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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/Singer.pdf
    April 01, 2003 - Lessons in Safety Climate and Safety Practices from a California Hospital Consortium 411 Lessons in Safety Climate and Safety Practices from a California Hospital Consortium Sara J. Singer, Kelly M. Dunham, Jennie D. Bowen, Jeffrey J. Geppert, David M. Gaba, Kathryn M. McDonald, Laurence C. Baker Abstract…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
    January 01, 2004 - Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology 323 Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology Jiajie Zhang, Vimla L. Patel, Todd R. Johnson, Philip Chung, James P. Turley Abstract Human errors in med…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
    January 01, 2004 - The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data 195 The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data William J. Rudman, Jessica H. Bailey, Carol Hope, Paula Garrett, C. Andrew Brown Abstract This paper examin…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
    May 06, 2008 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA; Christine P…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
    December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
    February 19, 2008 - Creating Safety in the Testing Process in Primary Care Offices Creating Safety in the Testing Process in Primary Care Offices Nancy C. Elder, MD, MSPH; Timothy R. McEwen; John M. Flach, PhD; Jennie J. Gallimore, PhD Abstract Background: The testing process in primary care is complex, and it varies from o…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
    March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs VHA’s National Falls Collaborative and Prevention Programs Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN; Julia Neily, MS, MPH; James P. Bagian, MD, PE Abstract Falls are a high-volume, high-cost problem in he…
  8. www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
    June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 3 Improving Patient Safety in Long-Term Care Facilities Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Module 3. Falls Prevention and Management Student Workbook These training materials were dev…
  9. www.ahrq.gov/research/findings/final-reports/iomracereport/reldatasum.html
    October 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Evidence of Disparities among…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_11_PPT_508.pptx
    January 01, 2008 - Strategy 1: Working with Patients & Families as Advisors (Tool 11) Insert hospital logo here Working With Patient and Family Advisors: Part 1. Introduction and Overview [Hospital Name | Presenter name and title | Date of presentation] Strategy 1: Working With Patient and Family Advisors Training (Tool 11) Guid…
  11. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
    October 01, 2020 - Sustainability Module: Facilitator Notes Slide 1: Sustainability Module Say: This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to augment the existing Spread module of the CUSP Toolkit while offering organization…
  12. www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
    July 01, 2021 - Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit Quality Improvement Strategies Previous Page Next Page Table of Contents Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit Introduction Overview About the Measure Key…
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap2.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Appendix: State Overviews (continued) Previous Page   Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program Section 2: Engagi…
  14. www.ahrq.gov/sites/default/files/2024-07/gallagher3-report.pdf
    January 01, 2024 - Final Progress Report: Training Doctors To Disclose Unanticipated Outcomes to Patients: Randomized Trial R01HS016506 Final Progress Report 12-26-13; Gallagher TH, PI. 1 Title Page Title of Project: Training Doctors to Disclose Unanticipated Outcomes to Patients: Randomized Trial Principal Investigator and Team M…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Sustainability Module Facilitator Notes SAY: This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to au…
  16. www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
    January 01, 2024 - Final Progress Report: Profiling the Needs of Dying Children FINAL PROGRESS REPORT Title of Project: Profiling the Needs of Dying Children Principal Investigator: Chris Feudtner, MD, PhD, MPH Organizations: The University of Washington (2000-2002) and The Children's Hospital of Philadelphia (2002-2006) Date…
  17. www.ahrq.gov/sites/default/files/2024-07/ferguson2-report.pdf
    January 01, 2024 - Final Progress Report: Distance Management of High-Risk Obstetrical Patients Project Title: Distance Management of High-Risk Obstetrical Patients Candice Ferguson, MSPH Woman’s Hospital, BR Project Director Stephanie Anderson, BS, CPA Woman’s Hospital, BR Investigator Kim Duplechain…
  18. www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
    January 01, 2024 - Final Progress Report: Chronic Care Technology Planning Project Chronic Care Technology Planning Project John M. Branscombe, Jr., MSB, Principal Investigator Team Members and Organizations: David Peterson, President/CEO, The Aroostook Medical Center, Presque Isle, Maine Joy Barresi-Saucier, RN, The Aroostook Medic…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
    December 01, 2017 - Facilitator Guide: Optimize Your Briefings and Debriefings Optimize Briefings and Debriefings – Facilitator Notes Slide Title and Commentary Slide Number and Slide Optimize Briefings and Debriefings SAY: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement …
  20. www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Technical Interventions To Prevent CAUTI Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Ove…

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