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psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
April 06, 2016 - Book/Report
Systems Analysis of Critical Incidents: the London Protocol.
Citation Text:
Systems Analysis of Critical Incidents: the London Protocol. Taylor-Adams S, Vincent C. London, UK: NIHR North West London Patient Safety Research Collaboration, Imperial College London; 2024.
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meps.ahrq.gov/data_stats/nursing_home_questionnaires.jsp
January 01, 1996 - Medical Expenditure Panel Survey Nursing Home Component Questionnaires
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psnet.ahrq.gov/issue/error-medicine
November 02, 2014 - Commentary
Classic
Error in medicine.
Citation Text:
Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/understanding-and-preventing-vaccination-errors
April 15, 2016 - Study
Understanding and preventing vaccination errors.
Citation Text:
Poiraud C, Réthoré L, Bourdon O, et al. Understanding and preventing vaccination errors. Infect Dis Now. 2023;53(2):104641. doi:10.1016/j.idnow.2023.01.001.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hoch-i-et-al-2003
January 01, 2003 - Hoch I et al. 2003 "Countrywide computer alerts to community physicians improve potassium testing in patients receiving diuretics."
Reference
Hoch I, Heymann AD, Kurman I, et al. Countrywide computer alerts to community physicians improve potassium testing in patients receiving diuretics. J Am Med Inf…
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psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
February 03, 2011 - Commentary
Aiming higher to enhance professionalism: beyond accreditation and certification.
Citation Text:
Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification. JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818.
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psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-healthcare-safety-engaging-patients
March 22, 2024 - Book/Report
AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families.
Citation Text:
AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. Rockville, MD: Agency for Healthcare Rese…
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/40th-anniversary-timeline
January 01, 2006 - 40th Anniversary Timeline
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Celebrating 40 Years of Prevention Guidance
For 40 years, the U.S. Preventive Services Task Force (USPSTF or Task Force) has improved the…
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integrationacademy.ahrq.gov/news-and-events/news/strengthening-primary-care-new-reimbursement-models
October 22, 2024 - An official website of the Department of Health & Human Services
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/Report-to-Congress-2022-bulletin.pdf
January 01, 2022 - U.S. Preventive Services Task Force Highlights High-Priority Evidence Gaps in 2022 Report to Congress
www.uspreventiveservicestaskforce.org 1
U.S. Preventive Services Task Force Highlights High-Priority
Evidence Gaps in 2022 Report to Congress
Task Force calls for more research to improve healthy behavio…
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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