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461. Appendix 3: Data Abstraction (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
     June 24, 2022 - Appendix 3: Data Abstraction TableOfContent Table of content Abstraction of criteria from existing sources Sheet number [Click to go to specific sheet] Pearson et. al 2018, white paper 1 Duke Margolis 2017, white paper 2 International Society for Pharmacoepidemiology (ISPE) position paper 3 Berger et al…

462. Build a Business Case for Quality Improvement: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-fac-guide.html
     February 01, 2017 - Postoperative deep vein thromboses, patient falls, and adverse drug events also yield significant additional

463. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
     January 01, 2004 - The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis 121 The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis Robert L. Phillips, Susan M. Dovey, John S. Hickner, Deborah Graha…

464. Resources by National Action Plan Foundational Area | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/resources/foundational-area.html
     March 01, 2025 - Resources by National Action Plan Foundational Area Contents Culture, Leadership, and Governance Patient and Family Engagement Workforce Safety Learning Systems Culture, Leadership, and Governance AHRQ Patient Safety Net (PSNet) Primer: Safety Culture This resource provides an overview of patient safety culture…

465. Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
     January 01, 2004 - Impact of basic computerized prescribing on outpatient medication errors and adverse drug events.

466. Using Patient Complaints to Promote Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
     March 22, 2008 - patients to check their own records and monitor their care processes, and advising patients to report adverse … drug events.9 In addition, impressive national and international efforts to solicit patient perceptions

467. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
     April 01, 2011 - Common complications post-discharge include adverse drug events, hospital-acquired infections, and procedural … Patients prescribed high-risk medications or complex medication regimens may be at higher risk of adverse … drug events.4,6,8 • Inadequate preparation for discharge.

468. Manage-Resident-Uti-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
     June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Management of the Resident With a Suspected Urinary Tract Infection Long-Term Care Slide Title and Commentary Slide Number and Slide Management of the Resident With a Suspected Urinary Tract Infection Long-Term Care SAY: Welcome to the presentation titled “Man…

469. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/faq.html
     April 01, 2018 - up to 57 percent of patients on five or more medicines (called polypharmacy) are at greater risk for adverse … drug events.

470. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
     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 - Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation 437 Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation Mary V. Wideman, Michael E. Whittler, Timothy M. Anderson Abstract An electronic barcode medication administration sy…

471. Improving Patient Safety with the Military Electronic Health Record (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
     January 24, 2004 - Improving Patient Safety with the Military Electronic Health Record 23 Improving Patient Safety with the Military Electronic Health Record Marie-Jocelyne Charles, Bart J. Harmon, Pamela S. Jordan Abstract The United States Department of Defense (DoD) has transformed health care delivery in its use of infor…

472. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
     January 01, 2024 - Medication errors and adverse drug events in pediatric inpatients. … Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code-assisted medication

473. Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
     July 23, 2008 - Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Denise Angst, PhD, RN; Susan C. Echiverri, MD; Daniel Johnson, MD; David F. Soglin, MD; Gop…

474. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyref.html
     April 01, 2020 - Adverse drug reactions as cause of admission to hospital: prospective analysis of 18,820 patients. … Lessons from a patient partnership intervention to prevent adverse drug events.

475. Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
     July 01, 2003 - Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis 265 Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis John A. Savino, Jane Smeland, Ellen L. Flink, Angelo Ruperto, Amanda Hines, Thomas Sullivan, Kerri Galvin, Donald A. Risucci Abstract Objective:…

476. Technical Specifications and Chart Abstraction Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-tech-specs.pdf
     December 14, 2011 - Technical Specifications and Chart Abstraction Tool Age upon Age upon admission Patient ID Race Ethnicity Gender Payer Preferred Language admission (YEARS) [e.g. for 12.5 year (MONTHS) [ e.g. for 12.5 old, years = 12) year old, months = 6] 1 White Non-Hispanic Female Medicaid English 12 3 2 Black Non-his…

477. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
     January 01, 2005 - Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project 255 Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project Gordon D. Schiff, Seijeoung Kim, Richard Abrams, Karen Cosby, Bruce Lambert, Arthur S. Elstein, Scott Hasler, Nela Krosnjar, Richard…

478. Urine Culturing Stewardship in the ICU Setting Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
     April 01, 2022 - Urine Culturing Stewardship in the ICU Setting Facilitator Notes CAUTI Module: Urine Culturing Stewardship in the ICU Setting Facilitator Guide Slide Number and Image This module, titled “Urine Culturing Stewardship in the ICU Setting” is part of the Agency for Healthcare Research and Quality’s Safety Program …

479. Making Healthcare Safer Practices: 10. Harms Due to Opioids (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
     March 01, 2020 - Accordingly, in the National Action Plan for Adverse Drug Event Prevention, opioids are one of three … National Action Plan for Adverse Drug Event Prevention.Washington, DC: U.S.

480. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
     August 01, 2025 - Format criteria, are adverse events (e.g., falls, pressure injuries, infection, and medication errors/adverse … drug events, including inappropriate use).