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8141. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
      January 01, 2002 - Making Information Technology a Team Player in Safety: The Case of Infusion Devices 319 Making Information Technology a Team Player in Safety: The Case of Infusion Devices Christopher Nemeth, Mark Nunnally, Michael O’Connor, P. Allan Klock, Richard Cook Abstract Objective: To fulfill the promise of infor…

8142. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
      March 31, 2008 - Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative David R. West, PhD; Wilson D. Pace, MD; L. Miriam Dickinson, PhD; Daniel M. H…

8143. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
      January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program 223 Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner Abstract The U.S. Food and…

8144. Meeting Minutes, November 2017 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
      February 01, 2018 - Meeting Minutes, November 2017 National Advisory Council Minutes from the November 3, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 26, 2017, Summary Report Director's Update The Healthcare Cost and Ut…

8145. Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/section5part2.html
      January 01, 2020 - Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2) Contents On Page 1 of 2: 5.A. Analyze CAHPS Survey Results 5.B. Analyze Other Sources of Information for Related Information Page 2 of 2: 5.C. Evaluate the Process of Care Delivery 5.D. Gather Input From Stakeh…

8146. Addressing Violence in the Workplace Chat Conversation: NAA June 2023 Webinar (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-chat-062723.pdf
      June 27, 2023 - Addressing Violence in the Workplace Chat Conversation: NAA June 2023 Webinar National Action Alliance Summer Webinar – Addressing Violence in the Workplace Chat Conversations, June 27, 2023 from Jade Perdue to everyone: 1:51 PM Welcome to the second call of the National Action Alliance Summer Webinar Series …

8147. Chartbook on Effective Treatment: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment-slides.html
      April 01, 2018 - estimates over time, log-linear regression is used to calculate average annual percentage change and to assess

8148. Pilot Study Results From the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental Item Set for Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/NH-WPS-Pilot-Study-Overall-Results-2023.pdf
      January 01, 2023 - grouped into six composite measures (a composite measure consists of two to four survey items that assess

8149. Brain Based Learning Strategies to Improve TeamSTEPPS® Deployment and Health Care High Reliability | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps/events/webinars/jan-2017.html
      January 01, 2017 - Brain Based Learning Strategies to Improve TeamSTEPPS® Deployment and Health Care High Reliability   Contents Slide 1. Brain Based Learning Strategies to Improve TeamSTEPPS® Deployment and Health Care High Reliability Slide 2. Rules of Engagement Slide 3. Upcoming TeamSTEPPS Events Slide 4. Contact Us Slide 5…

8150. Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting (pdf file)
      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,…

8151. Methodological Challenges in Describing Medication Dosing Errors in Children (pdf file)
      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…

8152. Best Practices for Treating Long COVID Summit: Summary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/covid-19/long-covid-summit-report.pdf
      February 27, 2023 - Best Practices for Treating Long COVID Summit: Summary Report                     Best Practices for Treating Long COVID Summit Summary Report February 27, 2023 Prepared for Agency for Healthcare Research and Quality U.S. Department of Hea…

8153. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication-references.html
      July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act References Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. Da…

8154. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfhandbook/Mod17App.pptx
      June 20, 2013 - Slide 1 Workflow mapping: a tool for achieving meaningful use Center for Excellence in Primary Care UCSF Department of Family and Community Medicine Tom Bodenheimer, MD 1 Goals Explain workflow mapping Discuss why workflow mapping is useful prior to and after EHR implementation Demonstrate how to create workflow…

8155. Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
      September 01, 2015 - Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings Primary Care Practice Facilitation Curriculum Module 22: Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings Agency for Healthcare Research and Quality Advancing Excellence in Heal…

8156. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2024 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-ptI.pdf
      January 01, 2024 - Note: Composite measures are composed of two to four survey items that assess the same area of patient

8157. TeamSTEPPS 2.0 Module 1: Introduction
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule1.pptx
      January 01, 2011 - TeamSTEPPS 2.0 Module 1: Introduction Module 1: Introduction Online Master Trainer Course Welcome to the Welcome to the TeamSTEPPS Master Trainer course. As you will soon realize, this introduction module sets the stage for the entire course. Please select the forward arrow in the lower right corner to begi…

8158. Presentation: Auditing Your Briefings and Debriefings
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
      December 01, 2017 - Presentation: Auditing Your Briefings and Debriefings Auditing Your Briefings and Debriefings Process AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Implementation SAY: Let’s continue our discussion around briefings and debriefings. T…

8159. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
      November 30, 2013 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits Training Introduction to Preventable Hospital and ED Visits Reports Preventable Hospital and ED Visits Electronic Reports Electronic Reports Transfer Risk Report – High Risk Transfer Risk Report – Medium Ris…

8160. Serious Reportable Adverse Events in Health Care (pdf file)
      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…