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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_mg-toxicity.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Magnesium Toxicity In Situ Simulation
AHRQ Safety Program for Perinatal Care
Sample Scenario for Magnesium Toxicity In Situ Simulation
Sample Scenario for Magnesium Toxicity In Situ Simulation
Purpose of the tool: The Magnesium Toxicity In Situ Simulation t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Assess Patient Safety Culture Using the Hospital Survey on Patient Safety
SAY:
In this module, we will introduce the Hospital Survey on Patient Safety, or HSOPS, and review why it is important, as wel…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/putoolkit_module2_tools.docx
February 16, 2011 - Pressure Ulcer Prevention Toolkit
Pressure Ulcer Prevention Toolkit
Module 2 Tools
2A: Multidisciplinary Team
2B: Quality Improvement Process
2C: Current Process Analysis
2D: Assessing Pressure Ulcer Policies
2E: Assessing Screening for Pressure Ulcer Risk
2F: Assessing Pressure Ulcer Care Planning
2I: Action Plan
…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs6.html
June 01, 2018 - Chartbook on Health Care for Blacks
Part 3: National Quality Strategy Priority—Healthy Living
Previous Page Next Page
Table of Contents
Chartbook on Health Care for Blacks
Health Care for Blacks
Acknowledgments
Part 1: Overviews of the Report and the Black Population
Part 2: Trends in Priori…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2.html
June 01, 2018 - Chartbook on Health Care for Blacks
Part 2: Trends in Priorities of the Heckler Report
Previous Page Next Page
Table of Contents
Chartbook on Health Care for Blacks
Health Care for Blacks
Acknowledgments
Part 1: Overviews of the Report and the Black Population
Part 2: Trends in Priorities of…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-diabetes.html
June 01, 2018 - Chartbook on Health Care for Blacks
Part 2: Trends in Priorities of the Heckler Report—Care for Diabetes
Previous Page Next Page
Table of Contents
Chartbook on Health Care for Blacks
Health Care for Blacks
Acknowledgments
Part 1: Overviews of the Report and the Black Population
Part 2: Trend…
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www.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
February 01, 2025 - Diagnostic Safety Centers of Excellence
In fiscal year 2022, Congress authorized funding to support AHRQ's research to address failures in the diagnostic process, which may include the establishment of Research Centers of Diagnostic Excellence to develop systems, measures, and new technology solutions to improv…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment-slides.html
April 01, 2018 - Chartbook on Effective Treatment: Slide Presentation
National Healthcare Quality and Disparities Report
Introduction
Cardiovascular Disease .
Cancer .
Chronic Kidney Disease .
Diabetes .
HIV and AIDS .
Mental Health and Substance Abuse .
Musculoskeletal Diseases .
Respiratory Diseases .
…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-highlights-pfe-updated-aug24.pdf
March 13, 2025 - Improving Patient Safety by Engaging Patients and Families
AHRQ-Funded Patient Safety
Project Highlights
Improving Patient Safety by
Engaging Patients and Families
Overview
Research has shown that involving patients, as well as their families and caregivers, in the planning,
delivery, and evaluation of their heal…
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www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
January 01, 2025 - Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste
Transdisciplinary Learning Lab to Eliminate Patient Harm and Reduce Waste
Johns Hopkins Medicine
Principal Investigator: Adam Sapirstein, MD
Project Team Members:
Ravi Aron, PhD
Noah Barasch, MS
Howard Carolan, MBA,…
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www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
January 01, 2025 - Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery
Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery
Principal Investigator and Team Members:
Name Role
Medical University of South Carolina
Ken Catchpole, PhD Principal Investigator
My…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
July 01, 2015 - Appendix C: The Health Care Safety Hotline: Operations Manual
Appendix C. Operations Manual
The Health Care Safety Hotline: Operations Manual
Denise D. Quigley, RAND Corporation
Shaela Moen, RAND Corporation
Robert Giannini, ECRI Institute
Lauren Hunter, RAND Corporation
Operations Ma…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-149-fullreport.pdf
February 01, 2019 - Standards
Are the data elements in this measure supported explicitly by the Office of the National
Coordinator
-
www.ahrq.gov/patient-safety/resources/resdesign-tool/kit4.html
August 01, 2016 - Value Analysis Coordinator (a nurse with clinical expertise).
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23291-Landrigan-report.pdf
September 29, 2018 - including two physicians with prior I-PASS implementation experience and access to a central
program coordinator
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/joseph3-report.pdf
August 31, 2021 - Taaffe, PhD - Co-I
Yann Ferrand, PhD - Co-I
Patrick Rosopa, PhD - Co-I
James McCracken, MA - Project
Coordinator
-
www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
January 01, 2024 - including two physicians with prior I-PASS implementation experience and access to a central
program coordinator
-
www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
January 01, 2024 - Taaffe, PhD - Co-I
Yann Ferrand, PhD - Co-I
Patrick Rosopa, PhD - Co-I
James McCracken, MA - Project
Coordinator
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/cpcf.pdf
December 31, 2015 - Standards
Are the data elements in this measure supported explicitly by the Office of the National
Coordinator
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
March 01, 2020 - Nurses
were always the first responders to sepsis alerts,
although sometimes the rapid response coordinator … and other hospital
units, it was quicker to
direct all ED alerts to a
charge nurse or clinical
coordinator … Nurses were always the first
responders to sepsis alerts, although sometimes the
rapid response coordinator