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2601. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
      January 01, 2003 - Wolf, Stuart Boxerman, Deborah Grayson, Jennifer Sledge, Clay Dunagan, Bradley Evanoff Abstract Health … Nurses are responsible for the daily monitoring and management of the quality of health care delivered … Author affiliations PBJC Health Care, St. Louis (PP, LW, JS). … To err is human: building a safer health system. … The effect of health care working conditions on patient safety.

2602. Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-fullreport.pdf
      January 01, 2020 - of health care and increased risk for adverse health outcomes. … their health … health IT system? … Health Information Technology 11.A. Health IT Enhancement 11.B. Health IT Testing 11.C. … Health IT Workflow 11.D. Health IT Standards 11.E. Health IT Calculation 11.F.

2603. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
      September 01, 2015 - Then, proper insertion includes the health care worker (1) performing hand hygiene before contact with … Eliminating nosocomial infections at Ascension Health: preventing catheter-related blood stream infections … Health Research & Educational Trust Marcia Cooke, D.N.P., R.N. … It is based on two previous documents prepared for the Partnership for Patients Ascension Health Hospital … Department of Health and Human Services.

2604. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
      September 01, 2015 - Then, proper insertion includes the health care worker (1) performing hand hygiene before contact with … Eliminating nosocomial infections at Ascension Health: preventing catheter-related blood stream infections … Health Research & Educational Trust Marcia Cooke, D.N.P., R.N. … It is based on two previous documents prepared for the Partnership for Patients Ascension Health Hospital … Department of Health and Human Services.

2605. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
      September 01, 2015 - Then, proper insertion includes the health care worker (1) performing hand hygiene before contact with … Eliminating nosocomial infections at Ascension Health: preventing catheter-related blood stream infections … Health Research & Educational Trust Marcia Cooke, D.N.P., R.N. … It is based on two previous documents prepared for the Partnership for Patients Ascension Health Hospital … Department of Health and Human Services.

2606. Final Progress Report: EMR Planning To Improve North Iowa Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
      January 01, 2024 - Community Health • Thomas Lee, RN, MPA, CEO, Palo Alto County Health System • Betty Mallen, RN, … Information Services • Lois Reinhart, ART, Health Information Management Director, Regional Health … In 2003, we received a Rural Health Care Network grant award from the HRSA Office of Rural Health Care … , Osage • Palo Alto County Health System, Emmetsburg • Regional Health Services of Howard County, Cresco … Trinity Health (Trinity Health, the corporate owner of MMC-NI, participated in Step 5.) 4.

2607. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
      January 01, 2004 - Neither language nor health literacy was associated with visual discordance. … percent) had marginal health literacy, and 69 (39 percent) had adequate health literacy. … Similarly, patients with inadequate health literacy were more likely than patients with adequate health … Development of a brief test to measure functional health literacy. … University of California, San Francisco Institute for Health & Aging.

2608. Survey Codebook Summaries (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-summaries.pdf
      September 01, 2014 - Health; September 2014. … Health; September 2014. … Health; September 2014. … Health; September 2014. … Health; September 2014.

2609. IV. Evaluation Aims, Methods, and Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/eval4.html
      May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient … and Results Previous Page Next Page Table of Contents Developing and Testing the Health … To document and report on the experience of health care organizations and health care professionals who … Promoting patient and family engagement as a method of building safe health care. … We need to hear about many health care experiences and concerns.

2610. AHRQ Hospital Pilot Study Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
      November 01, 2017 - Department of Health and Human Services. … Because the survey items assess aspects of organizational culture in health care organizations, AHRQ … attitudes and actions are appropriate when reducing waste and improving the value and efficiency of health … Surgical Unit 320 8% Rehabilitation/Physical Medicine 247 6% Emergency Department 194 5% Psychiatry/Behavioral … Health 164 4% Labor and Delivery/Obstetrics and Gynecology 155 4% Medical Unit (Nonsurgical) 146 4%

2611. AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.pdf
      November 01, 2017 - Department of Health and Human Services. … Because the survey items assess aspects of organizational culture in health care organizations, AHRQ … attitudes and actions are appropriate when reducing waste and improving the value and efficiency of health … Surgical Unit 320 8% Rehabilitation/Physical Medicine 247 6% Emergency Department 194 5% Psychiatry/Behavioral … Health 164 4% Labor and Delivery/Obstetrics and Gynecology 155 4% Medical Unit (Nonsurgical) 146 4%

2612. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/org_embrace-slides/Organizational-Embrace-of-CUSP-to-Improve-Patient-Safety-Mar-20-2012-508.ppt
      January 01, 2012 - Vice President Quality and Care Management Sean Maxwell, Lead Angiography Technician Upper Chesapeake Health … Interventional radiology CUSP Resilience Connecting the dots * Holy Cross Hospital Member of Trinity Health … Communication Staff Retention Patient Safety CUSP Teams Just Culture Upper Chesapeake Health … VP, COO Judi Webster, RN, BSN, PI Patient Safety Coordinator * * Upper Chesapeake Health Maryland

2613. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
      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 - Author affiliations School of Health Information Sciences, University of Texas Health Science Center … Address correspondence to: Jiajie Zhang; The University of Texas School of Health Information Sciences … Department of Health and Human Services, Public Health Service, Food and Drug Administration, Center … for Devices and Radiological Health: Washington, DC; 1996. 11. … Health Devices 2002;31(10). 14. Zhang J, Patel VL, Johnson KA, et al.

2614. Patient Safety Research in Medical Group Practices: Measurement and Data Challenges (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
      December 01, 2004 - Some health care processes can tolerate a certain number of errors. … Wilson; Division of Health Services Research and Policy, School of Public Health, University of Minnesota … To err is human: building a safer health system. … National Center for Health Statistics. Advance data, No. 305NCHS. … Health maintenance organizations: dimensions of performance.

2615. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults-references.html
      September 01, 2024 - Public transportation in the U.S.: a driver of health and equity. Health Aff 2021 Jul 29.  … Ageism in mental health and health care: a critical review. … Health Affairs Forefront 2021 Sep 29. … My Health Checklist. 2024.  … National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health

2616. Module-7-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-implementation-guide.pdf
      June 02, 2025 - steps you can take to troubleshoot a successful automatic referral (AR) order set for your hospital/health … to a safe and effective health care system." … Qualis Health. … Health Data Storytelling. "From Numbers to Narrative." … Lake Regional Health System. " Car diopulmonary Rehabilitation - Presentation for Board of Trustees

2617. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
      June 02, 2025 - electronic medical record (EMR) for falls prevention but have access to On-Time Falls Prevention from their health … populated on the report to ensure that data on the report agree with staff knowledge of residents’ health

2618. Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
      January 01, 2024 - Qual Saf Health Care 2005; 14: 295-302. 7. … Child Health Corporation of America (CHCA) http://www.chca.com/company_profile/index.htmlAmerica 13

2619. Facilitator Guide: Implementing Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
      December 01, 2017 - Department of Health and Human Services Slide 9 Barrier Identification and Mitigation ASK: How do … This is true across many organizations, but especially true in health care.

2620. Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
      October 01, 2020 - Department of Health and Human Services. … This is true across many organizations, but especially true in health care.