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401. Envisioning Patient Safety in the Year 2025: Eight Perspectives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
     January 01, 2025 - Envisioning Patient Safety in the Year 2025: Eight Perspectives Envisioning Patient Safety in the Year 2025: Eight Perspectives Kerm Henriksen, PhD; Caitlin Oppenheimer, MPH; Lucian L. Leape, MD; Kirk Hamilton, FAIA, FACHA, MS; David W. Bates, MD, MSc; Susan Sheridan, MBA; Mark E. Bruley, CCE; David M. Gaba, MD;…

402. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/ref.html
     June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services References Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology Evaluation of…

403. Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
     January 01, 2024 - types of adverse events that commonly occur among hospitalized general medical patients, including adverse … drug events, hospital acquired infections, pressure ulcers, and falls.

404. Final Progress Report: (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
     January 01, 2024 - Final Progress Report: 1. TITLE PAGE Title of Project: Communication Processes, Technology, and Patient Safety in Ambulatory Oncology Settings Principal Investigator: Christopher R. Friese, PhD, RN, AOCN®, FAAN Team Members: Louise Bedard, MSN, MBA Alex J. Fauer, PhD, RN, OCN® Jennifer J. Griggs, MD, MPH, FAC…

405. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
     July 01, 2018 - Incidence of adverse drug events and potential adverse drug events. JAMA . 1995;274(1):29-34.

406. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
     May 05, 2008 - Preventable adverse drug events in hospitalized patients: A comparative study of intensive care and

407. Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
     January 01, 2024 - voluntary reporting systems capture just 1% to 10% of all actual errors33,34 and just 1% to 5% of adverse … drug events.35 In addition to this low capture rate, comparisons of error rates generated from voluntary … Identifying adverse drug events: Development of a computer-based monitor and comparison with chart review … Computerized surveillance of adverse drug events in hospital patients. … Relationship between medication errors and adverse drug events.

408. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-ref.html
     May 01, 2023 - Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a

409. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/sands.html
     August 01, 2017 - Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home Kenneth E.F.

410. Universal ICU Decolonization Protocol Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-overvw.html
     September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Universal ICU Decolonization Protocol Overview Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale Referenc…

411. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
     March 10, 2008 - Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium Hude Quan, MD, PhD; Saskia Drösler, MD; Vijaya Sundararajan, MD, MPH, FACP; Euge…

412. Strategy 4: IDEA Discharge Planning (Tool 1) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
     January 01, 2010 - three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications

413. Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
     January 01, 2010 - of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications

414. Multiple Settings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/multiple/index.html
     August 01, 2023 - Multiple Settings Tools for Health Care Organizations Calibrate Dx is a self-evaluation tool for clinicians to improve their diagnostic decision making. This resource provides structured exercises and tools to help clinicians learn from reviewing their clinical practice. Anyone whose scope of practice includ…

415. AHRQ Safety Program for Perinatal Care: Safe Medication Administration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
     May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration AHRQ Safety Program for Perinatal Care Safe Medication Administration AHRQ Publication No. 17-0003-19-EF May 2017 SAY: The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and d…

416. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/crane.html
     August 01, 2017 - Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home Steven Crane, Phillip D Sloane

417. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
     December 01, 2020 - MPSMS is composed of 21 measures representing six types of adverse drug events (ADEs); six types of … drug events 2004-2007 and 2009-2017 ADE - IV Heparin Adverse drug events 2004-2007 and 2009-2017 ADE … - Low Molecular Weight Heparin Adverse drug events 2004-2007 and 2009-2017 ADE - Warfarin Adverse drug … events 2004-2007 and 2009-2017 Catheter-Associated Urinary Tract Infection Infection 2005-2007 and … Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a

418. Universal ICU Decolonization Protocol Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-overvw.html
     September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Universal ICU Decolonization Protocol Overview Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale Referenc…

419. Measure Descriptions for Daily Early Mobility: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-slides.html
     February 01, 2017 - Measure Descriptions for Daily Early Mobility: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Measure Descriptions for Daily Early Mobility Slide 2: Learning Objectives After this session, you will be able…

420. Table 5. Evidence Supporting Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-section-5-table-5.pdf
     April 01, 2014 - Table 5. Evidence Supporting Emergency Department Pain Assessment for Children With Sickle Cell Disease Q‐METRIC SCD Measure 16, ED Pain Assessment U18HS020516 Page 1 Submitted April 2014 Table 5: Evidence Supporting Emergency Department Pain Assessment for Children with Sickle Cell Disease Type of Evi…