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  1. www.ahrq.gov/talkingquality/resources/comparative-reports.html
    December 01, 2016 - Profiles of Comparative Reports on Health Care Quality and Costs This resource provides illustrative examples of web-based comparative reports for consumers on the quality and costs of care from health plans, hospitals, physicians, dialysis facilities, nursing homes, long-term care facilities, and other provide…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47803/psn-pdf
    October 07, 2021 - Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. October 7, 2021 US Food and Drug Administration. October 7, 2021. https://psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples Errors of commission during complex procedures can contribute to patient har…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40603/psn-pdf
    December 31, 2014 - ICU nurses' acceptance of electronic health records. December 31, 2014 Carayon P, Cartmill R, Blosky MA, et al. ICU nurses' acceptance of electronic health records. J Am Med Inform Assoc. 2011;18(6):812-9. doi:10.1136/amiajnl-2010-000018. https://psnet.ahrq.gov/issue/icu-nurses-acceptance-electronic-health-records …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46974/psn-pdf
    April 04, 2018 - From guideline to order set to patient harm. April 4, 2018 Shah SD, Cifu AS. From Guideline to Order Set to Patient Harm. JAMA. 2018;319(12):1207-1208. doi:10.1001/jama.2018.1666. https://psnet.ahrq.gov/issue/guideline-order-set-patient-harm This editorial discusses how adverse events can occur if standardized ord…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39619/psn-pdf
    September 26, 2010 - Devastatingly human: an analysis of registered nurses' medication error accounts. September 26, 2010 Treiber LA, Jones JH. Devastatingly human: an analysis of registered nurses' medication error accounts. Qual Health Res. 2010;20(10):1327-42. doi:10.1177/1049732310372228. https://psnet.ahrq.gov/issue/devastatingly…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38889/psn-pdf
    April 01, 2010 - Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. April 1, 2010 Peute LW, Aarts J, Bakker PJM, et al. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Int J Med Inform. 2010;79(4):e58-70. doi:…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837057/psn-pdf
    May 11, 2022 - Presenting complaint: use of language that disempowers patients. May 11, 2022 doi:10.1136/bmj-2021-066720. https://psnet.ahrq.gov/issue/presenting-complaint-use-language-disempowers-patients As more patients are gaining access to their electronic health records, including clinician notes, the language clinicians …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35282/psn-pdf
    May 27, 2011 - Comprehensive analysis of a medication dosing error related to CPOE. May 27, 2011 Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740. https://psnet.ahrq.gov/issue/comprehensive-analysis-medication-d…
  9. digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/In-officePrescribing-PaperSystem.pdf
    January 01, 2010 - Visio-Paper prescribing flowchart In-office Prescribing – Paper system P ro vi de r A dm in is tra tiv e S ta ff P ha rm ac y P at ie nt Patient sees provider Evaluate patient Staff retrieves patient’s chart and brings to provider Patient need prescription and/or refill? Patient leaves …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44184/psn-pdf
    June 24, 2015 - Electronic prescription writing errors in the pediatric emergency department. June 24, 2015 Nelson CE, Selbst SM. Electronic prescription writing errors in the pediatric emergency department. Pediatr Emerg Care. 2015;31(5):368-72. doi:10.1097/PEC.0000000000000428. https://psnet.ahrq.gov/issue/electronic-prescripti…
  11. www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/qi-strategies.html
    July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit Quality Improvement Strategies Previous Page   Table of Contents Pediatric Asthma Emergency Department Use Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies This section of the…
  12. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt1-transition-updated.pdf
    June 01, 2022 - Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part I: Main Report Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect Part I: Main Report Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health an…
  13. cdsic.ahrq.gov/sites/default/files/2023-02/Stakeholder%20Center%20Quarterly%20Report%20Two_508_Jan26.pdf
    January 01, 2023 - CDSiC Stakeholder Community and Outreach Center: Quarterly Report STAKEHOLDER CENTER PROGRESS REPORT S E P T E M B E R 2 0 2 2 CDSiC Stakeholder Community and Outreach Center: Quarterly Report Presented by: NORC at the University of Chicago 4350 East - West Highway Suite 800 Bethesda, MD 20814…
  14. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
    January 01, 2008 - Module 7: Putting It All Together Module 7 Putting It All Together TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 7, Putting It All Together, that you will review as the course facilitator. The purpose of this summary module is…
  15. digital.ahrq.gov/sites/default/files/Stakeholder%20Center%20Quarterly%20Report%20Two_508_Jan26.pdf
    September 01, 2023 - CDSiC Stakeholder Community and Outreach Center: Quarterly Report STAKEHOLDER CENTER PROGRESS REPORT S E P T E M B E R 2 0 2 2 CDSiC Stakeholder Community and Outreach Center: Quarterly Report Presented by: NORC at the University of Chicago 4350 East - West Highway Suite 800 Bethesda, MD 20814…
  16. digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixD.pdf
    October 31, 2013 - Appendix D to the Final Report Barriers to Meaningful Use in Medicaid: Analysis and Recommendations Form Approved OMB No. 0935-0186 Exp. Date 10/31/2013 D-1 Appendix D Barriers to Meaningful Use of Electronic Health Records in Medicaid Focus Group Moderator’s Guide For in-person use with EHR Users Ma…
  17. psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
    September 18, 2024 - SPOTLIGHT CASE Diagnostic Delay in the Emergency Department Citation Text: Marshall K, Singh H. Diagnostic Delay in the Emergency Department. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format:…
  18. www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
    January 01, 2024 - Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care AHRQ Grant Final Progress Report Title: Crossing An Invisible Quality Chasm: From NICU to Ambulatory Care Principal Investigator: Virginia A. Moyer, MD, MPH Team Members: Papile, Lucille A., MD, Co-Investigator Guillory, Char…
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
    May 01, 2023 - Diagnostic Safety Resource List Improving Diagnostic Safety in Medical Offices: A Resource List for Users of the AHRQ Diagnostic Safety Supplemental Item Set I. Purpose This document provides a list of references to websites and other publicly available resources that medical offices can use to improve the ex…
  20. www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/webinars/chsp-webinar-slides-011221.pdf
    January 12, 2021 - Advancing Understanding of Health Care Delivery Using the AHRQ Compendium of U.S. Health Systems Advancing Understanding of Health Care Delivery Using the Compendium of U.S. Health Systems January 12, 2021 Presenters Genna Cohen Mathematica Michael Furukawa Agency for Healthcare Research and Quality David J…