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psnet.ahrq.gov/issue/new-technologies-radiation-therapy-ensuring-patient-safety-radiation-safety-and-regulatory
November 01, 2023 - Study
New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues in radiation oncology.
Citation Text:
Amols HI. New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues in radiation oncology. Hea…
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psnet.ahrq.gov/issue/how-radiation-oncologists-would-disclose-errors-results-survey-radiation-oncologists-and
December 14, 2016 - Study
How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees.
Citation Text:
Evans SB, Yu JB, Chagpar A. How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. Int J Radiat Oncol Bi…
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psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
April 06, 2016 - Book/Report
National Reporting and Learning System Research and Development.
Citation Text:
National Reporting and Learning System Research and Development. Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016.
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psnet.ahrq.gov/issue/accident-prevention-day-day-clinical-radiation-therapy-practice
February 07, 2018 - Commentary
Accident prevention in day-to-day clinical radiation therapy practice.
Citation Text:
Baeza M. Accident prevention in day-to-day clinical radiation therapy practice. Ann ICRP. 2012;41(3-4):179-87. doi:10.1016/j.icrp.2012.06.001.
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Format:
DOI Google…
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psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
August 07, 2018 - Book/Report
With Safety in Mind: Mental Health Services and Patient Safety.
Citation Text:
With Safety in Mind: Mental Health Services and Patient Safety. Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-flyer-va.pdf
June 02, 2025 - RecruitmentFlyer_FAQs_VA
Frequently Asked Questions
1. Why should my practice participate in the Heart of Virginia Healthcare (HVH) initiative?
Your practice will receive personalized coaching on optimizing your practice model and culture; helping you
improve cardiovascular care for your patients. Improving func…
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psnet.ahrq.gov/issue/strategies-improving-communication-emergency-department-mediums-and-messages-noisy
November 17, 2010 - Commentary
Strategies for improving communication in the emergency department: mediums and messages in a noisy environment.
Citation Text:
Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency department: mediums and messages in a noisy environ…
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psnet.ahrq.gov/issue/implementing-distraction-free-practice-red-zone-medication-safety-initiative
November 16, 2022 - Commentary
Implementing a distraction-free practice with the Red Zone Medication Safety initiative.
Citation Text:
Connor JA, Ahern JP, Cuccovia B, et al. Implementing a Distraction-Free Practice With the Red Zone Medication Safety Initiative. Dimens Crit Care Nurs. 2016;35(3):116-24. do…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/114-tenn-heart-health-newsletter.pdf
November 01, 2021 - Tennessee Heart Health Network Newsletter, November 2021
Tennessee Heart Health Network Newsletter November 2021
1/4
View this email in your browser
Welcome to Tennessee Heart Health Network!
We are a partnership committed to improving the health of Tennesseans with or at risk for
cardiovascular disease. Tenness…
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psnet.ahrq.gov/issue/iatrogenic-harm-caused-diagnostic-errors-fibrodysplasia-ossificans-progressiva
November 16, 2022 - Study
Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva.
Citation Text:
Kitterman JA, Kantanie S, Rocke DM, et al. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Pediatrics. 2005;116(5):e654-61.
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…
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meps.ahrq.gov/data_files/publications/st427/stat427.shtml
January 01, 2014 - employees enrolled in employer-sponsored health insurance in 2012, 79.6 percent were enrolled in a plan … plans from firms with fewer than 100 employees had an average deductible over $1,500; while single plan … Family plan enrollees from these firms had average deductibles more than $3,300. … Coinsurance
Coinsurance is a form of medical cost sharing in a health insurance plan that requires … Percentage of private sector employees enrolled in a plan with a deductible, by firm size, 2012
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psnet.ahrq.gov/node/39960/psn-pdf
September 19, 2016 - white paper encourages hospitals to proactively develop and integrate a clinical crisis management
plan … leadership in developing a culture of safety, and the need for organizations to have a
comprehensive crisis plan … The article provides a
checklist and work plan for organizations to use in developing their plan, emphasizing
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hcup-us.ahrq.gov/db/nation/kid/KID_2003_CORE_Volume2_M-Z.pdf
January 01, 2003 - Cross Plan: Illinois 3 Private
Insurance
130 Blue Cross Plan: Unspecified 3 Private
Insurance … : Unspecified
2 TennCare Plan: Access-Med Plus
3 TennCare Plan: Blue Cross
4 TennCare Plan: Advantage … Care/Phoenix
5 TennCare Plan: Omni Care
6 TennCare Plan: Unspecified
7 TennCare Plan: Unspecified … 8 TennCare Plan: John Deere/Heritage
9 TennCare Plan: Preferred Health Partnership
A TennCare Plan … Q TennCare Plan: TennCare Select
R TennCare Plan: Better Health Plans, Inc.
