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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods
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Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment
Improving Communication and Teamwork in the Surgical Environment Module
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-2-EF
May 2017
Communication and Teamwork | ‹#›
AHRQ Safety Program for Ambulatory Surgery
1
Objectives
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi24.jsp
July 01, 2016 - Enhancing Hawaii Hospital Information Content: Hospital Engagement.
An official website of the Department of Health & Human Services
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/chronic-obstructive-pulmonary-disease-screening
May 10, 2022 - Share to Facebook
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Evidence Summary
Chronic Obstructive Pulmonary Disease: Screening
May 10, 2022
Recommendations made by the USPSTF are independent of the U.S. government. They should not be…
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - The Impact of Communication on Medication Errors
March 15, 2021
Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors
The Case
A 93-year-old man with a history of chronic systolic heart failure…
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digital.ahrq.gov/sites/default/files/docs/phr-impact-chronic-disease-slides-012512.pdf
January 25, 2012 - A National Web Conference on Evaluation of Personal Health Record (PHR) Systems and their Impact on Chronic Disease
AHRQ
January 25, 2012
Moderator:
Angela Lavanderos
Agency for Healthcare Research and
Quality
Presenters:
Peggy Wagner
Carl Stepnowsky
Lygeia Ricciardi
Moderator and Presenters
Discl…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight08.html
June 01, 2014 - CHIPRA quality demonstration States help school-based health centers strengthen their medical home features
Evaluation Highlight No. 8
Authors: Mynti Hossain, Rebecca Coughlin, and Joseph Zickafoose
Contents
Key Messages
Background
Findings
Conclusions
Implications
Learn More
Endnotes
…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight02.html
May 01, 2013 - Supplements to Evaluation Highlight No. 2
How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program?
Evaluation Highlight No. 2 is the second in a series of reports that present descriptive and analytic findings from the national evaluation of the Children’s H…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/hret-preinterventionasst.xlsx
April 02, 2025 - Pre-intervention Assessment: Adapting and Implementing Patient Safety Practices in Ambulatory Care
Introduction
Pre-Intervention Assessment
Purpose
The purpose for this self-assessment is to:
-Highlight current efforts to promote safe transitions of care and engage patients;
-Identify gaps or opportunities for…
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psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - SPOTLIGHT CASE
Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture
Citation Text:
Gould E, Carlsen K, Trask J, et al. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture.. PSNet [internet]. Rockville (MD): Agency fo…
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - SPOTLIGHT CASE
Antiseizure Medication Disorder
Citation Text:
Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
Google Scholar BibTeX En…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023701-ratwani-final-report-2021.pdf
January 01, 2021 - Developing Evidence- based User Centered Design and Implementation Guidelines to Improve Health Information - Final Report
Developing Evidence- based User Centered Design and Implementation Guidelines to Improve
Health Info…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023980-connelly-final-report-2018.pdf
January 01, 2018 - Registry-Assisted Dissemination of Mobile Pain Management for Youth with Arthritis - Final Report
…
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psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
November 25, 2020 - SPOTLIGHT CASE
A Laceration that Needed a Proper Exam, Not an X-Ray
Citation Text:
Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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digital.ahrq.gov/sites/default/files/docs/lesson/09-0023-ef-bcma.pdf
December 01, 2008 - Using Barcode Medication Administration to Improve Quality and Safety
Using Barcode Medication
Administration to Improve
Quality and Safety
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov Health IT
http://www.ahrq.gov/
Using Barcode Medication …
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - SPOTLIGHT CASE
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.
Citation Text:
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.. PSNet [internet]. Rockville (MD): Agency fo…
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psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
August 14, 2024 - SPOTLIGHT CASE
Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma.
Citation Text:
Graves CE, Kuhn MA. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs022789-edmunds-final-report-2017.pdf
January 01, 2017 - The launch of the rebrand as well as promotion of
Concordium, engaged more stakeholders and ultimately … This move will continue to ensure a high level of visibility and promotion for
EDM Forum work.
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digital.ahrq.gov/principal-investigator/dalal-anuj-k
September 26, 2019 - Dalal, Anuj K.
Early expected discharge date accuracy during hospitalization: A multivariable analysis.
Citation
Piniella NR, Fuller TE, Smith L, Salmasian H, Yoon CS, Lipsitz SR, Schnipper JL, Dalal AK. Early expected discharge date accuracy during hospitalization: A multivar…
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/skin-cancer-counseling
March 20, 2018 - A randomized intervention study of sun protection promotion in well-child care. … One trial of skin self-examination promotion (n = 1356) reported minimal cases of melanoma, NMSC, and … populations)
Skin procedures were more common in the intervention group in 1 trial of skin self-examination promotion