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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
    February 09, 2005 - In an effort to address these drawbacks, members of our research group created the Warfarin Dosing … Address correspondence to: Richard L.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
    January 01, 2004 - Though often separate entities, these two groups need to work together to address common issues and … Address correspondence to: Sharon K. Ulep, B.S., C.Ph.T., Six Sigma Black Belt, St.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
    April 20, 2004 - to be given careful consideration at health care institutions across the nation as they begin to addressAddress correspondence to: Mary V. Wideman, BCMA Coordinator, Harry S.
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
    February 20, 2008 - The Patient Safety Education Project (PSEP) was designed to address these challenges by combining dissemination … Address correspondence to: Linda L. Emanuel, MD, PhD, 750 N.
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
    February 08, 2008 - disciplines and services (e.g., case and risk management) converge, they are the ideal medium by which to addressAddress correspondence to: Barbara Duffy, RN, LHRM, MPH, Florida Hospital Ormond Memorial, c/o Performance
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
    March 26, 2008 - CPOE systems do not address this type of error,4 and bedside barcode scanning alone is not sufficient … Address correspondence to: Ray R. Maddox, PharmD, St.
  7. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
    February 01, 2018 - Importance of the Measure Provide evidence for all applicable aspects of general importance: • Addresses … a known or suspected quality gap and/or disparity in quality (e.g., addresses a socioeconomic disparity … are interested in knowing all settings, services, measure topics, and populations that this measure addresses … Does the measure address this category? a. Care Setting – ambulatory: No. b. … The ONC’s Health IT Standards explicitly address the receipt of laboratory results and other diagnostic
  8. www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
    January 01, 2024 - teams that provide direct patient care; (3) contingency teams made of members from various teams to address … To address the problem of the small hospital level sample size, the project team compared results from … Title of Webpage Description of Webpage Web Address Total Page Viewsa Unique Page Viewsb Entrancesc
  9. www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - However, a clear understanding of the processes that require change is essential to successfully address … More narrowly focused interventions may seek to address errors that are strongly associated with harm … relate to the analysis, which is time consuming and costly, and how to construct interventions that address
  10. www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
    January 01, 2024 - Unit dose dispensing, BCMA, and smart infusion pumps do not address, however, the ADEs that can … To address the types of administration process problems we had observed at the point of care, we also … found that the formation of a medication safety team to address issues related to medication technology
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
    February 23, 2008 - We used the results to create benchmarks and plan educational activities to address components of culture … Address correspondence to: Katherine J.
  12. www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
    January 01, 2024 - In the hospital setting, “failure to rescue” (FTR) is a recognized safety failure.1 3 4 To address FTR … process16 17 to analyze, design, develop, implement, and evaluate innovative tools and processes to address
  13. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-fullreport.pdf
    September 01, 2018 - Importance of the Measure Provide evidence for all applicable aspects of general importance: • Addresses … a known or suspected quality gap and/or disparity in quality (e.g., addresses a socioeconomic disparity … interested in knowing all settings, services, measure topics, and 10 populations that this measure addresses … Does the measure address this category? a. Care Setting – ambulatory: Yes. b. … This measure does not address the appropriateness of a prescribed medication delivery device for a
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
    April 01, 2018 - Importance of the Measure Provide evidence for all applicable aspects of general importance: • Addresses … a known or suspected quality gap and/or disparity in quality (e.g., addresses a socioeconomic disparity … are interested in knowing all settings, services, measure topics, and populations that this measure addresses … Does the measure address this category? a. Care Setting – ambulatory: Yes. b. … Therefore, the IRR was evaluated during Phase 1 at each site to address any reliability issues before
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-fullreport.pdf
    February 01, 2018 - Importance of the Measure Provide evidence for all applicable aspects of general importance: • Addresses … a known or suspected quality gap and/or disparity in quality (e.g., addresses a socioeconomic disparity … are interested in knowing all settings, services, measure topics, and populations that this measure addresses … Does the measure address this category? a. Care Setting – ambulatory: Yes. b. … Therefore, the IRR was evaluated during Phase 1 at each site to address any reliability issues before
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
    August 01, 2017 - Importance of the Measure Provide evidence for all applicable aspects of general importance: 4 • Addresses … a known or suspected quality gap and/or disparity in quality (e.g., addresses a socioeconomic disparity … are interested in knowing all settings, services, measure topics, and populations that this measure addresses … Does the measure address this category? a. Care Setting – ambulatory: Yes. b. … Therefore, the IRR was evaluated during Phase 1 at each site to address any reliability issues before
  17. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
    November 01, 2014 - entire project team might get together during the week after the RIE to go through completion items, address … Before describing outcomes according to these categories, we address two overarching themes that surfaced
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
    January 01, 2003 - interconnected parts of the health care delivery process—as opposed to approaches that seek mainly to address … organizations are responsible for providing the right conditions in which learning can occur.11 To address … affiliations School of Public Health, University at Albany, SUNY, (TJH), Albany Medical College, (HP, JB) Address
  19. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
    August 01, 2025 - of select disparities in pediatric safety events and identification of potential interventions to address … The results would provide the generic risks high frequency high harm to address and inform whether these … Certification:  Promoting Accountability and Learning After Adverse Events 2016–2020 $821,701 Purpose: Address
  20. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 16. Venous Thromboembolism Venous Thromboembolism 16-1 16. Venous Thromboembolism Eleanor Fitall, M.P.H., and Kendall K. Hall, M.D., M.S. Introduction Background Venous thromboembolism (VTE) is a disorder that includes deep vein thrombosis (DVT) and pulmonary embolism (PE). …

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