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www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
January 01, 2024 - Final Progress Report: Developing Best Practices for Patient Safety
Developing Best Practices for Patient Safety
Laurence Baker, PI
Sara Singer, Co-PI
Jeff Geppert, Co-Investigator
Bruce Spurlock, Consultant
David Classen, Consultant
Stanford University Center for Health Policy
August 2000 - August 2004
Federal P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/fillmore.pdf
August 01, 2014 - c
Case Studies
of EXEMPLARY PRIMARY CARE
PRACTICE FACILITATION
TRAINING PROGRAMS
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
The PCM Portfolio graphic element is intended to be closely aligned with AHRQ's overall brand,…
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www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
January 01, 2024 - Final Progress Report: Profiling the Needs of Dying Children
FINAL PROGRESS REPORT
Title of Project: Profiling the Needs of Dying Children
Principal Investigator: Chris Feudtner, MD, PhD, MPH
Organizations: The University of Washington (2000-2002) and
The Children's Hospital of Philadelphia (2002-2006)
Date…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/chcanys-qi-primer.pdf
August 01, 2017 - CHCANYS Participation Guide
HealthyHearts NYC
Primary Care Partnerships Advancing Heart
Health Initiative
CHCANYS Participation Guide
[Insert Health Center Name]
This research was supported by grant number 1R18HS023922-01 from the Agency for Healthcare Research and Quality (AHRQ).
The contents of this p…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 9: Using Appreciative Inquiry with Practices
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Primary Care
Practice Facilitation
Curriculum
Module 9: Using Appreciative Inquiry with Practices
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
December 01, 2017 - Facilitator Guide: Optimize Your Briefings and Debriefings
Optimize Briefings and Debriefings – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Optimize Briefings and Debriefings
SAY:
This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-10-workflow-mapping.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workflow
Primary Care
Practice Facilitation
Curriculum
Module 10: Mapping and Redesigning Workfow
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Primary Care Practice Facili…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
PATIENT
SAFETY
e
Issue Brief 6
The Contribution of Diagnostic Errors
to Maternal Morbidity and Mortality
During and Immediately After Childbirth:
State of the Science
This…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
March 01, 2004 - Identifying Barriers to the Success of a Reporting System
167
Identifying Barriers to the Success
of a Reporting System
Michelle L. Harper, Robert L. Helmreich
Abstract
Spurred by a controversial report from the Institute of Medicine on the prevalence
of medical error, To Err Is Human, the medical profe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
April 01, 2003 - Lessons in Safety Climate and Safety Practices from a California Hospital Consortium
411
Lessons in Safety Climate
and Safety Practices from a
California Hospital Consortium
Sara J. Singer, Kelly M. Dunham, Jennie D. Bowen, Jeffrey J. Geppert,
David M. Gaba, Kathryn M. McDonald, Laurence C. Baker
Abstract…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care
309
A Conceptual Framework for Studying the
Safety of Transitions in Emergency Care
Ravi Behara, Robert L. Wears, Shawna J. Perry,
Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro,
Christopher Beach, Pat Croskerry, Ka…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Serious Reportable Adverse Events in Health Care
339
Serious Reportable Adverse
Events in Health Care
Kenneth W. Kizer, Melissa B. Stegun
Abstract
Health care errors resulting in patient harm are a leading cause of morbidity and
mortality in the United States, although there is no national reporting of such…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
January 01, 2003 - The Use of Surgical Simulators to Reduce Errors
165
The Use of Surgical Simulators
to Reduce Errors
Marvin P. Fried, Richard Satava, Suzanne Weghorst,
Anthony Gallagher, Clarence Sasaki, Douglas Ross,
Mika Sinanan, Hernando Cuellar, Jose I. Uribe,
Michael Zeltsan, Harman Arora
Abstract
The training of…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
March 31, 2004 - Creating a Curriculum for Training Health Profession Faculty Leaders
299
Creating a Curriculum for Training
Health Profession Faculty Leaders
Pamela H. Mitchell, Lynne S. Robins, Douglas Schaad
Abstract
Objectives: An interprofessional, collaborative group of educators, patient safety
officers, and Federal …
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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-Browne_5.pdf
January 20, 2008 - Common Cause Analysis: Focus on Institutional Change
Common Cause Analysis:
Focus on Institutional Change
Anne Marie Browne, MSN, RN; Robert Mullen, PharmD; Jeanette Teets, MSN, CRNP, RN;
Annette Bollig, MSN, RN; James Steven, MD, SM
Abstract
The Children’s Hospital of Philadelphia has created a mechanism …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
March 30, 2008 - Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems
Analysis of Patient Safety: Converting Complex
Pediatric Chemotherapy Ordering Processes
from Paper to Electronic Systems
Donald K. Baker, PharmD; James M. Hoffman, PharmD; Gregory A. Hal…
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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-Hagg_80.pdf
January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption
Implementation of Systems Redesign:
Approaches to Spread and Sustain Adoption
Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD;
Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS;
Bradley N. Do…
-
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…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-204-fullreport.pdf
January 01, 2014 - Validity
Validity of the measure is the extent to which the measure meaningfully represents the
concept … score of 7 or higher), indicating that
stakeholders think that this measure accurately represents the concept
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternitycare.pdf
February 23, 2012 - HF Measures For Public Comment
American Congress of Obstetricians and Gynecologists
National Committee for Quality Assurance
Physician Consortium for Performance Improvement®
Maternity Care
Performance Measurement Set
PCPI Approved: March 27th, 2012
Table of…