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5201. Final Progress Report: Accountability and Health Safety – A Statewide Approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
      January 01, 2024 - Final Progress Report: Accountability and Health Safety – A Statewide Approach Revised FINAL PROGRESS REPORT 5U18HS011918-03 TITLE: Accountability and Health Safety – A Statewide Approach PRINCIPAL INVESTIGATOR: Ke…

5202. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/pichert.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Ref…

5203. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
      January 01, 2003 - What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare 423 What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare William E. Encinosa, Fred J. Hellinger Abstract Objective: To estimate the impact of potentially preventable adverse event…

5204. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
      June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative 133 Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative Daniel M. Harris, John M. Westfall, Douglas H. Fernald, Christine W. Duclos, David R. West, Linda Niebauer, Linda Ma…

5205. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
      April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…

5206. 5. Improving Data Collection Across the Health Care System (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5a.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 5. Improving Data Collection Across the Health Care System (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary …

5207. Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
      November 01, 2016 - Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities July 21, 2016 Download accessible version of slides (PDF, 1 MB) The National Quality Strategy and The Public Sector [Slide 1] Operator: Ladies and gentlemen, thank you for stand…

5208. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-070814.pptx
      January 01, 2015 - Yes No No, but we are considering it What is a post-removal protocol?

5209. Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
      January 01, 2003 - realities of health care work environments.1, 2, 11, 12 These realities need to be taken into account when considering

5210. Making Healthcare Safer Practices: 14. Delirium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
      March 01, 2020 - Making Healthcare Safer Practices: 14. Delirium Delirium 14-1 14. Delirium Authors: Lynn Hoffman M.A., M.P.H., Aline Holmes D.N.P., R.N., Jennifer Riggs, Ph.D., R.N., and Stephanie Schneiderman, M.P.P. Introduction Patient safety research and quality improvement efforts have been underway in the delirium harm …

5211. 2017 National Healthcare Quality and Disparities Report Measure Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/measspec-7.pdf
      January 01, 2020 - 2017 National Healthcare Quality and Disparities Report Measure Specifications Agency for Healthcare Research and Quality 2017 National Healthcare Quality and Disparities Report Measure Specifications | 7-1 Chapter 7. Healthy Living 7.1. Maternal and Child Health .................................................…

5212. Chapter-7 - Harm Due to Anticoagulants (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
      March 01, 2020 - Chapter-7 - Harm Due to Anticoagulants Harms Due to Anticoagulants 7-1 7. Harms Due to Anticoagulants Authors: Sarah J. Shoemaker-Hunt, Ph.D., Pharm.D., and Brandy Wyant, M.P.H. Introduction Anticoagulants are a critical therapy in the prevention and treatment of various types of thromboembolic disorders. Key in…

5213. 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt1.pdf
      January 01, 2016 - 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part I PATIENT SAFETY NURSING HOME SURVEY ON PATIENT SAFETY CULTURE: 2016 User Comparative Database Report The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Health…

5214. Final Progress Report: Improving patient safety through leadership and team performance in simulations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/20295-Fernandez-draft-1.pdf
      January 01, 2015 - Final Progress Report: Improving patient safety through leadership and team performance in simulations 1R18HS020295 Final Progress Report: Fernandez R, PI Title of Project: Improving patient safety through leadership and team performance in simulations Principal Investigator and Team Members: Fernandez, R (PI); Ko…

5215. Final Progress Report: Improving patient safety through leadership and team performance in simulations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/20295-Fernandez-report.pdf
      January 01, 2015 - Final Progress Report: Improving patient safety through leadership and team performance in simulations 1R18HS020295 Final Progress Report: Fernandez R, PI Title of Project: Improving patient safety through leadership and team performance in simulations Principal Investigator and Team Members: Fernandez, R (PI); Ko…

5216. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14289-Jack-draft-1.pdf
      January 19, 2005 - Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant Final Report Re-engineering the Hospital Discharge for Patient Safety Safe Practices Implementation Challenge Grant Dates of Project: 09/30/03-09/29/04 Federal Project Officer: Deborah Que…

5217. Final Progress Report: Older adult safety while receiving home health services after hospital discharge (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/22916-Arbaje-report.pdf
      January 15, 2018 - Final Progress Report: Older adult safety while receiving home health services after hospital discharge Older adult safety while receiving home health services after hospital discharge Principal Investigator: Alicia I. Arbaje, MD, MPH, PhD Other team members: Bruce Leff, MD (Primary mentor) Ayse P. Gurses, PhD, MS…

5218. Introduction Instructor Guide – PDF (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_ig_intro.pdf
      January 01, 2007 - Introduction Instructor Guide – PDF Team Strategies and Tools to Enhance Performance and Patient Safety INTRODUCTION SUBSECTIONS  Teamwork Exercise #1  Overview of Master Training and Materials  Barriers to Team Performance  Patient Safety Movement and …

5219. Making Informed Consent an Informed Choice: Training for Health Care Leaders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/professional-training/training-for-health-care-leaders.pdf
      January 01, 2014 - Making Informed Consent an Informed Choice: Training for Health Care Leaders Making Informed Consent an Informed Choice: Training for Health Care Leaders Sponsored by: Agency for Healthcare Research and Quality (AHRQ) Contract No. HHSA290201000031I, Task Order #3 The development and production of thi…

5220. AHRQ Patient Safety Tools and Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/patient-safety-tools-flyer-June2022.pdf
      May 01, 2023 - AHRQ Patient Safety Tools and Resources AHRQ Patient Safety Tools and Resources The Agency for Healthcare Research and Quality (AHRQ) offers practical, research-based tools and reso…