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psnet.ahrq.gov/node/43885/psn-pdf
January 30, 2018 - Health Information Technology.
January 30, 2018
Am J Manag Care. 2014;20(spec 17):492-554,e1-e31.
https://psnet.ahrq.gov/issue/health-information-technology
Efforts to implement health information technology, particularly electronic health records and computerized
provider order entry systems, continue at a rapid …
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psnet.ahrq.gov/node/841475/psn-pdf
January 01, 2023 - The second victim of unanticipated adverse events.
December 14, 2022
Chen S, Skidmore S, Ferrigno BN, et al. The second victim of unanticipated adverse events. J Thorac
Cardiovasc Surg. 2023;166(3):890-894. doi:10.1016/j.jtcvs.2022.09.010.
https://psnet.ahrq.gov/issue/second-victim-unanticipated-adverse-events
“Se…
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psnet.ahrq.gov/node/50569/psn-pdf
October 23, 2019 - Design and implementation of a tool for pharmacists to
register potential errors in prescribed medication.
October 23, 2019
Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register
Potential Errors in Prescribed Medication. Stud Health Technol Inform. 2019;264:581-585.
d…
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psnet.ahrq.gov/node/43805/psn-pdf
February 11, 2015 - Understanding the nature of medication errors in an ICU
with a computerized physician order entry system.
February 11, 2015
Cho IS, Park H, Choi YJ, et al. Understanding the nature of medication errors in an ICU with a
computerized physician order entry system. PLoS One. 2014;9(12):e114243.
doi:10.1371/journal.pon…
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psnet.ahrq.gov/node/44579/psn-pdf
September 01, 2016 - Increased appropriateness of customized alert
acknowledgement reasons for overridden medication
alerts in a computerized provider order entry system.
September 1, 2016
Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert
acknowledgement reasons for overridden medication alerts i…
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integrationacademy.ahrq.gov/sites/default/files/2020-07/parinda_khatri.docx
January 01, 2020 - Importance of a Solid Collaborative Care Team in Primary Care Clinics - Part 2
Parinda Khatri Transcript AHRQ Academy Video
As providers of healthcare for communities in inner city as well as rural areas we recognized very early on that people brought a very broad scope of problems to us.
It wasn’t just traditional me…
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psnet.ahrq.gov/node/836852/psn-pdf
April 06, 2022 - Frequency and nature of communication and handoff
failures in medical malpractice claims.
April 6, 2022
Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff
failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137.
doi:10.1097/pts.0000000000000937.
https:…
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/plan-integrate-mat-for-oud/developing-implementation-plan
June 01, 2022 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Español
FAQs
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Integrating Behavioral Health & Primary Care
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar3/aspire_webinar3.pptx
December 01, 2014 - Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 3
Designing & Delivering Whole-Person Transitional Care
The Hospital Guide to Reducing Medicaid Readmissions
Webinar 3: Review & Update Readmission Reduction Efforts
Agenda
Describe the purpose of co…
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www.ahrq.gov/takeheart/training/learning-community-webinars/index.html
December 01, 2022 - TAKEheart Learning Community Webinars
TAKEheart Learning Community webinars, held between 2020–2022, featured discussions among cardiac rehabilitation (CR) experts and CR champions from diverse hospitals. Panelists shared knowledge and resources for addressing common challenges to increasing CR enrollment, part…
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www.ahrq.gov/news/newsletters/e-newsletter/932.html
October 01, 2024 - Highlighting the Urgent Need for Research on Improving Delivery of Preventive Services to People with Disabilities
Issue Number
932
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
October 8, 2024
AHRQ Stats: In-Hospital Sepsis Mortality Rate Disparities While…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4e_pdi06-heartsurgery-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4e
Selected Best Practices and Suggestions for Improvement
PDI 06: RACHS-1 Pediatric Heart Surgery Mortality
Why focus on pediatric heart surger…
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www.ahrq.gov/faqs/index.html?page=22
Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-CCC-items-hp-survey5-child.html
April 01, 2022 - Supplemental Items for the CAHPS Health Plan Child Survey 5.0/5.1: Children With Chronic Conditions
Population version: Child
Learn more about the CAHPS Children With Chronic Conditions Item Set.
Users of the CAHPS Health Plan Survey are free to incorporate supplemental items in order to meet the needs of…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4s_combo_pdi06-heartsurgery-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4s
Selected Best Practices and Suggestions for Improvement
PDI 06: RACHS-1 Pediatric Heart Surgery Mortality
Why focus on pediatric heart surgery morta…
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digital.ahrq.gov/sites/default/files/docs/page/SuccessStory072012_Lapane.pdf
June 16, 2021 - Individualized, Multi-Media Materials in Spanish and English Help Seniors Manage Medications and Communicate with Clinician Team
“
”
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9HRQ HE9LTH INFORM9TION TECHNOLOGY 1
9MBUL9TORY S9FETY 9ND QU9LITY • PCC
Individualized, Multi-Media Materials in Spanish and English Hel…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2012
January 01, 2012 - Health Information Technology and Improving Medication Use - 2012
Project Name
Health Information Technology and Improving Medication Use
Principal Investigator
Bates, David
Organization
Brigham and Women's Hospital
Funding Mechanism
RFA: HS07-004: Centers for Educa…
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hcup-us.ahrq.gov/db/state/sedddist/sedd_multi.jsp
August 01, 2025 - SEDD File Composition
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
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Espanol
FAQs
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…
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digital.ahrq.gov/sites/default/files/docs/survey/cis-survey-pre-go-live-physician.pdf
December 27, 2004 - Employee / Staff Pre-Go-Live Expectations / Perceptions Clinical Information Systems Survey
Employee and Staff Pre Go-Live Expectations and Perceptions
Clinical Information Systems Survey: Physician Only
University of Iowa, Iowa City IA
This is a questionnaire designed to be completed by physicians in an inpatient…
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psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - Duty to Disclose Someone Else's Error?
May 1, 2011
Gallagher TH. Duty to Disclose Someone Else's Error? PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
Case Objectives
State the rationale for disclosing medical errors.
Describe key principles in effective error disclosure.
…