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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-summitsummary.pdf
September 01, 2025 - iii
• Future research can build on the evidence from the PCCP4P Initiative and the Summit activities … Dots ............................................................................................. 7
III … to build bridges between healthcare, research, and healthcare
practice so that patients can receive safer … achieving person-centered care
planning for persons with multiple chronic conditions
8
III … of the Partner Roundtable
Summary of the Learning Collaborative
Session 4: Connecting the Dots
III
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - narratives), because this gives the information needed to prevent similar events from recurring; and (iii … He led the team that produced the 2001 AHRQ evidence report, Making Health Care Safer , and was awarded … In fact, the original definition of a "critical incident" was basically an incident involving the potential … KS : Well, the received view is that they're getting safer, or the culture is improving. … of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - He led the team that produced the 2001 AHRQ evidence report, Making Health Care Safer , and was awarded … In fact, the original definition of a "critical incident" was basically an incident involving the potential … KS : Well, the received view is that they're getting safer, or the culture is improving. … narratives), because this gives the information needed to prevent similar events from recurring; and (iii … of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III
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psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
August 01, 2016 - identifying threats to patient safety; (ii) identifying and evaluating effective patient safety practices; (iii … Making Dentistry Safer
Being among the small number of dental patient safety researchers, our goal … and strives to make dental care ever safer. … Safety
January 31, 2024
Blackbox error management: how do practices deal with critical
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psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
September 18, 2024 - mildness of presenting symptoms; (ii) diagnostic testing that suggested another disease process; and (iii … Tools, workflows, and methods to encourage deliberate (type 2) reasoning prior to making critical decisions … Opinion: Institute of Medicine report on medical misdiagnoses overly critical of emergency medicine. … Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - conduct fall risk screening, (ii) develop a tailored fall prevention plan for individual patients, and (iii … screening for fall risk, (ii) identifying interventions tailored to patient-specific areas of risk, and (iii … In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices.
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www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
January 01, 2025 - Research Activity III. … These are diagnoses that
are critical but often difficult to make—critical because timely diagnosis … Introduction: Communicating critical test results. … Making Formularies Safer By Identifying Sources of Harmful
Drug Product Confusion. … Chicago Patient Safety Forum, Creating safer health care in Chicago, IL; February 7, 2003.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/mental-illness-adults-prisons_research-protocol.pdf
September 13, 2012 - SSRIs are safer and have lower toxicity than
TCAs and MAOIs and are thus more commonly used in correctional … www.effectivehealthcare.ahrq.gov/
Source: www.effectivehealthcare.ahrq.gov
Published Online: September 13, 2012
III … Policy brief: critical time
intervention for prison and jail reentry. … thinking curricula OR critical time intervention
OR dialectical.ti. … access will be examined if data permit
Comparators
Patient Oriented Outcomes
Time Points
Settings
III
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
June 02, 2025 - This exercise is so much
better, and safer! … iii. … iii. … iii. … iii.
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www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
January 01, 2024 - Drafts of this report were reviewed and shaped at several critical stages by the Workshop participants … Consumer-Led Workshop To Advance Patient Safety 4
III. … of building a foundation for the partnership
that was formed during the workshop, AI proved to be a critical … We’re here to help make the system safer through cooperation, and we’re not
going away. … Scope
Scope
III.
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www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
January 01, 2024 - RIPCHD.OR resulted in the design of a safer and more efficient OR prototype, 22
peer-reviewed publications … incorporate evidence-based design, human factors, and systems engineering principles to
design a safer … ample visibility between surgical team members and facilitated movement for
the circulating nurse, a critical … and refined through
this project are envisioned to be applicable to other healthcare spaces where critical … 17:212-229, ISSN 2358-3630.
