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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…
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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…
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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…
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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…
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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…
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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.…
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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 …
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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
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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
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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
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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
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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
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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