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  1. March 2022 CDS Connect Work Group Summary (pdf file)

    cds.ahrq.gov/sites/default/files/workgroups/71451/CDS_Connect_WG_March_2022_Summary.pdf
    January 01, 2022 - March 2022 CDS Connect Work Group Summary Clinical Decision Support (CDS) Connect Work Group (WG) Meeting Summary March 17, 2022 3:00 – 4:00 pm ET Attendees: 37 people, including 4 phone dial-ins Organization Attendees AHRQ Sponsors Mario Teran; Roland Gamache; Steve Bernstein (3) WG Members Andrey…

  2. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
    February 01, 2013 - Spotlight Case July 2008 Spotlight Case Delay in Treatment: Failure to Contact Patient Leads to Significant Complications * * Source and Credits This presentation is based on the February 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: …

  3. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
    May 01, 2011 - Spotlight Case July 2008 Spotlight Case Duty to Disclose Someone Else’s Error * * Source and Credits This presentation is based on the May 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas H. Gallagher, MD University of Washington …

  4. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.293_slideshow.ppt
    March 01, 2013 - Spotlight Case July 2008 Spotlight Case A Weighty Mistake * * Source and Credits This presentation is based on the March 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Seth J. Bokser, MD, MPH, Associate Professor of Pediatrics & Medical…

  5. Readmissions and Adverse Events After Discharge | PSNet

    psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
    April 27, 2022 - Readmissions and Adverse Events After Discharge Citation Text: Readmissions and Adverse Events After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3…

  6. Pharmacist's Role in Medication Safety | PSNet

    psnet.ahrq.gov/primer/pharmacists-role-medication-safety
    March 14, 2018 - Pharmacist's Role in Medication Safety Citation Text: The Pharmacist's Role in Medication Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7…

  7. Development of a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture Utilization | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/development-clinical-decision-support-tool-facilitating-naturalistic-decision
    January 01, 2023 - Development of a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture Utilization Project Final Report ( PDF , 1.32 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are resp…

  8. Rural Hospital Collaborative for Excellence Using IT | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/rural-hospital-collaborative-excellence-using-it
    January 01, 2023 - Rural Hospital Collaborative for Excellence Using IT Project Final Report ( PDF , 518.96 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. …

  9. Diagnostic Errors | PSNet

    psnet.ahrq.gov/primer/diagnostic-errors
    June 15, 2024 - Diagnostic Errors Citation Text: Diagnostic Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  10. Evaluating and Enhancing Health Information Technology for COVID-19 Response Workflow in a Specialized COVID-19 Hospital in a Medically Underserved Community | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/evaluating-and-enhancing-health-information-technology-covid-19-response
    December 31, 2024 - Evaluating and Enhancing Health Information Technology for COVID-19 Response Workflow in a Specialized COVID-19 Hospital in a Medically Underserved Community Project Description Publications Research Story Pandemics are unique in their extraordinary demands on healt…

  11. Person-Centered Care Plans | The Academy

    integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/person-centered-care
    January 01, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  12. Evaluating HIT – Evaluation designs from the Colorado AHRQ State and Regional Demonstration Project (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006Davidson_051711comp.pdf
    December 31, 2006 - Evaluating HIT – Evaluation designs from the Colorado AHRQ State and Regional Demonstration Project A Presentation of the Colorado Health Institute 1576 Sherman Street, Suite 300 Denver, Colorado 80203-1713 1 Evaluating HIT – Evaluation designs from the Colorado AHRQ State and Regional Demonstration Project …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851869/psn-pdf
    July 31, 2023 - Building Capacity for Patient Safety July 31, 2023 Hoffman R, Mossburg S, Van CM. Building Capacity for Patient Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/building-capacity-patient-safety In its 2019 report, Safer Together: A National Action Plan to Advance Patient Safety, the National Steer…

  14. 133-Translating-Research-Into-Practice-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/133-translating-research-into-practice-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Translating Research into Practice (TRiP) Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Translating Research into Practice (TRiP) SAY: This presentation is on Trans…

  15. Urinary Incontinence EHR Screening Tools Tip Sheets (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/epic-tipsheets-ui-screening.pdf
    June 02, 2025 - Urinary Incontinence EHR Screening Tools Tip Sheets ``` Urinary Incontinence EHR Screening Tools Tip Sheets IT2 Team – Northwestern Medicine This project was funded under grant number U18HS028744 from the Ag…

  16. Prologue -- Blueprints for Action (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield1.pdf
    January 01, 1999 - Prologue -- Blueprints for Action 1 Prologue Blueprints for Action Mary K. Wakefield In 1999, the Institute of Medicine report To Err Is Human: Building a Safer Health System1 advanced a clear challenge to create safer environments in health care. The message of the report has resonated ever since, from t…

  17. Learn from Defects Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
    December 01, 2012 - Learn from Defects Tool CUSP Toolkit Health care organizations can increase the extent to which they learn from defects. Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be h…

  18. EvidenceNow Executive Summary - North Carolina Cooperative (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nc.pdf
    November 01, 2017 - EvidenceNow Executive Summary - North Carolina Cooperative North Carolina Cooperative North Carolina EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure to help …

  19. Distribution of Temperatures for Low Birth Weight Neonates Admitted to Level 2 or Higher Nurseries in the First 24 Hours of Life (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1416-p006-1-ef.pdf
    March 01, 2016 - Distribution of Temperatures for Low Birth Weight Neonates Admitted to Level 2 or Higher Nurseries in the First 24 Hours of Life Distribution of Temperatures for Low Birth Weight Neonates Admitted to Level 2 or Higher Nurseries in the First 24 Hours of Life Measure Developer: Collaboration for Advancing Pediatric…

  20. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals Section 7. Tools and Resources (continued) Previous Page   Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pres…
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