5) Jurewicz KA, Neyens DM, Catchpole K, Joseph A, Reeves ST, Abernathy III
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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - However, because of the changing landscape and regional variability in use trends, it’s critical that … That is an important first step, but we need to similarly embrace talking to patients about safer substance … Now anyone with a Schedule III DEA license can prescribe buprenorphine. … strategies can include screening for substance use disorders (SUD) in all patients, educating PWUS on safer … Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace
October 31, 2023
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psnet.ahrq.gov/perspective/safety-dentistry
August 01, 2016 - identifying threats to patient safety; (ii) identifying and evaluating effective patient safety practices; (iii … Making Dentistry Safer
Being among the small number of dental patient safety researchers, our goal … and strives to make dental care ever safer. … Settings
January 31, 2024
Blackbox error management: how do practices deal with critical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - Involvement from physicians and pharmacy staff was critical in
getting new order sets written for oxytocin … In addition to the debriefing form, the OMH team developed a tool for documenting critical
events during … As a result, patients were empowered and felt
safer because they were told of the rationale behind various … WakeMed Cary is a 156-bed hospital with 10 L&D beds and a Level III nursery. … It is a 61-bed facility
with six L&D beds and a Level III nursery.
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digital.ahrq.gov/sites/default/files/docs/medicaid/us_chs_states-role-in-hie.pdf
September 25, 2006 - industry to embrace 21st century technology to
streamline operations, improve patient care and build a safer … This paper also identifies some of the key factors that are critical to the success
of a state-based … of multiple agencies for network
component reuse
• Leverages private and public assets, which are critical … Some of the key factors that are critical to the success of a state-based
HIE initiative are:
• Providing … Campbell III
Vice Chairman, Deloitte & Touche USA LLP
and U.S.
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www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
September 01, 2015 - Appropriate use of urine cultures and nontreatment of asymptomatic bacteriuria are also critical
factors … Toolkit
The CUSP Toolkit is available on the AHRQ Web site and includes training tools to make care
safer … and inappropriate
indications for indwelling urinary catheter placement.15 The list was based on a critical … Assistance with healing of stage III or IV perineal and sacral wounds in incontinent
patients—This is … For example, indwelling urinary catheters can be appropriate for stage III,
IV, or unstageable pressure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
September 01, 2015 - Appropriate use of urine cultures and nontreatment of asymptomatic bacteriuria are also critical
factors … Toolkit
The CUSP Toolkit is available on the AHRQ Web site and includes training tools to make care
safer … and inappropriate
indications for indwelling urinary catheter placement.15 The list was based on a critical … Assistance with healing of stage III or IV perineal and sacral wounds in incontinent
patients—This is … For example, indwelling urinary catheters can be appropriate for stage III,
IV, or unstageable pressure
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digital.ahrq.gov/sites/default/files/docs/page/2017-ahrq-hit-annual-report.pdf
January 01, 2017 - .............................................................................................. 10
III … Division’s mission is to produce and disseminate evidence about how health IT can make
healthcare safer … Additional information
on CDS Connect project activities in 2017 is included in Section III-A: Project … AHRQ HEALTH INFORMATION TECHNOLOGY DIVISION’S 2017 ANNUAL REPORT 18
III … Improving Health Outcomes in People
Living With HIV (PLWH) PA-14-291
Senathirajah, Yalini Finding the Safer
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www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
May 01, 2011 - Anonymity allows reporter to feel safer but
precludes follow-up and investigation. … III. Environmental Scan and Literature Review
Methods. … III. Ownership/operation of consumer reporting systems. … To err is human: Building a safer health system. Kohn LT, Corrigan JM, Donaldson MS, eds. … Stakeholder Interviews
III. Environmental Scan and Literature Review
IV.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
May 01, 2011 - Anonymity allows reporter to feel safer but
precludes follow-up and investigation. … III. Environmental Scan and Literature Review
Methods. … III. Ownership/operation of consumer reporting systems. … To err is human: Building a safer health system. Kohn LT, Corrigan JM, Donaldson MS, eds. … Stakeholder Interviews
III. Environmental Scan and Literature Review
IV.