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digital.ahrq.gov/sites/default/files/docs/page/2006Dye_051111comp.pdf
June 05, 2006 - chart reviews
• Trigger tool developed based on IHI
methodology
7
Medication Error Assessment Plan … meds
Many forms/doses/quantities
Adding doses to food/feeds
13
Medication Error Assessment Plan … Pediatrics: Special challenges
3-pronged approach to measuring events
Medication Error Assessment Plan … Medication Error Assessment Plan (cont'd.) … Observation
Medication Error Assessment Plan
Trigger Tool Chart Reviews
Medication Error Assessment
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-iv-roles-and-responsibilities-uspstf-members-serving-topic-lead
July 01, 2017 - staff solicits volunteers for the position of primary lead from among assigned topic leads during work plan … The leads' role on a topic begins once they have received a draft work plan on the topic. … A call is then scheduled to discuss the draft work plan. … the research plan as final. … Reviewing every comment received from the public on the draft research plan and bringing other leads
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effectivehealthcare.ahrq.gov/sites/default/files/pregnancy-horizon-scan-high-impact-1312.pdf
December 01, 2013 - Overall high-impact potential: vending machine dispensers for emergency oral
contraceptive (Plan B … *Vending machine dispensers for emergency oral contraceptive
(Plan B One-Step) to prevent pregnancy … Plan B One-Step pricing. [internet]. Santa Monica
(CA): GoodRx, Inc. … Available: http://www.goodrx.com/plan-b-
one-step.
7. … Obama administration
drops its appeal of Plan B ruling, will widen
access to drug. [internet].
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hcup-us.ahrq.gov/reports/race/annotatedslidesforR_E_report2.jsp
May 01, 2016 - Office of Minority Health: National Partnership for Action to End Health Disparities' National Plan … Racial and Ethnic Health Disparities in Colorado 2009
Colorado Health Disparities Strategic Plan … to Eliminate Minority Health Disparities Plan of Action 2010-2014
NJ
Strategic Plans … for Action
Heart Disease and Stroke Prevention Rhode Island State Plan 2009
Reducing the Burden … Ethnicity: 2010
Action Plan to Eliminate Racial/Ethnic Health Disparities in the State of Utah
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psnet.ahrq.gov/node/34692/psn-pdf
February 10, 2011 - The economic consequences of medical injuries:
implications for a no-fault insurance plan. … Implications for a no-fault insurance plan. JAMA. 1992;267(18):2487-92. … https://psnet.ahrq.gov/issue/economic-consequences-medical-injuries-implications-no-fault-insurance-plan … https://psnet.ahrq.gov/issue/economic-consequences-medical-injuries-implications-no-fault-insurance-plan
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meps.ahrq.gov/data_files/publications/st18/stat18.pdf
January 01, 2000 - than in a single coverage plan. … While almost
one-third of private-sector employees with single coverage were enrolled in a plan that … and small employers, employees
with single coverage were much less likely to contribute toward their plan … In contrast, single plan employee
contributions were greater in larger firms than smaller firms by about … If a plan
offers more than one arrangement for family coverage, premium information for a family of
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digital.ahrq.gov/sites/default/files/docs/page/2006Cain_052411comp.pdf
January 01, 2007 - Start the conversation
NOW
WORKGROUPS
COMMUNITY
ONC
INFRASTRUCTURE
20052004
FHA Strategic
Plan … Biosurveillance
• Consumer Empowerment
• Chronic Care
• Electronic Healthcare Records
• 2006 Strategic Plan … Kelly, Accenture NHIN
Keith Norris, Drew University
Identified issues
Breakout sessions
Action plan … IRB issues
Diverse needs, perceptions,
readiness to engage
Need for a coherent voice
Action plan … Office of the National Coordinator Health IT Roadmap To-Date
Agenda
Developments of the day
Action plan