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3141. Engaging Senior Executives in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/engaging-sr-exec-slides.html
      February 01, 2017 - Engaging Senior Executives in Care of Mechanically Ventilated Patients: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Engaging Senior Executives in Care of Mechanically Ventilated Patients Slide 2: Learning O…

3142. Contributions to Patient Safety and Medical Liability | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/contributions.html
      August 01, 2022 - Demonstration Grants Final Evaluation Report Contributions to Patient Safety and Medical Liability Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liabil…

3143. Key Driver 6: Nurture Leadership and Create A Culture of Continuous Learning and Evidence-Based Practice | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/keydrivers/nuture-leadership.html
      November 01, 2018 - Key Driver 6: Nurture Leadership and Create A Culture of Continuous Learning and Evidence-Based Practice Print this page to PDF A maxim of organizational change theory is that leaders’ support for change is crucial. When it comes to making fundamental changes in a practice, however, more than support alone is…

3144. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33592/psn-pdf
      December 15, 2024 - Adverse Events, Near Misses, and Errors December 15, 2024 Adverse Events, Near Misses, and Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current re…

3145. Integrating Contextual Factors into Clinical Decision Support to Reduce Contextual Error and Improve Outcomes in Ambulatory Care | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/integrating-contextual-factors-clinical-decision-support-reduce-contextual
      January 01, 2023 - Integrating Contextual Factors into Clinical Decision Support to Reduce Contextual Error and Improve Outcomes in Ambulatory Care Project Final Report ( PDF , 611.54 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are respons…

3146. Personal Health Records and Elder Medication Use Quality - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/personal-health-records-and-elder-medication-use-quality/annual-summary/2011
      January 01, 2011 - Personal Health Records and Elder Medication Use Quality - 2011 Project Name Personal Health Records and Elder Medication Use Quality Principal Investigator Chrischilles, Elizabeth Organization University of Iowa Funding Mechanism RFA: HS07-007: Ambulatory Safety an…

3147. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2011
      January 01, 2011 - Electronic Prescribing and Electronic Transmission of Discharge Medication Lists - 2011 Project Name Electronic Prescribing and Electronic Transmission of Discharge Medication Lists Principal Investigator Kaushal, Rainu Organization Weill Medical College of Cornell University…

3148. SAMHSA (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/goldstrom.pdf
      October 08, 2025 - SAMHSA INNOVATIONS CONFERENCE -- SAMHSA SPEAKER: INGRID GOLDSTROM, DIRECTOR OF THE EVALUATION OF CHILDREN’S MENTAL HEALTH INTIATIVE (CMHI) SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) GOLDSTROM: So today I’ll be speaking about engaging mental health consu…

3149. Improving Provider Communication to Improve Transitions in Patient Care (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/improving-provider-communication-to-improve-transitions-in-patient-care.pdf
      June 16, 2021 - Improving Provider Communication to Improve Transitions in Patient Care Improving Provider Communication to Improve Transitions in Patient Care When a patient’s care shifts from one setting to another, such as from a hospital to home, there is risk for adverse health events and hospital readmission…

3150. Guidelines into Decision Support (GLIDES) - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/guidelines-decision-support-glides/annual-summary/2010
      January 01, 2010 - Guidelines into Decision Support (GLIDES) - 2010 Project Name Guidelines Into Decision Support (GLIDES) Principal Investigator Shiffman, Richard N. Organization Yale University Contract Number 290-08-10011 20 Project Period March 2008 – February 2012 A…

3151. Adapting a National Curriculum to Better Collect Race and Ethnicity Data in New Mexico Hospitals (pdf file)
      hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm7.pdf
      May 26, 2012 - Adapting a National Curriculum to Better Collect Race and Ethnicity Data in New Mexico Hospitals TEMPLATE DESIGN © 2008 www.PosterPresentations.com Adapting a national curriculum to better collect race and ethnicity data in New Mexico hospitals Tina Hoang BA, Nicole Katz MPH, Elias Duryea PhD, S. Noell Stone MP…

3152. Healthcare Cost and Utilization Project (HCUP) NIS Notes
      hcup-us.ahrq.gov/db/vars/drg18/nisnote.jsp
      September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …

3153. Using An Electronic Personal Health Record To Empower Patients With Hypertension - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-electronic-personal-health-record-empower-patients-hypertension/annual-summary/2011
      January 01, 2011 - Using An Electronic Personal Health Record To Empower Patients With Hypertension - 2011 Project Name Using an Electronic Personal Health Record to Empower Patients with Hypertension Principal Investigator Wagner, Peggy Organization Georgia Health Sciences University F…

3154. Healthcare Cost and Utilization Project (HCUP) KID Notes
      hcup-us.ahrq.gov/db/vars/drg10/kidnote.jsp
      September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …

3155. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73901/psn-pdf
      September 29, 2021 - Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors September 29, 2021 Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Diagnosis (Berl). 2020;8(3):347-352. doi:10.1515/dx-2020-0032. https:/…

3156. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37746/psn-pdf
      May 14, 2008 - Reducing preventable medication safety events by recognizing renal risk. May 14, 2008 Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476.2f. https://psnet.ahrq.gov/issue/red…

3157. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42981/psn-pdf
      March 19, 2014 - Recognizing and managing errors of cognitive underspecification. March 19, 2014 Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1. https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification Inc…

3158. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46508/psn-pdf
      November 22, 2017 - The checklist: recognize limits, but harness its power. November 22, 2017 Alspach JAG. The Checklist: Recognize Limits, but Harness Its Power. Crit Care Nurse. 2017;37(5):12-18. doi:10.4037/ccn2017603. https://psnet.ahrq.gov/issue/checklist-recognize-limits-harness-its-power Checklists are used in various health c…

3159. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73617/psn-pdf
      August 26, 2021 - Recognizing Unsafe Care: What It Is and How to Report It. August 18, 2021 Patient Safety Foundation. August 26, 2021. https://psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it This webinar introduced medical error and harm as related concepts to identify unsafe care and enhance response, engag…

3160. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45021/psn-pdf
      April 06, 2016 - Scandal as a sentinel event—recognizing hidden cost–quality trade-offs. April 6, 2016 Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med. 2016;374(11):1001-3. doi:10.1056/NEJMp1502629. https://psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-t…