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www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
January 01, 2024 - the Middle
Tennessee VA Healthcare System, Nashville, TN 37232
Inclusive Dates of Project: 9/30/ … Throughout the study period,
reinforcement of the importance of handover communication, feedback from … Specifically, we introduced the importance of and a method to
speak up if safety issues arise during … powerful common learning experience, the strong
organizational signal of importance, or all of these … Simulation in Healthcare 2010 (in press).
Table 1.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/smith2slides.pdf
June 02, 2025 - Development of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Slide Presentation … 12
12
Development of the AHRQ
Ambulatory Surgery Center
Survey on Patient Safety Culture … Ginsberg is now at the Agency for Healthcare Research & Quality (AHRQ)
AHRQ Staff
15
Survey Development … is it documented in an incident or occurrence report? … stopped to discuss the overall plan of what was to be done 92%
Just before the start of procedures
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psnet.ahrq.gov/issue/hospital-rating-organizations-quality-and-patient-safety-scores-analysis-result-discrepancies
February 22, 2017 - November 4, 2020
The impact of pharmacists-led medicines reconciliation on healthcare … outcomes in secondary care: a systematic review and meta-analysis of randomized controlled trials. … January 12, 2022
Application of failure mode effect analysis to improve the care of septic … in the British Isles. … May 17, 2023
Patient safety trends in 2021: an analysis of 288,882 serious events and
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psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national-analysis-2008-2017
March 18, 2020 - March 24, 2021
The aspects of healthcare quality that are important to health professionals … ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA. … to 20 hospitals in England during implementation of the 7-day services national health policy. … July 17, 2019
Transfusion safety: the nature and outcomes of errors in patient registration … the Republic of Ireland.
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psnet.ahrq.gov/issue/case-control-analysis-financial-cost-medication-errors-hospitalized-patients
January 15, 2025 - Case-control analysis of the financial cost of medication errors in hospitalized patients. … analysis of health care risks and specific measures for improvement. … March 27, 2013
Incidence of adverse events related to health care in Spain: results of … health care from emergency medical services: a multi-center cross-sectional study. … February 15, 2017
Organizational and social-psychological conditions in healthcare and
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca3.jsp
November 01, 2014 - An official website of the Department of Health & Human Services … a part of the patient's medical record. … California is the most populous and diverse state in the U.S. … More than half of Californians belong to
a racial and/or ethnic minority group and nearly 1 in 5 are … Department of Health & Human Services
The White House
USA.gov
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digital.ahrq.gov/ahrq-funded-projects/use-electronic-referral-system-improve-outpatient-primary-care-specialty-care/annual-summary/2009
January 01, 2009 - disseminate health IT evidence and evidence-based tools to support patient-centered care, the coordination … care between primary care and specialty care providers leads to major inefficiencies in health care … delivery. … care sites and to project the system’s implications for health care costs and utilization of services … system’s success or failure in achieving business and health care goals. ( Achieved )
Estimate the
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/pelvic-pain-therapies-future_research.pdf
January 01, 2015 - The information in this report is intended to help health care researchers and funders of research
make … - and private-sector organizations in their efforts to improve the
quality of health care in the United … plans, providers, and purchasers as well as the health care system as a whole by
providing important … be
of use to stakeholders that make decisions in health care.35 Table 1 outlines the methods we used … Costs may impact
consumers, patients, care-givers, employers, health care systems, or payers.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/registries-forums_research_0.pdf
May 01, 2014 - goals of the Effective Health Care Program. … Web-based CoPs or forums in both health care and non–health-care-related fields were
identified. … The examples described here of Web-based CoPs in health care and other domains illustrate
the feasibility … Knowledge-sharing in an
online community of health-care
professionals. … The
importance of each tag is usually shown with font size or color.
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hcup-us.ahrq.gov/reports/race/R_E_Disparities_rpt.jsp
July 01, 2016 - Since 2003, it has published national data about the quality of the U.S. healthcare system in two annual … reauthorization of the Indian Health Care Improvement Act to help meet the healthcare needs of American … They generate costs to the health-care system that could be reduced by the elimination of disparities … National Academies Press, 2001).
