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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
    March 01, 2016 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture Purpos…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
    October 01, 2016 - New Models of Primary Care Workforce - Case Example #6: Henry Ford Health System New Models of Primary Care Workforce and Financing Case Example Henry Ford Health System6 New Models of Primary Care Workforce and Financing Case Example #6: Henry Ford Health System Prepared for:…
  3. www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-6.html
    July 01, 2019 - Case Example #6: Henry Ford Health System This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
    January 01, 2013 - Return on Investment Tool Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool F.1 Return on Investment Estimation What is the purpose of this tool? When your hospital invests in a new program, quality improvement intervention, or technology, leaders often need to kn…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.pdf
    January 01, 2013 - Return on Investment Estimation Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool F.1 Return on Investment Estimation What is the purpose of this tool? When your hospital invests in a new program, quality improvement intervention, or technology, leaders …
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/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…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/igessentials.pdf
    March 11, 2014 - high- risk, high-stakes environment in which poor performance may lead to serious consequences or death
  8. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_ig.pdf
    July 11, 2017 - high- risk, high-stakes environment in which poor performance may lead to serious consequences or death
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
    September 01, 2008 - clinical disorders among both inpatients and outpatients, and PE is the most common preventable cause of death
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
    June 16, 2008 - preventable medical errors, making hospital errors between the fifth and eighth leading causes of death
  11. www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
    January 01, 2024 - Institute of Medicine (IOM), medical error ranks somewhere between the fifth and eighth leading cause of death
  12. Improving-Facnotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
    May 01, 2017 - Studies show that surgical teams who exhibit fewer teamwork behaviors put patients at higher risk for death
  13. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
    August 01, 2022 - experienced a range of patient safety events, from near misses to those that caused serious harm or death
  14. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
    July 01, 2018 - sentinel event, defined by the JC as "any unanticipated event in a health care setting resulting in death
  15. www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
    December 01, 2017 - I will say he died an early death because of this urinary catheter. It never needed to happen.
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
    April 14, 2015 - I will say he died an early death because of this urinary catheter. It never needed to happen.
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
    January 01, 2004 - or is resolved with time, (2) patients seek care elsewhere, (3) patients fail to follow up, and (4) death
  18. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-154-fullreport.pdf
    July 01, 2018 - Continuity of Insurance: Coverage Presumed Eligible 1 Continuity of Insurance: Coverage Presumed Eligible Section 1. Basic Measure Information 1.A. Measure Name Continuity of Insurance: Coverage Presumed Eligible 1.B. Measure Number 0154 1.C. Measure Description Please provide a non-technical descripti…
  19. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
    April 30, 2025 - institutions responding to cases of patient harm. 3 Study Suggests Medical Errors Now Third Leading Cause of Death
  20. Data Measures Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
    January 01, 2017 - Data Measures Guide AHRQ Safety Program for Mechanically Ventilated Patients Data Measures Guide AHRQ Pub. No. 16(17)-0018-6-EF January 2017 Data Measures Guide Introduction ....................................................................................................................…

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