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  1. www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix A, Pt. 3 Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA Developm…
  2. www.ahrq.gov/sites/default/files/2025-03/lacson2-report.pdf
    January 01, 2025 - Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) Title: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) Principal Investigator: Ronilda Lacson, MD, PhD Team Members: Ramin Khorasani, MD, MPH Katherine Andriole, PhD Luciano Prevedello, MD, MPH Tejal …
  3. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/healthited-issuebrief.pdf
    February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments e PATIENT SAFETY Issue Brief 4 Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments This page intentionally left blank. e Issue Brief 4 Health I…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
    July 07, 2002 - Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work 279 Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work …
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
    April 01, 2004 - Patient Safety Executive Walkarounds 223 Patient Safety Executive Walkarounds Suzanne Graham, John Brookey, Catherine Steadman Abstract Since the release of the IOM report To Err Is Human in 1999, significant progress has been made in patient safety. One of the remaining challenges is the need to continually…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
    June 04, 2008 - Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Kenneth N. Dickerman, ACHA, AIA, FHFI; Paul Barach, BSc, MD, MPH Abstract There is growi…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
    April 23, 2004 - More clinics ban drug samples, citing cost, safety concerns.
  8. www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
    June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 1 Improving Patient Safety in Long-Term Care Facilities Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Module 1. Detecting Change in a Resident’s Condition Student Workbook These training materi…
  9. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Handouts: Pressure Ulcer Prevention Implementation   Implementation of the Prevention Reports Into Day-to-Day Practice Review of the Nursing Home's Pressure Ulcer Prevention Implementation Scripted Exercise #…
  10. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
    September 01, 2023 - NPSD Data Spotlight: Patterns of Fall Interventions Patterns of Fall Interventions NPSD Data Spotlight: This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: NPSD Data Spotlight: Patterns of Fall Interventions, 2023.…
  11. www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
    July 05, 2023 - The PRIDx framework to engage payers in reducing diagnostic errors in healthcare Mini Review Kisha J. Ali*, Christine A. Goeschel, Derek M. DeLia, Leah M. Blackall and Hardeep Singh The PRIDx framework to engage payers in reducing diagnostic errors in healthcare https://doi.org/10.1515/dx-2023-0042 Received April 9…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
    January 01, 2004 - Creating a Culture of Patient Safety through Innovative Hospital Design 425 Creating a Culture of Patient Safety through Innovative Hospital Design John G. Reiling Abstract When SynergyHealth, St. Joseph’s Hospital of West Bend, Wisconsin, decided to relocate and build an 82-bed acute care facility, we reco…
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/2.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 3. Specifications for Each Pressure Ulcer Prevention Report (continued) 3.2. Intervention History for Nutrition Risk Reports: High Risk and Medium Risk 3.2.1. Report Description The On-Time Intervention …
  14. www.ahrq.gov/research/findings/final-reports/index.html?page=21
    January 01, 2024 - Grantee Final Reports: Patient Safety Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety. The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
  15. www.ahrq.gov/research/publications/search.html?page=4
    November 01, 2020 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 41 - 50 of 191 Publications displayed Find Publications by Keyword or Topi…
  16. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-form.pdf
    June 01, 2021 - Four Moments of Antibiotic Decision Making Form AHRQ Safety Program for Improving Antibiotic Use Four Moments of Antibiotic Decision Making Form The purpose of this form is to help your team incorporate the Four Moments of Antibiotic Decision Making into daily practice at your facility. It may al…
  17. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-persily.pdf
    June 02, 2025 - Value and Efficiency Supplemental Items for Hospitals and Medical Offices - PERSILY 43 First Hand Experience: The AHRQ Hospital Value and Efficiency Item Set Cynthia Persily, PhD Chief Executive Officer Highland Hospital Charleston, West Virginia cpersily@highlandhosp.com 43 mailto:cpersily@highlandhosp.com …
  18. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.html
    March 01, 2017 - Appendix K. CAUTI Case Review Form AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Purpose The CAUTI Case Review Form is a performance improvement look-back tool that assists long-term care (LTC) facilities with identifying possible resident care issues that might have contributed to a cathet…
  19. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-group-innovations-improve-cr.pdf
    June 02, 2025 - TAKEheart Affinity Group: Innovations that Can Improve Your Cardiac Rehabilitation Program H i c h a m S k a l i , M D , M S c M a y 2 0 , 2 0 2 1 Welcome and Background Welcome and greetings from TAKEheart, AHRQ and CDC Update on status of TAKEheart: …
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-12-15-2022.docx
    January 01, 2022 - SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey Language: English Purpose: This supplemental item set was designed for use with the core SOPS® Medical Office Survey to help medical offices assess the exte…

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