2 Committee on Quality of Health Care in America, Institute of Medicine … Snowden et al., 2009 Health Care Disparities Report for Minnesota Health Care Programs: Comparing Medical
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hcup-us.ahrq.gov/reports/statbriefs/sb311-ED-visit-costs-2021.pdf
January 01, 2021 - National health care spending in 2022: growth similar to prepandemic
rates. … Department of Health Services
Arkansas Department of Health
California Department of Health Care Access … Public Health
District of Columbia Hospital Association
Florida Agency for Health Care Administration … Systems
Oregon Health Authority
Pennsylvania Health Care Cost Containment Council
Rhode Island Department … , and quality of healthcare in the United States.
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psnet.ahrq.gov/node/49492/psn-pdf
November 01, 2005 - of the
health care team has access to the list of medications that the patient was taking prior to … Several examples of useful forms can be found on the
Web sites of the Institute for Healthcare Improvement … care visit. … Frequency, type and clinical
importance of medication history errors at admission to hospital: a systematic … Qual Manag Health Care.
2004;13:53-59. [ go to PubMed ]
7. Plsek PE.
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psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - Discovery of preanalytic error can occur at any stage of health care delivery. … However, to those
familiar with the health care environment, it is well understood that laboratory operations … can yield important insights for health care institutions and offer targets for improvement.(8) In … Qual Manag Health Care.
2001;10:45-53. [go to PubMed]
9. Harty-Golder B. Liability and the lab. … Agency for Healthcare
Research and Quality (AHRQ), U.S.
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psnet.ahrq.gov/issue/unmasking-bias-artificial-intelligence-systematic-review-bias-detection-and-mitigation
March 24, 2019 - Review
Unmasking bias in artificial intelligence: a systematic review of bias detection … Along with recommendations to reduce introducing bias into the data model, the authors stress the importance … July 6, 2022
Allergy safety events in healthcare: development and application of a classification … June 15, 2022
Factors associated with mental health outcomes among health care workers … July 10, 2024
Feeling safe in the context of digitalization in healthcare: a scoping
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psnet.ahrq.gov/node/837913/psn-pdf
August 31, 2022 - care delivery process. … care during pediatric transfers, enhance family- and patient-centered care, and improve clinical
outcomes … the healthcare team involved in pediatric transfers. … Centeredness in healthcare: a concept synthesis of family-
centered care, person-centered care and child-centered … Family-centered care: current applications and future
directions in pediatric health care.
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digital.ahrq.gov/ahrq-funded-projects/standardization-and-automatic-extraction-quality-measures-ambulatory-electronic
January 01, 2023 - No statement in this report should be construed as an official position of AHRQ or of the U.S. … Care
Primary Care
Specialty Care
Health Care Theme
Quality Measurement … of quality measures in the ambulatory setting. … No statement in this report should be construed as an official position of AHRQ or of the U.S. … Description:
Patient handout that discusses the importance of brining a medication list with the
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening-2008
August 05, 2008 - They should not be construed as an official position of the Agency for Healthcare Research and Quality … They should not be construed as an official position of the Agency for Healthcare Research and Quality … They should not be construed as an official position of the Agency for Healthcare Research and Quality … of prostate cancer in the United States in 2006. 1 The median age of death from prostate cancer from … Yet, after a median of 8.2 years, only 14.4% of men in the control group and 8.6% of men in the treatment
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psnet.ahrq.gov/issue/factors-predictive-intravenous-fluid-administration-errors-australian-surgical-care-wards
September 23, 2020 - Qual Saf Health Care. 2005;14(3):179-84. … Qual Saf Health Care . 2005; 14 (3) :179-84 . … The investigators observed patients in three surgical wards to detect the frequency of administration … Qual Saf Health Care. 2005;14(3):179-84. … Same Author(s)
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreensum.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Summary
Previous … Page Next Page
Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening … The intervention is intended to be conducted by a central entity, such as a health care delivery system … meetings, publication of papers, and involvement with health care delivery systems and with clinical … It is most transferable to health care system settings with a central entity that:
Is motivated to
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2010
January 01, 2010 - Care Quality Grant (R18)
Grant Number
R18 HS 018183
Project Period
September 2009 – … This significant source of error can cause injury or even fatalities and can occur in all types of health … care settings, including patient transitions between locations or care levels within a facility. … Additional analysis will look at changes in the rates of adverse drug events, erroneous discrepancies … housestaff could benefit from training on the roles of physicians and pharmacists in this regard.