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  1. www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-7.html
    April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests Table 4.7. Percentage Distribution of LVPHO Patients (Ages 50-79) and Study Patients, by Practice Affiliation Previous Page Next Page Table of Contents Health Care Systems for Tracking Colorectal Cancer Screening Tests Executive Su…
  2. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-conclusion.html
    May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Conclusion Previous Page   Table of Contents Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Overview The Comprehensive Unit-based Safety Program (CUSP) Measurement…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60346/psn-pdf
    May 20, 2020 - The need to include assisted living in responding to the COVID-19 pandemic. May 20, 2020 Zimmerman S, Sloane PD, Katz PR, et al. The need to include assisted living in responding to the COVID- 19 pandemic. J Am Med Dir Assoc. 2020;21(5). doi:10.1016/j.jamda.2020.03.024. https://psnet.ahrq.gov/issue/need-include-as…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844553/psn-pdf
    February 15, 2023 - Mental health conditions leading cause of pregnancy- related deaths. February 15, 2023 Quick Safety. January 16 2023;(67):1-3. https://psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths Maternal safety is compromised by a range of social, cognitive, and clinical factors. This arti…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44332/psn-pdf
    July 29, 2015 - Health IT Safety Center Roadmap. July 29, 2015 RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap The Institute of Medicine called for enhanced transparency in the reporting of health IT sa…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43826/psn-pdf
    June 01, 2015 - Radiation Oncology Incident Learning System. June 1, 2015 American Society for Radiation Oncology and American Association of Physicists in Medicine. https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system Reporting of near misses and adverse events can provide a foundation for learning from error.…
  7. www.ahrq.gov/topics/individuals-special-healthcare-needs.html
    Individuals with Special Healthcare Needs The AHRQ Policy on the Inclusion of Priority Populations in Research (NOT-HS-03-010) requires that priority populations be included in all AHRQ-supported research projects involving human subjects, unless a clear and compelling rationale and justification …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47052/psn-pdf
    July 31, 2018 - The risks to patient safety from health system expansions. July 31, 2018 Haas S, Gawande AA, Reynolds ME. The Risks to Patient Safety From Health System Expansions. JAMA. 2018;319(17):1765-1766. doi:10.1001/jama.2018.2074. https://psnet.ahrq.gov/issue/risks-patient-safety-health-system-expansions Changes in organ…
  9. www.ahrq.gov/action-alliance/webinars/implementing-cms-measure.html
    June 01, 2025 - Implementing CMS’ Patient Safety Structural Measure On May 13, 2025, leaders in patient safety structural measure (PSSM) implementation discussed some of the tools and resources that support implementation of the five domains of the PSSM: Leadership Commitment; Strategic Planning and Organizational Policy; Cult…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41781/psn-pdf
    October 24, 2012 - Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process. October 24, 2012 Joseph A, Quan X, Taylor E, Jelen M. Concord, CA: Center for Health Design; 2012.  https://psnet.ahrq.gov/issue/designing-patient-safety-developing-methods-integrate-patient-safety- co…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42104/psn-pdf
    January 07, 2015 - Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. January 7, 2015 Keenan G, Yakel E, Lopez KD, et al. Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. J Am Med Inform Assoc. 2013;20(2):245-51. doi:10.1136/amiajn…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865491/psn-pdf
    April 03, 2024 - Support and recovery strategies for second victims. April 3, 2024 Croke L. Support and recovery strategies for second victims. AORN J. 2024;119(2):7-10. doi:10.1002/aorn.14089. https://psnet.ahrq.gov/issue/support-and-recovery-strategies-second-victims Clinicians involved in medical errors can be psychologically a…
  13. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/assess
    January 01, 2023 - Assess Workflows 1. Examples of flowcharts Physician Assistant (PA) Office Visit ( PDF , 21KB) Nurse Only Visit ( PDF , 21KB)   2. Why and how do we assess workflow using flowcharts postimplementation? You have now implemented your health IT system. If you incur workflow-re…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867450/psn-pdf
    January 08, 2025 - Advancing Health Care Safety for All. January 8, 2025 Advancing Health Care Safety for All. Centers for Medicare and Medicaid Services. 2024. https://psnet.ahrq.gov/issue/advancing-health-care-safety-all As one element of a national program to improve care quality, the Centers for Medicare and Medicaid Services (C…
  15. digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medication/annual-summary/2010
    January 01, 2010 - Schillinger’s team plans to perform detailed analyses of the claims-based data collected by SFHP to enable … The team also plans to perform real-time assessments of potential and actual adverse events identified … with the external call center to improve recruitment and is working in close consultation with AHRQ on plans
  16. digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesWeissman2010.pdf
    December 31, 2007 - In response to this issue and to increase patient safety, two health plans in Massachusetts helped physicians … with the lowest cost sharing appear in green, more expensive medications still covered by the health plans
  17. digital.ahrq.gov/sites/default/files/docs/page/ImprovingQualityofHealthcareThruHIE.pdf
    January 01, 2007 - Engagement of hospitals, health plans, employers, and primary care physicians is up considerably from … outreach through hospital systems, medical societies, quality improvement organizations or health plans … structures and organizations, advancement in the development and implementation of business plans … engages multiple stakeholders, including clinicians, consumer and patient groups, employers, health plans
  18. digital.ahrq.gov/sites/default/files/docs/page/Frisse.ppt
    June 08, 2005 - Working-Group Volunteer eHealth Initiative Starting Points Medicaid Uninsured Employers Plans … government => Driven by Medicaid costs The financial transaction infrastructure Left to the market and plans … infrastructure Modeled on a “hybrid” version of the Indianapolis work The last mile Left to the market and plans … initiatives Threats to sustainability will require greater commitment from employers, other payers, and plans
  19. digital.ahrq.gov/sites/default/files/docs/page/Keenan.ppt
    January 01, 2004 - Planning Methodology (Pre- GO LIVE) RN Objectives: Successfully creates admission and update care plans … anonymous error reporting Enter 1) nurse shift info, 2) patient care time Use your submitted Care Plans … Refer to historical care plans and patient progress noted across time, explain rationale
  20. digital.ahrq.gov/sites/default/files/docs/page/2006Welebob_051711comp.pdf
    June 06, 2006 - Engaging health plans- 74% of respondents perceived the engagement of health plans as a very difficult … as they get defined June 6, 2006 Page 14 Key Take-aways • Engaging your purchasers and health plans