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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
July 01, 2023 - About the Toolkit Development
Toolkit for Improving Perinatal Safety
Background
Of the 3.9 million births in the United States each year, 2 percent are estimated to involve an adverse event; at least half are potentially preventable. A review by the Joint Commission found that between 2004 and 2014, poor co…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-101-infographic.pdf
February 01, 2019 - Understanding CAHPS® Surveys: A Primer for New Users Infographic
Understanding CAHPS® Surveys:
A Primer for New Users
A Webcast on January 8, 2019
CAHPS: Consumer Assessment of Healthcare Providers and Systems
The CAHPS Program
Goal of AHRQ's CAHPS program: Advancing knowledge, measurement, and
improvement of pat…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/ccc/measures.html
April 01, 2022 - Measures From the CAHPS Item Set for Children with Chronic Conditions
Parents' Experiences with Getting Needed Information about Their Child's Care
CC1 Had questions answered by child's doctors or health providers
Parents' Experiences with Shared Decision-making
CC2 More than one choice for chil…
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www.ahrq.gov/cpi/about/nac/pcortf-snac/jaffery.html
November 01, 2022 - Subcommittee Member: Jonathan B. Jaffery
Jonathan B. Jaffery, M.D., M.S., M.M.M.
Chief Population Health Officer
UW Health
President and CEO
UW Health ACO
Professor of Medicine
University of Wisconsin – Madison
Jonathan B. Jaffery, M.D., M.S., M.M.M., is a faculty member in the Division of Nephrology …
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psnet.ahrq.gov/node/35407/psn-pdf
September 11, 2009 - Liability reform should make patients safer: "Avoidable
classes of events" are a key improvement.
September 11, 2009
Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a
key improvement. J Law Med Ethics. 2005;33(3):478-500.
https://psnet.ahrq.gov/issue/liabili…
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psnet.ahrq.gov/node/40880/psn-pdf
December 21, 2014 - Relationship between Leapfrog Safe Practices Survey and
outcomes in trauma.
December 21, 2014
Glance LG, Dick AW, Osler T, et al. Relationship between Leapfrog Safe Practices Survey and outcomes
in trauma. Arch Surg. 2011;146(10):1170-7. doi:10.1001/archsurg.2011.247.
https://psnet.ahrq.gov/issue/relationship-betw…
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psnet.ahrq.gov/node/37346/psn-pdf
March 28, 2012 - Medication administration discrepancies persist despite
electronic ordering.
March 28, 2012
FitzHenry F, Peterson JF, Arrieta M, et al. Medication Administration Discrepancies Persist Despite
Electronic Ordering. J Am Med Inform Assoc. 2007;14(6):756-764. doi:10.1197/jamia.m2359.
https://psnet.ahrq.gov/issue/medic…
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psnet.ahrq.gov/node/41154/psn-pdf
November 26, 2014 - Impact of vendor computerized physician order entry in
community hospitals.
November 26, 2014
Leung AA, Keohane C, Amato MG, et al. Impact of vendor computerized physician order entry in
community hospitals. J Gen Intern Med. 2012;27(7):801-7. doi:10.1007/s11606-012-1987-7.
https://psnet.ahrq.gov/issue/impact-vend…
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psnet.ahrq.gov/node/36575/psn-pdf
August 17, 2011 - Prevention of pediatric medication errors by hospital
pharmacists and the potential benefit of computerized
physician order entry.
August 17, 2011
Wang JK, Herzog NS, Kaushal R, et al. Prevention of pediatric medication errors by hospital pharmacists
and the potential benefit of computerized physician order entry.…
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psnet.ahrq.gov/node/836921/psn-pdf
April 13, 2022 - Inviting patients to identify diagnostic concerns through
structured evaluation of their online visit notes.
April 13, 2022
Giardina TD, Choi DT, Upadhyay DK, et al. Inviting patients to identify diagnostic concerns through
structured evaluation of their online visit notes. J Am Med Inform Assoc. 2022;29(6):1091-11…
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psnet.ahrq.gov/node/74154/psn-pdf
December 08, 2021 - Assessment of requests for medication-related follow-up
after hospital discharge, and the relation to unplanned
hospital revisits, in older patients: a multicentre
retrospective chart review.
December 8, 2021
Cam H, Kempen TGH, Eriksson H, et al. Assessment of requests for medication-related follow-up after
hospi…
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psnet.ahrq.gov/node/35906/psn-pdf
May 27, 2011 - Error reduction in pediatric chemotherapy: computerized
order entry and failure modes and effects analysis.
May 27, 2011
Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and
failure modes and effects analysis. Arch Pediatr Adolesc Med. 2006;160(5):495-8.
https:/…
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psnet.ahrq.gov/node/836923/psn-pdf
April 13, 2022 - An e-Delphi study to obtain expert consensus on the level
of risk associated with preventable e-prescribing events.
April 13, 2022
Heed J, Klein S, Slee A, et al. An e?Delphi study to obtain expert consensus on the level of risk associated
with preventable e?prescribing events. Br J Clin Pharmacol. 2022;88(7):3351-…
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psnet.ahrq.gov/node/45441/psn-pdf
September 21, 2016 - Psychological impact and recovery after involvement in a
patient safety incident: a repeated measures analysis.
September 21, 2016
Van Gerven E, Bruyneel L, Panella M, et al. Psychological impact and recovery after involvement in a
patient safety incident: a repeated measures analysis. BMJ oOen. 2016;6(8):e011403.
…
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psnet.ahrq.gov/node/852751/psn-pdf
August 23, 2023 - Automated search methods for identifying wrong patient
order entry-a scoping review.
August 23, 2023
Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping
review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057.
https://psnet.ahrq.gov/issue/automated-s…
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digital.ahrq.gov/location/usa-nc-chapel-hill
January 01, 2023 - USA, NC, Chapel Hill
Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology
Description
This research develops and evaluates an artificial intelligence-enhanced pretreatment peer-revi…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/hit
January 01, 2023 - Health IT
1. How do we use our health IT application for process improvement activities?
You are now at the point where you should allow your health IT application to work for you. It provides significant tools and data that you can use to improve the quality, safety, and efficiency of t…
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psnet.ahrq.gov/node/74866/psn-pdf
February 23, 2022 - Eliminating explicit and implicit biases in health care:
evidence and research needs.
February 23, 2022
Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and
research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/annurev-publhealth-052620-
10352…
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psnet.ahrq.gov/node/837797/psn-pdf
August 10, 2022 - Toward constructive change after making a medical error:
recovery from situations of error theory as a psychosocial
model for clinician recovery.
August 10, 2022
Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error:
recovery from situations of error theory as a psychos…
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hcup-us.ahrq.gov/db/state/siddist/Introduction_to_SID.pdf
September 01, 2025 - Introduction to the SID
HEALTHCARE COST AND UTILIZATION PROJECT — HCUP
A FEDERAL-STATE-INDUSTRY PARTNERSHIP IN HEALTH DATA
Sponsored by the Agency for Healthcare Research and Quality
INTRODUCTION TO
THE HCUP STATE INPATIENT DATABASES (SID)
These pages provide only an…