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www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
January 01, 2025 - ED are medically
unnecessary. 8
Although definitive national data do not exist, medical errors and complications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
April 01, 2004 - rare that most parents (and, increasingly,
providers) are no longer familiar with their risks and complications
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www.ahrq.gov/patient-safety/reports/hotline/design2.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
II. Hotline Design and Development
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
December 01, 2017 - Sustaining Change Webinar Transcript
April 14, 2015
Operator: The following is a recording for [Cathy Drury 00:00:02], with the American Hospital Association in Chicago, for the April National Conference 00:00:06 call on Tuesday, April 14, 2015 at 11 a.m. Central Time. Excuse me everyone. We now have all of …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
April 14, 2015 - April 14, 2015
Sustaining Change
Speaker 1: The following is a recording for [Cathy Drury 00:00:02], with the American Hospital Association in Chicago, for the April National conference 00:00:06 call on Tuesday, April 14, 2015 at 11 a.m. central time. Excuse me everyone. We now have all of our speakers in conference. P…
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www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
January 01, 2024 - Final Progress Report: Quality Care and Error Reduction in Rural Hospitals
Principal Investigator: Cook, Ann F.
Title of the Project: Quality Care and Error Reduction in Rural Hospitals
Principal Investigator: Ann Cook, Ph.D.
Co-investigator: Helena Hoas, Ph.D.
Team Member: Katarina Guttmannova, Ph.D.
Organizat…
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www.ahrq.gov/sites/default/files/2024-07/col-report.pdf
January 01, 2024 - Final Progress Report: Incorporating Temporary Health States into Decision Support
AHRQ Grant Final Progress Report
Title Page
Title of Project: Incorporating Temporary Health States into Decision Support
Final Report submitted by:
Maine Medical Center
22 Bramhall Street
Portland, ME 04102
Principal Investigator…
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www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home
Project Title: Enhancing the Safety of Warfarin in the Nursing Home
Principal Investigator: Jerry H. Gurwitz, MD
Principal Team Members: Jerry Gurwitz, MD; Terry S. Field, DSc; Jennifer Tjia, MD,
MSCE; Kathleen M. Mazor, EdD; Leslie R. Ha…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
July 01, 2018 - Guide to Patient and Family Engagement
Methods (continued, 2)
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Next Steps
References
Appendix A: Draft K…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
January 12, 2021 - Six Building Blocks How-To-Implement Toolkit: Fast Track Approach Guide
A Team-Based Approach to Improving
Opioid Management in Primary Care
Table of Contents
Introduction ......................................................................................................................................1
W…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 4, Emerging Trends in Care Coordination Measurement
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors?
53
Do Transient Working Conditions
Trigger Medical Errors?
Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf,
Clay Dunagan, Gary Sorock, Bradley Evanoff
Abstract
Objective: Organizational factors affecting working conditions for health …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator
395
From Insight to Implementation:
Lessons from a Multi-site Trial of
a PDA-based Warfarin Dose Calculator
Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth,
Debora A. Paterniti, William Dager, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
January 01, 2004 - “Near-miss” Reporting System Development and Implications for Human Subjects Protection
181
“Near-miss” Reporting System
Development and Implications
for Human Subjects Protection
Harvey J. Murff, Daniel W. Byrne, Paul A. Harris,
Daniel J. France, Christa Hedstrom, Robert S. Dittus
Abstract
Background: R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
April 23, 2008 - Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement
Role of the External Coach in Advancing Research
Translation in Hospital-Based
Performance Improvement
Nancy Donaldson, RN, DNSc, FAAN; Dana Rutledge, RN, PhD; Kristin Geiser, PhD
Abstract
The Califo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
January 01, 2017 - to 2013, the CDC National Healthcare Safety Network (NHSN) surveillance for ventilator-
associated complications … based on objective, streamlined, and automatable criteria, and is more broadly
focused on preventable complications … surveillance definitions marked a strong first
step toward recognizing the short-term preventable complications … Putting a name and face to the significant complications went a long way to
engage our nursing staff … Multicenter evaluation of a novel surveillance
paradigm for complications of mechanical
ventilation
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - In fact, many of these non-infectious catheter-associated complications are at least as common as clinically … I think it’s important to consider both the infectious as well as the non-infectious complications of … The complications in yellow are actually targeted by the Partnership for Patients. … CAUTI rates, but also can decrease the complication, decrease the rates of other hospital acquired complications … of reducing the CAUTI rate, but also some spill-over benefits in terms of potentially reducing other complications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - In fact, many of these non-infectious catheter-associated complications are at least as common as clinically … I think it’s important to consider both the infectious as well as the non-infectious complications of … The complications in yellow are actually targeted by the Partnership for Patients. … CAUTI rates, but also can decrease the complication, decrease the rates of other hospital acquired complications … of reducing the CAUTI rate, but also some spill-over benefits in terms of potentially reducing other complications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
May 01, 2017 - participation is also an opportunity to teach caregivers about a patient’s perioperative care to prevent complications … This will aid in preventing post-surgery complications and improve confidence in caring for themselves … Using the IDEAL discharge planning method will help prevent postdischarge complications and avoidable … This discussion will educate the patient and family about how to prevent complications and infections
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide6.html
May 01, 2016 - For VTE prophylaxis, an important balancing measure would assess the incidence of bleeding complications … Track Bleeding Episodes Associated With Anticoagulant Prophylaxis
Concern about bleeding complications … Bleeding complications, however, are notoriously difficult to track accurately, and determining the incremental … Surgical Quality Improvement Program (ACS NSQIP®), may provide the most robust opportunity to track risk complications