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  1. www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
    January 01, 2025 - Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events Principal Investigator: Hardeep Singh Team Members: Andrew J. Zimolzak, MD, MMSc1, D…
  2. www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html
    March 01, 2021 - and members of the public to identify promising findings for dissemination and implementation in the clinic
  3. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
    January 01, 2024 - 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices Prepared for: Agency for Healthcare Research and Qual…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
    April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care Minding the Gaps: Creating Resilience in Health Care Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD; Richard Cook, MD Abstract Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
    February 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive Care Unit Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD Abstract Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas where errors occur frequently is t…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
    March 01, 2016 - setup and login) To ensure that patient needs are met and that patients flow smoothly through the clinic
  7. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
    November 01, 2014 - For example, in a small outpatient clinic, the number of staff involved on the project team would require … that the clinic shut down.
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-118-fullreport.pdf
    October 01, 2016 - Distribution of Temperatures for Low Birth Weight Neonates Distribution of Temperatures for Low Birth Weight Neonates Section 1. Basic Measure Information 1.A. Measure Name Distribution of Temperatures for Low Birth Weight Neonates Admitted to Level 2 or Higher Nurseries in the First 24 Hours of Life 1.B. Mea…
  9. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdf
    December 31, 2015 - Pediatric All-Condition Readmission Measure Pediatric All-Condition Readmission Measure Section 1. Basic Measure Information 1.A. Measure Name Pediatric All-Condition Readmission Measure 1.B. Measure Number 0129 1.C. Measure Description Please provide a non-technical description of the measure that conveys…
  10. www.ahrq.gov/news/blog/index.html
    January 01, 2016 - Blog Insights on research and evidence to inform sound health policy and clinical care decisions AHRQ Views   AHRQ leaders write blog posts that draw from Agency data and research to explore changes in the U.S. health system. Blog posts examine how AHRQ-supported evidence makes health care safer, higher qu…
  11. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide01.html
    October 01, 2014 - 1. Treating Tobacco Use and Dependence: 2008 Update Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. U.S. Public Health Service Clinical Practice Guideline August 2009 Image: This and all following slides have the abbreviation PHS (Public Health Service) next to a s…
  12. www.ahrq.gov/hai/cusp/videos/04a-science-safety/index.html
    June 01, 2018 - Understand the Science of Safety The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. Understand the Science of…
  13. www.ahrq.gov/hai/cusp/videos/02e-phys-engagement/index.html
    June 01, 2018 - Physician Engagement CUSP Toolkit The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. Physician Engagement …
  14. www.ahrq.gov/hai/cusp/videos/01a-intro/index.html
    June 01, 2018 - Introduction The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. Learn About CUSP [10 min. 10 sec.] YouTube…
  15. www.ahrq.gov/hai/cusp/videos/11d-idealdischarge/index.html
    June 01, 2018 - IDEAL Discharge The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. IDEAL Discharge [3 min. 30 sec.] YouTube…
  16. www.ahrq.gov/hai/cusp/videos/10a-spread/index.html
    June 01, 2018 - Spread CUSP Toolkit The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. Spread [11 min. 55 sec.] YouTube …
  17. www.ahrq.gov/nursing-home/resources/covid-19-vaccination-education-toolkit.html
    May 01, 2022 - COVID-19 Vaccination Education Toolkit Resource: COVID-19 Vaccination Education Toolkit This toolkit provides a variety of educational resources and promotional materials related to COVID-19 vaccination. Source: AMDA Topic(s): Infection Control & Prevention; Vaccination; Leadership & Management Audi…
  18. www.ahrq.gov/nursing-home/resources/qapi-glance.html
    February 01, 2021 - QAPI at a Glance Resource: QAPI at a Glance  (PDF, 1.5 MB) This guide explains the principles of quality assurance and performance improvement (QAPI) and provides step-by-step guidance to help staff implement QAPI in nursing homes. Source: CMS Topic(s): Leadership & Management Audience(s): Manager…
  19. www.ahrq.gov/nursing-home/resources/respirator-on-off-poster.html
    June 01, 2022 - Respirator On, Respirator Off Poster Resource: Respirator On, Respirator Off Poster This poster demonstrates the step to properly put on and take off a respirator to protect yourself from COVID-19. Source: CDC Topic(s): PPE, Infection Control & Prevention Audience(s): Clinical Leaders, Clinicians, N…
  20. www.ahrq.gov/nursing-home/resources/slow-the-spread.html
    August 01, 2022 - Slow the Spread of COVID-19 Resource: Slow the Spread of COVID-19 This flyer reinforces the importance of following safety guidelines to stop the spread of COVID-19 both at work and home. Source: CDC Topic(s): Vaccination Audience(s): Managers; Clinical Leaders; Clinicians; Nursing Assistants and Te…

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