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digital.ahrq.gov/ahrq-funded-projects/ambulatory-care-compact-organize-risk-and-decisionmaking-accord/annual-summary/2011
January 01, 2011 - evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
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digital.ahrq.gov/ahrq-funded-projects/personal-health-records-and-elder-medication-use-quality/annual-summary/2010
January 01, 2010 - evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
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digital.ahrq.gov/ahrq-funded-projects/personal-health-records-and-elder-medication-use-quality/annual-summary/2011
January 01, 2011 - evidence and evidence-based tools to support patient- centered care, the coordination of care across transitions
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digital.ahrq.gov/2020-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care
January 01, 2020 - developed and disseminated a set of IT and EHR design and implementation recommendations for use in HHC transitions
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www.ahrq.gov/teamstepps-program/curriculum/communication/teach/two-day.html
December 01, 2023 - Potential focuses include:
Noting that handoffs involve transitions both between staff within a unit
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psnet.ahrq.gov/node/46160/psn-pdf
June 07, 2017 - ISMP Guidelines for Optimizing Safe Subcutaneous
Insulin Use in Adults.
June 7, 2017
Horsham, PA: Institute for Safe Medication Practices; May 2017.
https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults
Insulin is a widely used medication that can contribute to serious patien…
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www.ahrq.gov/practiceimprovement/delivery-initiative/arragrantee-swigonski.html
December 01, 2017 - ARRA Delivery System Initiative
Presentations and Publications by Recipients of ARRA Delivery System Grants
Informing Sound Policy: Linking Medical Home Measures and Child Health Outcomes
Principal Investigator: Nancy Swigonski
Swigonski N. Measuring Quality: Do Results Vary by Data Richness? Annual Meetin…
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psnet.ahrq.gov/node/60607/psn-pdf
June 17, 2020 - When health care moves online, many patients are left
behind.
June 17, 2020
Renault M. When health care moves online, many patients are left behind. Wired Online. 2020;(June 8,
2020).
https://psnet.ahrq.gov/issue/when-health-care-moves-online-many-patients-are-left-behind
The emergence of telemedicine as a primar…
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psnet.ahrq.gov/node/45545/psn-pdf
October 05, 2016 - How to Improve Electronic Health Record Usability and
Patient Safety.
October 5, 2016
Philadelphia, PA: Pew Charitable Trusts; September 6, 2016.
https://psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety
The usability of electronic health record (EHR) systems can affect clinici…
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psnet.ahrq.gov/node/44396/psn-pdf
January 22, 2016 - Bedside shift-to-shift handoffs: a systematic review of the
literature.
January 22, 2016
Mardis T, Mardis M, Davis JJ, et al. Bedside Shift-to-Shift Handoffs: A Systematic Review of the Literature.
J Nurs Care Qual. 2016;31(1):54-60. doi:10.1097/NCQ.0000000000000142.
https://psnet.ahrq.gov/issue/bedside-shift-shif…
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psnet.ahrq.gov/node/45387/psn-pdf
August 15, 2016 - Preventing medication errors.
August 15, 2016
Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10.
doi:10.1016/j.gerinurse.2016.06.005.
https://psnet.ahrq.gov/issue/preventing-medication-errors
Nursing home patients are particularly vulnerable to medication errors. This commentar…
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psnet.ahrq.gov/node/43166/psn-pdf
May 07, 2014 - Are med school grads prepared to practice medicine?
May 7, 2014
Angus S, Vu R, Halvorsen AJ, et al. What skills should new internal medicine interns have in july? A
national survey of internal medicine residency program directors. Academic medicine : journal of the
Association of American Medical Colleges. 2014;89(…
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psnet.ahrq.gov/node/46688/psn-pdf
January 01, 2018 - New solutions to reduce wrong route medication errors.
December 18, 2017
Litman RS, Smith VI, Mainland P. New solutions to reduce wrong route medication errors. Paediatr
Anaesth. 2018;28(1):8-12. doi:10.1111/pan.13279.
https://psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
Tubing misconnec…
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psnet.ahrq.gov/node/41948/psn-pdf
January 09, 2013 - Implementation of computerized prescriber order entry in
four academic medical centers.
January 9, 2013
Cooley TW, May D, Alwan M, et al. Implementation of computerized prescriber order entry in four academic
medical centers. Am J Health Syst Pharm. 2012;69(24):2166-73. doi:10.2146/ajhp120108.
https://psnet.ahrq.g…
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digital.ahrq.gov/ahrq-funded-projects/implementing-personalized-cross-sector-transitional-care-management-promote/citation/expanding
January 01, 2023 - Expanding the evidence for cross-sector collaboration in implementation science: Creating a collaborative, cross-sector, interagency, multidisciplinary team to serve patients experiencing homelessness and medical complexity at hospital discharge.
Citation
Anderson AJ, Noyes K, Hewner S. Expanding the …
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www.ahrq.gov/ncepcr/about/pcr-webinar-series/specific-pt-populations.html
May 01, 2025 - Approaches to Address the Health of Specific Patient Populations in Primary Care
This AHRQ National Center for Excellence in Primary Care Research (NCEPCR) webinar highlights research on approaches to address the health needs of specific patient populations in primary care. This includes research to: Develop c…
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psnet.ahrq.gov/node/841567/psn-pdf
December 14, 2022 - Measuring Patient Safety
December 14, 2022
Schreiber M, Van C, Mossburg SE. Measuring Patient Safety. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/measuring-patient-safety
Following the landmark report To Err is Human: Building a Safer Health System, developed by the Institute
of Medicine in 1999, pa…
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meps.ahrq.gov/data_files/publications/mr36/mr36ug.shtml
February 24, 2023 - Methodology Report #36: Analyzing Medical Conditions in MEPS - User Guide (Part 1 of 2)
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-7.pdf
January 01, 2023 - Transitions of Care
Measure Category: 7. Care Coordination, Subcategory: 1. … Transitions of Care
3
Measure Category: 7. Care Coordination, Subcategory: 1. … Transitions of Care
Appendix Table 7.1.1. … Transitions of Care
Measure Category: 7. Care Coordination, Subcategory: 1. … Transitions of Care
5
Appendix Table 7.1.2.
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www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
July 01, 2018 - Equipment and Supplies
Public Health Emergency Preparedness
1. Preplanning
Description: The equipment and supplies team must lay the groundwork for procurement prior to a surge event. Key decisions include: determining whether to outsource staffing and procurement of the equipment and supplies, deciding wh…