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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Prologue_Battles_Vol2.pdf
June 02, 2025 - Prologue: Culture and Redesign for Improved Patient Safety
Prologue
Culture and Redesign for Improved Patient Safety
James B. Battles, PhD
The articles in this volume explore issues of culture and the redesign of organizations and
clinical practices to improve patient safety. Within this broad theme are f…
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psnet.ahrq.gov/issue/medical-errors-and-patient-safety-palliative-care-review-current-literature
December 04, 2016 - Review
Medical errors and patient safety in palliative care: a review of current literature.
Citation Text:
Dietz I, Borasio GD, Schneider G, et al. Medical errors and patient safety in palliative care: a review of current literature. J Palliat Med. 2010;13(12):1469-74. doi:10.1089/jpm.2…
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psnet.ahrq.gov/issue/crowd-sourced-hospital-ratings-are-correlated-patient-satisfaction-not-surgical-safety
November 18, 2020 - Study
Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety.
Citation Text:
Synan LT, Eid MA, Lamb CR, et al. Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. Surgery. 2021;170(3):764-768. doi:10.10…
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digital.ahrq.gov/ahrq-funded-projects/2011-2013-workshop-health-it-and-economics/annual-summary/2012
January 01, 2013 - 2011-2013 Workshop on Health Information Technology and Economics - 2012
Project Name
2011-2013 Workshop on Health Information Technology and Economics
Principal Investigator
Agarwal, Ritu
Organization
University of Maryland
Funding Mechanism
PAR: HS09-257: AHRQ Gra…
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psnet.ahrq.gov/issue/impact-duty-hour-regulations-medical-students-education-views-key-clinical-faculty
May 20, 2019 - Study
Impact of duty hour regulations on medical students' education: views of key clinical faculty.
Citation Text:
Reed DA, Levine RB, Miller RG, et al. Impact of duty hour regulations on medical students' education: views of key clinical faculty. J Gen Intern Med. 2008;23(7):1084-9. …
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www.ahrq.gov/ncepcr/reports/cost-guide/methodology-references.html
February 01, 2017 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Appendix C. Methodological References Cited by Grantees
Previous Page
Table of Contents
Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Background
A Practical…
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psnet.ahrq.gov/issue/learning-excellence-healthcare-new-approach-incident-reporting
August 31, 2022 - Commentary
Learning from excellence in healthcare: a new approach to incident reporting.
Citation Text:
Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting. Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021.
…
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psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
October 19, 2022 - Commentary
Utilizing pharmacy students in transitions-of-care services.
Citation Text:
L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561.
Copy Citation
Format…
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psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - safe to perform the first tracheostomy tube change, but the team should acknowledge the situation and plan … Any overinflation of a cuff should be temporary and a plan should be in place to address the cuff issue
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/about/PROD_AI_FieldTestRpt.pdf
September 25, 2006 - The cognitive testing plan was reviewed and approved by the CNHS IRB and by the tribal council and
chief … The field test data collection
and analysis plan was reviewed and approved by the CNHS IRB and by the
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - In order to develop a strategic plan to address patient safety issues, this study sought a national
perspective … barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy
In order to develop a strategic plan
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/primary-healthcare-spending-technical-brief-protocol.pdf
January 01, 2023 - After developing our synthesis plan, we will schedule one or two larger meetings with
our Key Informants … Standardizing
the Measurement of Commercial
Health Plan Primary Care
Spending.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/machine-learning-quality_research.pdf
September 01, 2012 - quality of health care or quality assurance, health care or quality indicators, health care or
health plan … implemenation).sh.
66. health plan implementation.sh.
67. 66 or 65
68. 67 and 64
69. 68
70 … . or plan do study act.mp. … . or plan do check act.mp. … of multidisciplinary team involvement, recorded level of communication, quality
of the management plan
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/breast-reconstruction-mastectomy-protocol.pdf
April 09, 2020 - Where there are sufficient studies reporting sufficiently similar results, we plan to conduct pairwise … If data allow, we also plan to conduct network meta-analyses comparing the different
interventions with
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/palliative-care-research-amended-protocol.pdf
November 21, 2019 - They will use the
evidence synthesis to inform their up-coming five-year strategic plan and to help
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effectivehealthcare.ahrq.gov/sites/default/files/dementia_horizon-scan-high_impact-1306-revised.pdf
July 09, 2013 - symptom-targeted therapy while symptoms are less pronounced
and might give patients and families more time to plan
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
December 01, 2020 - Utilization Project (HCUP)
• Medical Expenditure Panel Survey (MEPS)
• CAHPS® Database – CAHPS® Health Plan
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digital.ahrq.gov/sites/default/files/docs/citation/cedar-year1-final-report.pdf
September 01, 2022 - Reference Implementation - FAIR Develop a plan to keep the C-FAIR Tool updated and aligned
with advancements … Plan alignment with other existing technology
efforts to provide health information to
patients, such
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cds.ahrq.gov/sites/default/files/workgroups/221/feb-2017-cholesterol-wg-notes.docx
January 01, 2017 - Medicaid Services (CMS), to identify the provider type, classification, or specialty in the National Plan
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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