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  1. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/engage/references.html
    May 01, 2023 - Handoff communication: using failure modes and effects analysis to improve the transition in care process

  2. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/excelling_cahps_lessons_medicaid_webinar_transcript.pdf
    January 01, 2016 - So as children transition back and forth between the Medicaid program and our CHIP program, are we able

  3. Creative Strategies to Improving Patient Care Experience Webcast Transcript (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-transcript.pdf
    April 01, 2019 - The first, nurses participated in 23 hours of training on subjects like transition care management and

  4. Learning from Primary Care EHR Exemplars About HIT Safety - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs024327-ornstein-final-report-2018.pdf
    January 01, 2018 - Other patient safety issues related to over-reliance on HIT, particularly with care transition processes

  5. Building a Team and Process to Reduce CAUTI Risk (April 8, 2015) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/building-teamwork-transcript.html
    December 01, 2017 - And other places which are quite interesting, the transition from ICU to floor, I feel is a very high

  6. Paul Tedrick (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-transcript.doc
    April 08, 2014 - And other places which are quite interesting, the transition from ICU to floor, I feel is a very high

  7. Cybersecurity and How to Maintain Patient Safety | PSNet

    psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
    March 27, 2024 - Cybersecurity and How to Maintain Patient Safety Barbara Pelletreau, RN; John Riggi; Bryan M. Gale, MA; Sarah E. Mossburg, RN, PhD | March 27, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Pelletreau B, Riggi J, Gale B…

  8. Addressing the Personal Health Information Management Needs of Older Adults - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs022106-turner-final-report-2019.pdf
    January 01, 2019 - Addressing the Personal Health Information Management Needs of Older Adults - Final Report Addressing the Personal Health Information Management Needs of Older Adults The SOARING Project (Studying Older Adults a…

  9. Improving Safety and Quality with Outpatient Order Entry (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r01hs015226-gandhi-final-report-2008.pdf
    January 01, 2008 - Improving Safety and Quality with Outpatient Order Entry Grant Final Report Grant ID: 5R01HS015226-03 Improving Safety and Quality with Outpatient Order Entry Inclusive dates: 09/03/04 - 08/31/08 Principal Investigator: Tejal K. Gandhi, MD, MPH Team members: Eric G. Poon, MD, MPH T…

  10. Patient Safety and Health Information Technology: Learning from Our Mistakes | PSNet

    psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
    July 01, 2012 - Patient Safety and Health Information Technology: Learning from Our Mistakes Ross Koppel, PhD | July 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Koppel R. Patient Safety and Health Information Technology: Learning f…

  11. The Media’s Role in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/medias-role-patient-safety
    April 27, 2022 - The Media’s Role in Patient Safety April 27, 2022  Also Read the Conversation View more articles from the same authors. Citation Text: Millenson ML, Dowell P, Mossburg SE. The Media’s Role in Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcar…

  12. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet

    psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
    December 31, 2024 - SPOTLIGHT CASE Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism Citation Text: McCallum W, Barnes DK. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…

  13. High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Vogus T, Lee M, Mos…

  14. Optimizing Environmental Cleaning: Webinar Slide Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/021-optimizing-evc-webinar-slides_revised.pptx
    October 01, 2024 - Optimizing Environmental Cleaning: Webinar Slide Presentation AHRQ Safety Program for MRSA Prevention Optimizing Environmental Cleaning ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Optimizing Environme…

  15. New Insights on Safety and Health IT | PSNet

    psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
    August 01, 2015 - New Insights on Safety and Health IT A. Zach Hettinger, MD, MS; Raj Ratwani, PhD; Rollin J. (Terry) Fairbanks, MD, MS | August 1, 2015  Also Read a Conversation View more articles from the same authors. Citation Text: Hettinger ZA, Ratwani RM, Fairbanks RJ. New …

  16. 2018 National Healthcare Quality and Disparities Report Detailed Methods for the Medical Expenditure Panel Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-mepsmethods.pdf
    January 01, 2020 - 2018 National Healthcare Quality and Disparities Report Detailed Methods for the Medical Expenditure Panel Survey 2018 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT DETAILED METHODS FOR THE MEDICAL EXPENDITURE PANEL SURVEY U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Health…

  17. Integration of an NLP-based Application to Support Medication Management - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs021544-zhou-final-report-2014.pdf
    January 01, 2014 - Integration of an NLP-based Application to Support Medication Management - Final Report AHRQ Grant Final Progress Report Title of Project: Integration of an NLP-based application to support medication management Principal Investigator: Li Zhou, MD, PhD Team Members: David W Bates, …

  18. Perception and Use of a Patient Care Window to Improve Care and Family Engagement - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs023626-asan-final-report-2017.pdf
    January 01, 2017 - Perception and Use of a Patient Care Window to Improve Care and Family Engagement - Final Report Project Title: Perception and Use of a Patient Care Window to Improve Care and Family Engagement Program Director/Principal Investigator Information: ONUR ASAN, PhD Team Members: Murkowski, Kathleen; Flynn, Kathryn …

  19. Improving Health Care Quality through Health IT for Persons with Intellectual Disabilities: A Final Report and Lessons Learned (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r21hs018766-rimmer-final-report-2012.pdf
    January 01, 2012 - Improving Health Care Quality through Health IT for Persons with Intellectual Disabilities: A Final Report and Lessons Learned Improving Health Care Quality through Health IT for Persons with Intellectual Disabilities: A Final Report and Lessons Learned James H. Rimmer, PhD; Kueifang (Kelly) Hsieh, …

  20. Computer Assisted Medication and Patient Information Interface (CAMPII) - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs018236-ziemer-final-report-2012.pdf
    January 01, 2012 - Computer Assisted Medication and Patient Information Interface (CAMPII) - Final Report Computer Assisted Medication and Patient Inf…
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