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2581. Figure 4: Medication Reconciliation Upon Discharge: High Level Process Map After Redesign (Text Description) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-4txt.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 4: Medication Reconciliation Upon Discharge: High Level Process Map After Redesign (Text Description) Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATC…

2582. Implementation Quick Start Guide: Medication Management (Half-Page) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
      December 15, 2016 - Implementation Quick Start Guide: Medication Management (Half-Page) Implementation Quick Start Guide Medication Management The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Table of Contents What Is the Medication Management Strategy? ...................1 W…

2583. Current Processes: Refining Evidence-based Recommendation Development | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/current-processes-refining-evidence-based-recommendation-development
      January 01, 2014 - Current Processes: Refining Evidence-based Recommendation Development Share to Facebook Share to X Share to WhatsApp Share to Email Print Table of Contents Preface Introduction Types of Recommendations Types of Evidence Reviews Co…

2584. Nursing Home IT: Optimal Medication and Care Delivery (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015350-horn-final-report-2008.pdf
      January 01, 2008 - Nursing Home IT: Optimal Medication and Care Delivery Grant Final Report Grant ID: 5UC1HS015350 Nursing Home IT: Optimal Medication and Care Delivery Inclusive Dates: 09/30/04 - 09/29/08 Principal Investigator: Susan D. Horn, PhD Team Members: Siobhan Sharkey, MBA Sandra Hudak, MS…

2585. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73138/psn-pdf
      April 14, 2021 - An act of performance: exploring residents' decision- making processes to seek help. April 14, 2021 Jansen I, Stalmeijer RE, Silkens MEWM, et al. An act of performance: exploring residents’ decision? making processes to seek help. Med Educ. 2021;55(6):758-767. doi:10.1111/medu.14465. https://psnet.ahrq.gov/issue/a…

2586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865706/psn-pdf
      May 01, 2024 - Stigmatizing language, patient demographics, and errors in the diagnostic process. May 1, 2024 Brooks KC, Raffel KE, Chia D, et al. Stigmatizing language, patient demographics, and errors in the diagnostic process. JAMA Intern Med. 2024;184(6):704-706. doi:10.1001/jamainternmed.2024.0705. https://psnet.ahrq.gov/is…

2587. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72814/psn-pdf
      March 10, 2021 - Implementing a human factors approach to RCA(2) : tools, processes and strategies. March 10, 2021 Wiegmann DA, Wood LJ, Solomon DB, et al. Implementing a human factors approach to RCA(2) : tools, processes and strategies. J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.21454. https://psnet.ahrq.gov/issue/…

2588. Transcranial Doppler Screening for Children with Sickle Cell Anemia: State Medicaid Program - Key Driver Diagram (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/state-key-drive-diagram.pdf
      June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: State Medicaid Program - Key Driver Diagram Transcranial Doppler Screening for Children with Sickle Cell Anemia State Medicaid Program - Key Driver Diagram Global Aim To reduce the incidence of stroke in children wi…

2589. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
      August 01, 2022 - System-Focused Event Investigation and Analysis Guide AHRQ Communication and Optimal Resolution Toolkit Purpose : To help teams adopt a system-focused approached to event investigation and analysis. Who should use this tool? Event Reporting, Investigation, and Analysis Team. How to use this tool : Review…

2590. Research White Paper_Outcome Measure Harmonization and Data Infrastructure for Patient-Centered Outcomes Research in Depression: Data Use and Governance Toolkit (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/outcomes-research-depression.pdf
      October 01, 2021 - Research White Paper_Outcome Measure Harmonization and Data Infrastructure for Patient-Centered Outcomes Research in Depression: Data Use and Governance Toolkit Research White Paper Outcome Measure Harmonization and Data Infrastructure for Patient-Centered Outcomes Research in Depression: Data Use and Governan…

2591. 111-Cusp-Program-Sustainability (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/111-cusp-program-sustainability.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention CUSP Program: Sustainability ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Program Sustainability SAY: Welcome to this presentation on optimizing CUSP Program sustainability as part of the overall approach to preventing MRSA in ICU and non-ICU settings. Sl…

2592. Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
      August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum Previous Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Appr…

