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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - iii
Foreword
The landmark Institute of Medicine report To Err Is Human was an influential and transformative … and Limited English Proficiency
The Institute of Medicine (IOM) report To Err is Human: Building a Safer … Patient Safety and LEP Populations
The Institute of Medicine (IOM) report To Err is Human: Building a Safer … improving care outcomes, team communication, and team
attitudes.21-24
TeamSTEPPS provides higher quality, safer … To err is human: building a safer health system.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
June 16, 2008 - Turley, RN, PhD
Abstract
A critical step towards reducing errors in health care is the collection … In
its report, To Err Is Human: Building a Safer Health System, the Institute of Medicine (IOM)
estimated … Since the goal of this
ontology was to index the published literature, we felt it was critical that … computerized physician order entry (CPOE) system, which had a menu of several
possible doses of vasopressin; (iii … Conclusions
and Future Work
A critical step in the direction of reducing errors and adverse events
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/api.html
June 01, 2010 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … Online and Journal Resources
Appendix II: Technical Expert Panel and Federal Partners Group
Appendix III … CMS Medicaid Home and Community-Based Services Quality Home Page
Reviewed 5/16
Medicaid has a critical
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pharmhealthlit/pharmlit/kripalani.ppt
January 01, 2010 - References
Davis TC, Wolf MS, Bass, PF III, Middlebrooks M, Kennen E, Baker DW, Bennett CL, Durazo-Arvizu … Making Healthcare Safer: A Critical Analysis of Patient Safety Practices.
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ce.effectivehealthcare.ahrq.gov/healthsystemsresearch/hspc-research-study/references.html
June 01, 2020 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … DeVoe, “Revisiting Primary Care’s Critical Role in Achieving Health Equity: Pisacano Scholars’ Reflections … V. deGruy III, “Research and Evaluation in the Transformation of Primary Care,” Am Psychol , Vol. 69
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
July 01, 2023 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety
Practices. … AHRQ
Publication No. 20-0029-EF. https://www.ahrq.gov/research/findings/making-healthcare-safer/mhs3 … https://www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
https://www.ahrq.gov/research … /findings/making-healthcare-safer/mhs3/index.html
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874935
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.html
March 01, 2017 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … Assistance in healing of open pressure ulcers, skin grafts, and stage III or IV perineal and sacral wounds
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apvii.html
June 01, 2010 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … Online and Journal Resources
Appendix II: Technical Expert Panel and Federal Partners Group
Appendix III … have limited resources for these activities and will need to know how to prioritize which are the most critical
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … Your involvement is critical to help us ensure that: we design an intervention that we can effectively … In 2008 the Centers for Medicaid and Medicare Services (CMS) identified stage III and IV pressure ulcers
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ce.effectivehealthcare.ahrq.gov/data/apcd/envscan/findings.html
July 01, 2022 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … organization whose primary mission is to produce and encourage use of evidence to make health care safer … USHIK contained a repository of APCD File Submission specifications and data elements from 14 States iii … Such efforts are critical to meaningful use of the APCD for measurement. … iii The 14 States are Colorado, Connecticut, Maine, Maryland, Massachusetts, Minnesota, New Hampshire
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-fullreport.pdf
May 01, 2018 - of serious drug interactions, delirium, serious behavioral
changes, cardiac arrhythmias, and death (Safer … be made explicit and transparent as
part of the public release of CHIPRA deliberations; thus, it is critical … group, or facility:** Can compare: (i) practice sites; (ii) medical or other
professional groups; or (iii … Antipsychotic polypharmacy in psychotic
disorders: A critical review of neurobiology, efficacy, tolerability … Psychiatr Serv 2011; 62:613-8.
23
Safer DJ, Zito JM, DosReis, S.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-fullreport.pdf
February 01, 2019 - Thus, clinicians may be underutilizing safer first-line psychosocial interventions in
children with … in foster care are more likely to be prescribed
antipsychotics than those not in foster care (Zito, Safer … be made explicit and transparent as
part of the public release of CHIPRA deliberations; thus, it is critical … group, or facility:** Can compare: (i) practice sites; (ii) medical or other
professional groups; or (iii … Zito JM, Safer DJ, Sai D, et al. Psychotropic medication patterns among youth in foster care.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - patient harm since the Institute of Medicine’s
(IOM’s) 1999 publication of To Err Is Human: Building a Safer … IV pressure ulcers and matched patients without
hospital-acquired Stage III and IV pressure ulcers … Medicare Severity diagnosis-related group (MS- DRG), sex, race, and
age that did NOT have a Stage III … To err is human: building a safer healthcare system. … http://www.jointcommission.org/assets/1/18/SEA_44.PDF
Toward improving the outcome of pregnancy III
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-pfe.pdf
January 01, 2023 - Parts I and III were rated positively but Part II
(report card) needs refinement. … Arbaje
Johns Hopkins
University
Baltimore,
Maryland
R01 HS26599
[Grant]
Making Health
Care Safer … safety to
inform physicians, nurses, patients, and families about
specific ways to make healthcare safer … Key Findings/Impact: Understanding quantitative
information about probabilities is critical for health … Anna Beeber
University of North
Carolina
Chapel Hill, North
Carolina
R01 HS26473
[Grant]
A Safer
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
April 01, 2008 - These
individuals used their personal insights, knowledge, and experience to create a
safer environment … iii
Contents
Chapter 1. … The
approach health care systems traditionally take neglects the most critical
member of the team—the … Step 2—Select the Team
The membership of the council is critical to successfully building a partnership … Institute of Medicine, To Err is
Human: Building a Safer Health System.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
January 01, 2005 - Introduction
According to the Institute of Medicine’s (IOM’s) 1999 report, To Err Is
Human: Building a Safer … Effective methods of communication, both among caregivers
and between caregivers and patients, are critical … Err is
human: building a safer health system. … Diagnostic validity
of the Drug Abuse Screening Test in the assessment of
DSM-III drug disorders.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - use the evaluation tools to determine if medications may be tapered, discontinued, or changed to a safer … No
Yes
III. … Sample Care Plan Background: Developing a care plan specific to the needs of each individual patient is critical … Ask relatives to supply safer replacement or supply new slippers from ward stock.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-2.pdf
January 31, 2024 - Cambridge, MA 02138
EvidenceNOW BSC: Interim Evaluation Report II June 2023 ▌iii … • Capitalizing on existing relationships is critical to the formation of a cooperative. … of the Agency for Healthcare Research and Quality (AHRQ) is to “produce evidence to make
healthcare safer … Cooperative Sustainability
The make-up of the ACC membership was cited as a critical element that may … • Capitalizing on existing relationships is critical to the formation of a cooperative.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
January 01, 2004 - Weaknesses included (1) safer devices may have been
overlooked, as very few alternative devices were … Ritter III HTM. Evaluating and selecting general-
purpose infusion pumps. … Decisions
about critical events in device-related scenarios as a
function of expertise.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pcor/pcortf-strategic-framework.pdf
June 01, 2023 - ...............................................................................................17
iii … The Agency pursues answers to these broad, critical questions
through its PCORTF mechanisms and other … These
conversations have informed the strategic framework and the critical need for AHRQ to
use an … providing
clinicians with strong, actionable data and tools to provide patients with higher quality,
safer … Appropriate and feasible evaluation methods are critical to
assess the fidelity with which processes