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  1. Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-1.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Med…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60008/psn-pdf
    July 09, 2024 - IHI Patient Safety Congress. July 9, 2024 Institute for Healthcare Improvement. San Diego, CA, March 10-11, 2025. https://psnet.ahrq.gov/issue/ihi-patient-safety-congress This annual conference will host pre-session workshops, panels, and presentations covering a variety of patient safety topics that ali…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44273/psn-pdf
    July 01, 2015 - Current issues in patient safety in surgery: a review. July 1, 2015 Kim FJ, da Silva RD, Gustafson D, et al. Current issues in patient safety in surgery: a review. Patient Saf Surg. 2015;9:26. doi:10.1186/s13037-015-0067-4. https://psnet.ahrq.gov/issue/current-issues-patient-safety-surgery-review Universal strateg…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42860/psn-pdf
    March 20, 2014 - Eight critical factors in creating and implementing a successful simulation program. March 20, 2014 Lazzara EH, Benishek LE, Dietz AS, et al. Eight critical factors in creating and implementing a successful simulation program. Jt Comm J Qual Patient Saf. 2014;40(1):21-29. https://psnet.ahrq.gov/issue/eight-critica…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851461/psn-pdf
    July 19, 2023 - Patient safety 2.0: slaying dragons, not just investigating them. July 19, 2023 Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140. https://psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them …

  6. Alttext1 F10

    cahpsdatabase.ahrq.gov/files/2017CAHPSHealthPlanChartbook/ALTText1_F10.htm
    October 25, 2017 - 2017 CAHPS Health Plan Survey Medicare Heat map showing percentage distribution of 2017 Medicare respondents by state in descending order State Percentage Distribution NY 8.0% PA 7.2% CA 7.1% TX 6.1% FL 5.5% OR 4.4% WI 4.0% WA 3.5% …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854634/psn-pdf
    January 01, 2024 - Elopement: evidence-based mitigation and management. October 18, 2023 Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence?based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683. https://psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846451/psn-pdf
    March 22, 2023 - Reducing risks in complex care transitions in rural areas: a grounded theory. March 22, 2023 Winqvist I, Näppä U, Rönning H, et al. Reducing risks in complex care transitions in rural areas: a grounded theory. Int J Qual Stud Health Well-being. 2023;18(1):2185964. doi:10.1080/17482631.2023.2185964. https://psnet.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44660/psn-pdf
    December 02, 2015 - The SQUIRE Guidelines: an evaluation from the field, 5 years post release. December 2, 2015 Davies L, Batalden P, Davidoff F, et al. The SQUIRE Guidelines: an evaluation from the field, 5 years post release. BMJ Qual Saf. 2015;24(12):769-75. doi:10.1136/bmjqs-2015-004116. https://psnet.ahrq.gov/issue/squire-guidel…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43163/psn-pdf
    September 02, 2016 - Drug shortages: a complex health care crisis. September 2, 2016 Fox ER, Sweet B, Jensen V. Drug shortages: a complex health care crisis. Mayo Clin Proc. 2014;89(3):361-73. doi:10.1016/j.mayocp.2013.11.014. https://psnet.ahrq.gov/issue/drug-shortages-complex-health-care-crisis National drug shortages in the United …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60971/psn-pdf
    September 30, 2020 - Health Worker Safety: A Priority for Patient Safety. September 30, 2020 Geneva, Switzerland: World Health Organization; September 17, 2020. https://psnet.ahrq.gov/issue/health-worker-safety-priority-patient-safety The intersection of worker well-being and safety with patient harm prevention has become apparent due …

  12. Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/match/figure-1.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Med…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46854/psn-pdf
    June 20, 2018 - FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. June 20, 2018 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. May 29, 2018. https://psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related- patient-inju…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34871/psn-pdf
    February 09, 2011 - Educational levels of hospital nurses and surgical patient mortality. February 9, 2011 Aiken LH, Clarke S, Cheung RB, et al. Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003;290(12):1617-1623. https://psnet.ahrq.gov/issue/educational-levels-hospital-nurses-and-surgical-patient-morta…

  15. Workflow Tool Examples | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples
    January 01, 2023 - Workflow Tool Examples Too often clinics believe workflow should only be assessed after a vendor product has been selected and just before the health IT is implemented. By understanding workflows and preparing for changes to them throughout the planning and implementation process, a clinic i…

  16. Electronic prescribing: Lowering Patients’ Prescription Drug Costs (pdf file)

    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. Issue Brief - 10 16 06 v4.pub (Read-Only) (pdf file)

    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. Community Connectivity: Healing Takes Time - Information Shouldn't (ppt file)

    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. HIT Support for Safe Nursing Care (ppt file)

    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. Connecting to Health: Public – Private Sector Health Information Exchange Efforts (pdf file)

    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
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