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www.ahrq.gov/patient-safety/reports/advances/index.html
July 01, 2022 - Advances in Patient Safety
Next Page
Table of Contents
Advances in Patient Safety
Acknowledgments
Preface
Peer Reviewers for Volume 1. Research Findings
Peer Reviewers for Volume 2. Concepts and Methodology
Peer Reviewers for Volume 3. Implementation Issues
Peer Reviewers for Volume 4. Pro…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/laparotomy-patient.pdf
November 01, 2023 - Recovering After Emergency Laparotomy
Recovering After
Emergency Laparotomy
e
Emergency Laparotomy Patient Education Guide 1
Recovering After Emergency
Laparotomy
Patient Name ___________________________________________________________________
Surgeon Name ________________________________________________…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/147-implementation-guide.pdf
April 01, 2025 - Implementation Guide: MRSA and SSI Prevention
AHRQ Safety Program for MRSA
Prevention: Targeting SSI
Implementation Guide:
MRSA and SSI Prevention
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Introduction
Setting up or improving a methicillin-resistant Stap…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
June 03, 2021 - Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5
PATIENT
SAFETY
e
Issue Brief 5
Leadership To Improve Diagnosis:
A Call to Action
e
Issue Brief 5
Leadership To Improve Diagnosis:
A Call to Action
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/mhs/cahps-outpatient-mental-health-guidance.pdf
December 01, 2024 - Preparing a Questionnaire Using the CAHPS Clinician & Group Survey
UPDATED AUGUST 2024
Guidelines for Using the CAHPS®
Outpatient Mental Health Survey
Introduction ............................................................................................ 1
Section 1: Preparing Your Organization’s Survey Instr…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
March 27, 2025 - Healthcare Safety Competencies Affinity Group Environmental Scan
Page 1 of 15
Healthcare Safety Competencies Affinity Group
Environmental Scan, Resources, and Strategies version 4.7.2025
Table of Contents
Background ...............................................................................................…
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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:…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
January 25, 2008 - Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy
Mapping a Large Patient Safety Database to the
2005 Patient Safety Event Taxonomy
John R. Clarke, MD; Janet Johnston, MSN, JD; Monica Davis, MSN, MBA;
Arthur J. Augustine, BS; Matthew Grissinger, RPh; Michael J. Gaunt, PharmD;
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
January 01, 2004 - Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety
151
Standardizing Ambulatory Care
Procedures in a Public Hospital
System to Improve Patient Safety
Myra A. Kleinpeter
Abstract
The Medical Center of Louisiana at New Orleans (MCLNO) provides care to
primarily in…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
January 01, 2007 - Voluntary Adverse Event Reporting in Rural Hospitals
Voluntary Adverse Event Reporting in Rural Hospitals
Charles P. Schade, MD, MPH; Patricia Ruddick, MSN, APRN-BC;
David R. Lomely, BS; Gail Bellamy, PhD
Abstract
Since 2004, we have managed a voluntary Web-based medical adverse event (AE) reporting
system …
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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…
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www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
January 01, 2024 - Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network
AHRQ Final Progress Report:
Investigating Failures of Notification and Monitoring in Outpatient Care:
the Safety Promotion Action Resea…
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www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
January 01, 2024 - Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals
Implementing a Program of Patient Safety in Small,
Rural Hospitals
Principal Investigators
Katherine J. Jones, PhD, PT, January 2007 – June 20071
Keith J. Mueller, PhD, July 2005 – December 20061
Team Members
Anne Skinn…
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www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
January 01, 2025 - Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project
Title:
Cook County & Rush Developmental Center for Research in Patient Safety:
Diagnosis Error Evaluation and Research (DEER) Project
Principal Investigator:
Gordon …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-6b.pdf
January 01, 2013 - Section 6.B, Validity and Reliability
SECTION VI.
SCIENTIFIC SOUNDNESS OF THE MEASURE
VALIDITY
VI.B.1 “Informing” Coverage through the natural experiment of appendicitis
Administrative data from the Medicaid Analytic eXtract (MAX) is the primary data source for
states or government agencies wishing to as…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
September 01, 2021 - 1
TAKEheart Data Implementation Guide – Module 4
Preparing and Understanding Your Data to Support Systems Change
Table of Contents
This document is hyperlinked to facilitate ease of access to the information contained inside.
Press “ctrl” and click on the links below to access the desired section. Clicking o…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-21-leadership.pdf
September 01, 2015 - Working With and Supporting Practice Leaders
Primary Care
Practice Facilitation
Curriculum
Module 21: Working With and Supporting Practice Leaders
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/redtoolkitforms.docx
September 01, 2012 - Re-Engineered Discharge Toolkit
Samples and Forms
6
Sample After Hospital Care Plan (AHCP)
**Bring This Plan to ALL Appointments**
After Hospital Care Plan for:
Oscar Sanchez
Discharge Date: August 1, 2012
TRY TO QUIT SMOKING: Call Jon Doe at (555) 555-3344 at ABC Medical Center.
Question or Problem with this …