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www.ahrq.gov/downloads/pub/advances/vol2/pace.pdf
January 01, 2004 - Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative
63
Developing a Taxonomy for Coding
Ambulatory Medical Errors: A Report
from the ASIPS Collaborative
Wilson D. Pace, Douglas H. Fernald, Daniel M. Harris,
L. Miriam Dickinson, Rodrigo Araya-Guerra, Elizabeth W. …
-
www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf
January 01, 2024 - Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program
Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program
Principal Investigator: David J. Taber, PharmD, MS, BCPS
Professor
Medical University of South Carolina
Department of Surgery
96 J…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Becker_3.pdf
January 09, 2008 - The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place
The Potential of Hand-held Assistive Technology to
Improve Safety for Elder Adults Aging in Place
Shirley Ann Becker, PhD, MS; Frank M. Webbe, PhD
Abstract
Objective: We report on the first in-home test of “Buddy…
-
www.ahrq.gov/sites/default/files/2025-02/kleinman2-report.pdf
January 01, 2025 - Final Progress Report: Improving Implementation and QI Research with Regression Risk Analysis
Title Page
Title: Improving Implementation and QI Research with Regression Risk Analysis
Principal Investigator: Lawrence C. Kleinman, MD, MPH
Key Team Members: Edward C. Norton, PhD
Jason Wang, PhD
Kasey Coyne
Morgen …
-
www.ahrq.gov/sites/default/files/2024-01/soumerai-report.pdf
January 01, 2024 - Final Progress Report: RCT to Reduce Prescribing Errors in Hypertension
Principal Investigator: Soumerai, Stephen B.
AHRQ GRANT FINAL PROGRESS REPORT
RCT TO REDUCE PRESCRIBING ERRORS IN HYPERTENSION
Principal Investigator: Stephen B. Soumerai, ScD
Team Members:
Ken Kleinman, ScD
Sumit R. Majumdar, MD, MPH
I…
-
www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
January 01, 2024 - Final Progress Report: Putting a Face on Hospital Medical Errors: Communication
FINAL REPORT
Putting a Face on Hospital Medical Errors:
Communication
Project funded by:
Agency for Healthcare Research and Quality
Grant No. 1R03HS016122-01
September 29, 2005-September 30, 2006
Federal Project Officer: Elizabeth D…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/CaseStudyPatientExperience_July2011FINAL_revised20110728.pdf
July 01, 2011 - A Tale of Three Practices: How Medical Groups are Improving the Patient Experience
1
CASE STUDY
A Tale of Three Practices: How Medical
Groups are Improving the Patient Experience
July 2011
Introduction
Medical practices are facing increasing pressure to improve their patient experience
survey scores…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
December 01, 2017 - Surgical Complication Prevention Guide
AHRQ Safety Program for Surgery
Surgical Complication Prevention Guide
AHRQ Publication No. 16(18)-0004-13-EF
December 2017
AHRQ Safety Program for Surgery Surgical Complication
Prevention Guide
Contents
Introduction .................................................…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
July 01, 2023 - Implementing the _x000b_SPPC-II Teamwork Toolkit - PowerPoint Presentation
Implementing the
SPPC-II Teamwork Toolkit
Module 7 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 7 of the SPPC-II Teamwork Toolkit. In this module, we’ll discuss tactics and …
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
July 01, 2023 - Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation
Implementing the
SPPC-II Teamwork Toolkit
Module 7 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 7 of the SPPC-II Teamwork Toolkit. In this module, we’ll discuss tactics and plannin…
-
www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
January 01, 2024 - Final Progress Report: A Memory-Based Approach to Reducing Medication Errors
A Memory-Based Approach to Reducing
Medication Errors
Project Final Report
June 26th, 2023
Principal Investigator:
Sadaf Kazi, PhD
Team Members:
Raj Ratwani, PhD
Ella Franklin, MSN, RN
Deanna-Nicole Busog
Organization:
MedSta…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-fracture-booklet.pdf
November 01, 2023 - Recovering After Hip Fracture Surgery
Recovering After Hip
Fracture Surgery
e
Hip Fracture Surgery Patient Education Guide 1
Recovering After Hip Fracture Surgery
Patient Name ___________________________________________________________________
Surgeon Name _________________________________________________…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
January 01, 2004 - Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative
63
Developing a Taxonomy for Coding
Ambulatory Medical Errors: A Report
from the ASIPS Collaborative
Wilson D. Pace, Douglas H. Fernald, Daniel M. Harris,
L. Miriam Dickinson, Rodrigo Araya-Guerra, Elizabeth W. …
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd.pdf
November 01, 2023 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Healthcare Facility Design
1
PATIENT
SAFETY
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Healthcare Facility Design
Overview
Research has shown that optimizing the physical, function…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
January 01, 2004 - Methodological Challenges in Describing Medication Dosing Errors in Children
213
Methodological Challenges in Describing
Medication Dosing Errors in Children
Heather McPhillips, Christopher Stille, David Smith, John Pearson,
John Stull, Julia Hecht, Susan Andrade, Marlene Miller, Robert Davis
Abstract
Alth…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
January 01, 2003 - Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting
173
Development of a Computerized
Adverse Drug Event (ADE) Monitor
in the Outpatient Setting
Andrew C. Seger, Tejal K. Gandhi, Carol Hope,
J. Marc Overhage, Michael D. Murray, David Weber,
Julie Fiskio, Evgenia Teal,…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors
483
A Conceptual Model for
Disclosure of Medical Errors
Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus,
Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger
Abstract
Objective: Patient safety is fundamental to high-quality patient…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS)
325
Developing a Taxonomy of Anesthetists’
Nontechnical Skills (ANTS)
Rona Patey, Rhona Flin, Georgina Fletcher,
Nicola Maran, Ronnie Glavin
Abstract
Safety research in high-reliability industries, such as aviation, has clearly shown
that t…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carayon.pdf
February 01, 2005 - An Employee Questionnaire for Assessing Patient Safety in Outpatient Surgery
461
An Employee Questionnaire
for Assessing Patient Safety
in Outpatient Surgery
Pascale Carayon, Carla J. Alvarado, Ann Schoofs Hundt, Scott Springman,
Amanda Borgsdorf, Peter L.T. Hoonakker
Abstract
This paper provides informa…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
April 04, 2008 - A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care
A Visual Computer Interface Concept for Making
Error Reporting Useful at the Point of Care
Ranjit Singh, MA, MB, BChir (Cantab.), MBA; Wilson Pace, MD; Ashok Singh, MA, MB,
BChir (Cantab); Chester Fox, MD; Gurdev Singh, MSc…