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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…
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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…
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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
…
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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…
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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…
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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:…
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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 …
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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…
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/In-officePrescribing-PaperSystem.pdf
January 01, 2010 - Visio-Paper prescribing flowchart
In-office Prescribing – Paper system
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Patient sees
provider
Evaluate patient
Staff retrieves
patient’s chart and
brings to provider
Patient need
prescription
and/or refill?
Patient leaves …
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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:…
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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…
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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…
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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…