online pharmacies … Promoting consistent use of prescription drug monitoring
programs (PDMP) in outpatient pharmacies: removing