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  1. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/issues.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Evaluation Issues Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implement…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool2_readm_review.docx
    June 02, 2025 - Tool 2: Readmission Review Tool Tool 2: Readmission Review tool Purpose Readmission reviews are designed to elicit the “story behind the story”: going well beyond chief complaint, discharge diagnosis, or other clinical parameters to understand the communication, coordination, or other logistical barriers experienc…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/kenzie_pneumococcal_vaccine.pdf
    January 01, 2011 - Understanding and Addressing High Rates of Refusal of Pneumococcal Vaccination Among African-Americans Research Centers for Excellence in Clinical Preventive Services Working to get the right services, to the right people, at the right time Understanding and Addres…
  4. psnet.ahrq.gov/issue/understanding-differences-electronic-health-record-ehr-use-linking-individual-physicians
    November 17, 2015 - Study Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care. Citation Text: Lanham HJ, Sittig DF, Leykum LK, et al. Understanding differences in electronic health record (EHR) u…
  5. www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment.html
    June 01, 2018 - Chartbook on Effective Treatment Effective Treatment Previous Page Next Page Table of Contents Chartbook on Effective Treatment Acknowledgments Effective Treatment Effective Treatment Trends and Measures Cardiovascular Disease Cancer Chronic Kidney Disease Diabetes HIV and AIDS Men…
  6. psnet.ahrq.gov/innovation/assessing-impact-virtual-medication-history-technicians-medication-reconciliation
    December 01, 2021 - EMERGING INNOVATIONS Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. Citation Text: Gadallah A, McGinnis B, Nguyen B, et al. Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. Int J C…
  7. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load5.html
    May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy A Future Vision for Better Diagnostic Outcomes Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/team-roster.docx
    March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix A. Team Roster This template provides suggestions about roles, characteristics, and responsibilities for members of your improvement team. Develop your team and documen…
  9. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cholesterol-academic-detailing-guide.pdf
    July 07, 2015 - Cholesterol Management in Primary Care Healthy Hearts for Oklahoma (H20) The Oklahoma Cooperative for AHRQ's Evidence NOW ADVANCINGI I';�\, HEART HEALTH I.'�\ IN PRIMARY CARE :l Cholesterol Management in Primary Care ([) • • Aspirin when appropriate Blood pressure control Cholesterol manage…
  10. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-3-gray-2018.pdf
    January 01, 2018 - Understanding SOPS Surveys: A Primer for New Users - Gray Overview of the SOPS Surveys 10 Laura Gray, MPH Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat What is Patient Safety Culture? 11 12 AHRQ Surveys on Patient Safety Culture Surveys of providers and st…
  11. psnet.ahrq.gov/issue/national-implementation-project-prevent-catheter-associated-urinary-tract-infection-nursing
    April 05, 2017 - Study Classic A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents. Citation Text: Mody L, Greene T, Meddings J, et al. A National Implementation Project to Prevent Catheter-Associated Urinary Tract I…
  12. psnet.ahrq.gov/issue/renal-medication-related-clinical-decision-support-cds-alerts-and-overrides-inpatient-setting
    May 20, 2020 - Study Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. Citation Text: Shah SN, Amato MG, Garlo KG, et al. Renal medic…
  13. www.ahrq.gov/topics/racial-ethnic-minorities.html
    March 23, 2023 - Racial and Ethnic Minorities For decades, public health, health services research, and medical studies have continued to show evidence that racial and ethnic minority groups experience healthcare disparities that can lead to dramatic differences in health outcomes. The care they receive as patient…
  14. digital.ahrq.gov/2019-year-review/research-summary/improving-delivery-health-services-health-systems-level
    January 01, 2019 - Improving the Delivery of Health Services at the Health Systems Level AHRQ-funded research aims to improve the delivery of health services at the health systems or organizational level. Investment in research to improve the delivery of healthcare at the systems level was $36 million over…
  15. digital.ahrq.gov/2020-year-review/research-summary/designing-intelligent-systems-support-cognitive-work-clinical
    January 01, 2020 - Designing Intelligent Systems to Support Cognitive Work of Clinical Providers in Emergency Departments The use of cognitive engineering systems methodology helps to better understand the interactions of the cognitive and workflow processes of frontline emergency medicine providers. Its use also can inform the desig…
  16. digital.ahrq.gov/medical-condition/colorectal-cancer
    January 01, 2024 - Colorectal Cancer Oncology patients' willingness to report their medication safety concerns from home: A qualitative study. Citation Bunni D, Walters G, Hwang M, Gahn K, Mason H, Manojlovich M, Gong Y, Jiang Y. Oncology patients' willingness to report their medication safety c…
  17. digital.ahrq.gov/medical-condition/substance-use-disorder
    March 01, 2024 - Substance Use Disorder Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse Description This research tests the effectiveness of MedSMA℞T M…
  18. www.ahrq.gov/funding/grantee-profiles/grtprofile-gonzales.html
    October 01, 2024 - Grantee Profile Paving the Road: Translating Evidence-based Research Into Practice Ralph Gonzales, M.D., M.S.P.H. Professor of Medicine, Epidemiology & Biostatistics, and Health Policy University of California San Francisco, School of Medicine Chief Innovation Officer, UCSF Health Ralph Gonzales, M.D., M.S.…
  19. www.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
    October 01, 2023 - Grantee Profile Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings Kathleen Walsh, M.D., M.Sc. Director, Patient Safety Research Core Boston Children’s Hospital Kathleen Walsh, M.D., M.Sc. “AHRQ funding enables researchers to build a body of w…
  20. digital.ahrq.gov/medical-condition/congestive-heart-failure-chf
    January 01, 2024 - Congestive Heart Failure (CHF) Comparison of short-term health care utilization between telemedicine-delivered vs in-person care visits for heart failure. Citation Casey SD, Sax DR, Mark DG, Rana JS, Solomon MD, Huang J, Reed ME. Comparison of short-term health care utilizatio…