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www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
January 01, 2025 - Americans are
considered to have increasing COPD mortality and are disproportionately affected by asthma
death
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www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
January 01, 2024 - Database of Nursing
Quality Indicators (NDNQI) five categories: None, Minor, Moderate, Major, and Death
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www.ahrq.gov/sites/default/files/2025-04/elder-report.pdf
January 01, 2025 - category, ranging from no harm to a range of
harms that included emotional, temporary, permanent, and death
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
January 01, 2013 - Time to first readmission or death
was longer in intervention
patients (log rank Χ2 = 5.0, p =
0.026
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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 - Triggering of sudden death from cardiac causes by
vigorous exertion.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - outcomes in the inpatient environment, ranging
from no harm to temporary or permanent disability to death
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www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/professional-training/training-for-health-care-leaders.pdf
January 01, 2014 - Refusing treatment, dying and death, and the
elderly. Section 11.6.
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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article14.html
June 01, 2014 - Advances in the Prevention and Control of HAIs
Turning Unstructured Microbiology Culture Data Into Usable Information: Methods for Alerting Infection Preventionists in a Health Information Exchange About Multidrug-Resistant Gram-Negative Bacterial Infections
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Tab…
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www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article14.html
June 01, 2014 - Advances in the Prevention and Control of HAIs
Turning Unstructured Microbiology Culture Data Into Usable Information: Methods for Alerting Infection Preventionists in a Health Information Exchange About Multidrug-Resistant Gram-Negative Bacterial Infections
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Table of Contents
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www.ahrq.gov/research/findings/studies/index.html?page=14
January 01, 2024 - AHRQ Research Studies
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www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/systems/index.html
December 01, 2012 - Systems Change: Treating Tobacco Use and Dependence
Based on the Public Health Service (PHS) Clinical Practice Guideline—2008 Update
Systems change describes specific strategies that health care administrators, managed care organizations, and purchasers of health plans can implement to treat tobacco dependenc…
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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-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization
Using an Anonymous Web-Based
Incident Reporting Tool to Embed the
Principles of a High-Reliability Organization
Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA;
Christine P…
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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/vol1/Advances-Henriksen_104.pdf
January 01, 2025 - Envisioning Patient Safety in the Year 2025: Eight Perspectives
Envisioning Patient Safety in the Year 2025:
Eight Perspectives
Kerm Henriksen, PhD; Caitlin Oppenheimer, MPH; Lucian L. Leape, MD; Kirk Hamilton,
FAIA, FACHA, MS; David W. Bates, MD, MSc; Susan Sheridan, MBA; Mark E. Bruley, CCE;
David M. Gaba, MD;…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Masica_112.pdf
November 30, 2010 - Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse Drug Events: Study Methods
Evaluation of a Medication Therapy Management
Program in Medicare Beneficiaries at High Risk
of Adverse Drug Events: Study Methods
Andrew L. Masica, MD, MSc; Daniel R. Touchette, P…
-
www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
January 01, 2024 - Final Progress Report: Midcoast Maine Patient Safety and IT Integration
Title: Midcoast Maine Patient Safety and IT Integration
Principal Investigator: Maureen Buckle y, PhD, RN – Vice President of Patient
Care
Team Members:
Northeast Health and Partner Organizations
Donna Deblois, MS, RN – Executive Dire…
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www.ahrq.gov/downloads/pub/advances/vol2/Hunt.pdf
July 01, 2004 - Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency
105
Fundamentals of Medicare Patient
Safety Surveillance: Intent, Relevance,
and Transparency
David R. Hunt, Nancy Verzier, Susan L. Abend, Courtney Lyder,
Lisa J. Jaser, Nancy Safer, Paul Davern
Abstract
The Medicar…