2593. Children’s Hospital Uses AHRQ’s Pediatric QI Toolkit To Bring Physicians Together To Reduce CLABSIs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/standalone_pdi_casestudy.pdf
      December 01, 2015 - Children’s Hospital Uses AHRQ’s Pediatric QI Toolkit To Bring Physicians Together To Reduce CLABSIs Children’s Hospital Uses AHRQ’s Pediatric QI Toolkit To Bring Physicians Together To Reduce CLABSIs Abstract The Ann & Robert H. Lurie Children’s Hospital used the tools from the Pediatric QI Toolkit – which …

2594. 46-Facilitators-Barriers (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/46-facilitators-barriers.docx
      June 01, 2023 - Identifying Facilitators of and Barriers to Sustaining Gains in Enhanced RecoveryAHRQ Safety Program for Improving Surgical Care and Recovery Purpose of this tool: To help team leaders identify facilitators of and barriers to sustaining gains made after implementing the AHRQ Safety Program for Improving Surgical Care …

2595. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar02/spcslides.html
      July 01, 2013 - Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #2: Statistical Process Control (Slide Presentation) This slide presentation was presented on May 14, 2013. Presenter: Jill Marsteller, PhD, MPP Discussant: Stephen Al…

2596. Health IT Hazard Manager Beta-Test (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
      May 01, 2012 - information and mapping across resources ... making the data available to search and to algorithmic processing … information • Miscalculation of a result (by health IT software) • Lost data • Inaccurate Natural Language Processing … reference information Miscalculation of a result (by HIT) Lost data Inaccurate Natural Language Processing … study participants as clear and useful, and remain unchanged: Lost Data, Inaccurate Natural Language Processing … Although Inaccurate Natural Language Processing is not yet a common characteristic underlying health

2597. INTRODUCTION TO THE HCUP NATIONWIDE INPATIENT SAMPLE (NIS), 2008
      hcup-us.ahrq.gov/db/nation/nis/NIS_Introduction_2008.jsp
      January 01, 2008 - the State data sources in the collection of information that could not be accounted for during HCUP processing … for the hospital (e.g., AZ for Arizona)   HOSPSTCO 1988-2002 Modified Federal Information Processing … SEQ_SID 1994-1997 Unique record number for NIS and SID prior to 1998   PROCESS 1988-1997 Processing … code for hospital (e.g., AZ for Arizona)   HOSPSTCO 2002-2008 Modified Federal Information Processing … ME, MI, NE, OH, OK, SC, SD, TN, TX, WY HFIPSSTCO 2005-2008 Unmodified Federal Information Processing

2598. INTRODUCTION TO THE HCUP NATIONWIDE INPATIENT SAMPLE (NIS), 2007
      hcup-us.ahrq.gov/db/nation/nis/NIS_Introduction_2007.jsp
      January 01, 2007 - the State data sources in the collection of information that could not be accounted for during HCUP processing … for the hospital (e.g., AZ for Arizona)   HOSPSTCO 1988-2002 Modified Federal Information Processing … SEQ_SID 1994-1997 Unique record number for NIS and SID prior to 1998   PROCESS 1988-1997 Processing … code for hospital (e.g., AZ for Arizona)   HOSPSTCO 2002-2007 Modified Federal Information Processing … ME, MI, NE, OH, OK, SC, SD, TN, TX, WY HFIPSSTCO 2005-2007 Unmodified Federal Information Processing

2599. HEALTHCARE COST AND UTILIZATION PROJECT — HCUP (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/2006NIS_INTRODUCTION.pdf
      November 01, 2015 - the State data sources in the collection of information that could not be accounted for during HCUP processing … code for the hospital (e.g., AZ for Arizona) HOSPSTCO 1988-2002 Modified Federal Information Processing … Variable Name Years Available Coding Notes Unavailable in 2006 for: 1998 PROCESS 1988-1997 Processing … postal code for hospital (e.g., AZ for Arizona) HOSPSTCO 2002-2006 Modified Federal Information Processing … HI, IN, KS, MI, NE, OH, OK, SC, SD, TN, TX HFIPSSTCO 2005-2006 Unmodified Federal Information Processing

2600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72799/psn-pdf
      March 03, 2021 - Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. March 3, 2021 Olson APJ, Linzer M, Schiff GD. Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Diagnostic Error and Clinician Burnout. J…