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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-diagnostic-excellence-webinar.pdf
August 01, 2025 - Advancing Patient Safety Through Diagnostic Excellence
Advancing Patient Safety Through
Diagnostic Excellence
NATIONAL WEBINAR SERIES
September 17, 2024
Housekeeping Instructions
• This webinar will be recorded and available for viewing on the NAA website
• Please use the ‘Chat’ function to engage with us thro…
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psnet.ahrq.gov/node/45693/psn-pdf
February 22, 2017 - Meta-analyses of the effects of standardized handoff
protocols on patient, provider, and organizational
outcomes.
February 22, 2017
Keebler JR, Lazzara EH, Patzer BS, et al. Meta-Analyses of the Effects of Standardized Handoff Protocols
on Patient, Provider, and Organizational Outcomes. Hum Factors. 2016;58(8):118…
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psnet.ahrq.gov/node/37911/psn-pdf
July 16, 2008 - Emergency medical services provider perceptions of the
nature of adverse events and near-misses in out-of-
hospital care: an ethnographic view.
July 16, 2008
Fairbanks RJ, Crittenden CN, O’Gara KG, et al. Emergency Medical Services Provider Perceptions of the
Nature of Adverse Events and Near-misses in Out-of-hos…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/public-reporting-quality-improvement_research-protocol.pdf
August 17, 2011 - Source: www.effectivehealthcare.ahrq.gov
Published Online: August 17, 2011
1
Evidence-based Practice Center Systematic Review Protocol
Project Title: Public Reporting as a Quality Improvement Strategy:
A systematic review of the multiple pathways public reporting may influence quality of
health care
…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-088-fullreport.pdf
January 05, 2017 - measure a result that is amenable to and under the control of the performance of
clinicians who are providing
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/cahps-infographic-v7.pdf
June 01, 2021 - CAHPS Narrative Item Set for the Clinician & Group Survey
Narrative Item Set
for the Clinician
& Group Survey
Consumer Assessment of Healthcare Providers and Systems
(CAHPS) surveys provide a valuable look at patients’
experiences with important aspects of care.
Clinician & Group
Composite Measures
Ge…
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psnet.ahrq.gov/node/46340/psn-pdf
September 27, 2017 - A systematic review of the effectiveness of interruptive
medication prescribing alerts in hospital CPOE systems
to change prescriber behavior and improve patient safety.
September 27, 2017
Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medication
prescribing alerts in ho…
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psnet.ahrq.gov/node/38399/psn-pdf
February 11, 2009 - Effect of computerized provider order entry with clinical
decision support on adverse drug events in the long-term
care setting.
February 11, 2009
Gurwitz JH, Field T, Rochon P, et al. Effect of computerized provider order entry with clinical decision
support on adverse drug events in the long-term care setting. J…
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psnet.ahrq.gov/node/39212/psn-pdf
March 04, 2011 - The impact of computerized provider order entry on
medication errors in a multispecialty group practice.
March 4, 2011
Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on
medication errors in a multispecialty group practice. J Am Med Inform Assoc. 2010;17(1):78-84.
doi…
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psnet.ahrq.gov/node/42091/psn-pdf
December 31, 2014 - Reduction in medication errors in hospitals due to
adoption of computerized provider order entry systems.
December 31, 2014
Radley DC, Wasserman MR, Olsho LE, et al. Reduction in medication errors in hospitals due to adoption of
computerized provider order entry systems. J Am Med Info Asso. 2013;20(3):470-476. doi:…
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digital.ahrq.gov/sites/default/files/docs/publication/eaap_trainpresentfinalimplementation_080211comp.pdf
January 01, 2007 - Slides from eAAP Training Presentations for Final Implementation Reoprt
Slides from eAAP Training
Presentations for Final
Implementation Report
Presentation #1
Basic eAAP Presentation for
Providers and Clinic Staff
Basic information on how the application will
improve asthma care
Includes the importan…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2017_cg_cahps_chartbook_execsummary.pdf
January 01, 2017 - 2017 CAHPS Clinician & Group Survey Database Chartbook Executive Summary
cahps® 2017 Clinician & Group
Survey Database
EXECUTIVE SUMMARY
How patients from medical practices reported 5 measures of patient experience based on the
2017 Consumer Assessment of Healthcare Providers and Systems (CAHPS®)
Clinician and…
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psnet.ahrq.gov/node/40984/psn-pdf
September 01, 2016 - Provider and pharmacist responses to warfarin drug–drug
interaction alerts: a study of healthcare downstream of
CPOE alerts.
September 1, 2016
Miller AM, Boro MS, Korman NE, et al. Provider and pharmacist responses to warfarin drug-drug
interaction alerts: a study of healthcare downstream of CPOE alerts. J Am Med …
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psnet.ahrq.gov/node/50821/psn-pdf
January 22, 2020 - Communicating with patients about diagnostic errors in
breast cancer care: providers' attitudes, experiences, and
advice
January 22, 2020
Reisch LM, Prouty CD, Elmore JG, et al. Communicating with patients about diagnostic errors in breast
cancer care: Providers’ attitudes, experiences, and advice. Patient Educ Co…
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psnet.ahrq.gov/node/853074/psn-pdf
February 06, 2024 - Patient Experience, Patient Safety, and Provider Well-
Being: Associations and Paths for Quality Improvement.
February 6, 2024
Rockville, MD: Agency for Healthcare Research and Quality; January 2024. AHRQ Publication no.
24-0030.
https://psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well…
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psnet.ahrq.gov/node/60821/psn-pdf
August 19, 2020 - COVID-19 has united patients and providers against
institutional betrayal in health care: a battle to be heard,
believed, and protected.
August 19, 2020
Klest B, Smith CP, May C, et al. COVID-19 has united patients and providers against institutional betrayal
in health care: a battle to be heard, believed, and pro…
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous
Delay
March 1, 2018
O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
The Case
A 35-year-old woman with no prior cardiac history calle…
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
March 01, 2009 - Percentage of Alerts or Reminders That Resulted in Desired Action
Percentage of Alerts or
Reminders That Resulted
in Desired Action
Determining the frequency in which a given alert or
reminder is executed may help assess its effectiveness.
This measure might be implemented in the
following instances:
• For e…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
December 01, 2021 - 2021 National Healthcare Quality and Disparities Report Appendixes
2021 National Healthcare Quality and Disparities Report
Appendixes
Appendix A: Data Sources Used for 2021 NHQDR
Appendix B: Definitions and Abbreviations Used in 2021 NHQDR
Appendix C: Measures Used in the 2021 State Maps
U.S. DEPARTMENT OF
…
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digital.ahrq.gov/sites/default/files/docs/citation/r13hs027528-clark-final-report-2021.pdf
January 01, 2021 - Telehealth and Emergency Medicine: A Consensus Conference to Map the Intersection of Emergency Medicine and Telehealth - Final Report
1. Title Page
Title
Telehealth and Emergency Medicine: A Consensus Conference t…