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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
January 01, 2003 - Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project
283
Expediting Clinician Adoption of Safety
Practices: The UCSF Venous Access Patient
Safety Interdisciplinary Education Project
Nancy E. Donaldson, Rosemary K. Plank, Ann Williamson,
J…
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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-Valade_46.pdf
May 05, 2008 - From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety
From Public Testimony to Vehicle for Statewide
Action: Experience of the Michigan State Commission
on Patient Safety
Diane Valade, MS; A.B. Orlik; Ruth Mohr, RN, MPH, PhD; Vicky Debold, RN, PhD; …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
April 07, 2008 - TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety
TeamSTEPPS™: Team Strategies and Tools to
Enhance Performance and Patient Safety
Heidi B. King, MS, CHE; James Battles, PhD; David P. Baker, PhD; Alexander Alonso, PhD;
Eduardo Salas, PhD; John Webster, MD, MBA; Lauren Toomey, RN,…
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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-Stock_113.pdf
June 15, 2005 - Developing a Community-Wide Electronic Shared Medication List
Developing a Community-Wide Electronic
Shared Medication List
Ron Stock, MD; Eldon R. Mahoney, PhD; Dawn Gauthier, MIS; Linda Center;
Mary Minniti, CPHQ; James Scott, MD; Marc Pierson, MD; Lori Nichols
Abstract
This study demonstrates the feasib…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/046-evidence-behind-decolonization-strategies-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
The Evidence Behind Decolonization Strategies for MRSA
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
The Evidence Behind Decolonization
1
Educational Objectives
Discuss the imp…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
March 01, 2017 - Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Contents
Executive Summary
Overview
How To Use This Guide
Program Elements
Long-Term Care Safety Toolkit Modules
T.E.A…
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www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
November 01, 2016 - to rank low—or least low when compared to other developed countries—in infant mortality; preventable death
-
www.ahrq.gov/workingforquality/events/webinar-2014-qdr-working-together-to-improve-health-care.html
November 01, 2016 - Webinar Transcript - The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve Health Care
May 11, 2015
Download accessible version of slides (PDF, 1.5 MB)
The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Loux.pdf
January 01, 2004 - Comparing Patient Safety in Rural Hospitals by Bed Count
391
Comparing Patient Safety in
Rural Hospitals by Bed Count
Stephenie L. Loux, Susan M. C. Payne, Astrid Knott
Abstract
Objectives: Patient safety is an important national issue. To date, there has been
little attention paid to patient safety in rura…
-
www.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Transitional Care Medication Safety: Stakeholders' Perspectives
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Reforming the Medical Liability …
-
www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
January 01, 2025 - patients receiving advanced life support are often a reflection “EMS saves” – that
is, patients near death
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
March 01, 2002 - Medicine called for national mandatory reporting to
State departments of health of events that result in death
-
www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
June 01, 2012 - reported can lead to serious outcomes, including medical
complications, transfer to a hospital, or even death … reported can lead to serious outcomes including medical
complications, transfer to a hospital, or even death … They can lead to medical
complications or even death.
-
www.ahrq.gov/downloads/monahrq/pdf/MONAHRQV1_HostUserGuide.pdf
May 27, 2010 - Hospital-level Patient Safety Indicators (13 Indicators)
• Death in low mortality DRGs (PSI 2)
• Iatrogenic … delivery with instrument (PSI 18)
• Obstetric trauma -- vaginal delivery without instrument (PSI 19)
• Death
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084maternity.pdf
February 23, 2012 - suicidal, and
experience pregnancy complications and poor outcomes, including maternal and
fetal death … The risk of having a preterm delivery, placental
abruption, and intrauterine fetal death (still birth
-
www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Maternity-Care-Measures.pdf
February 23, 2012 - suicidal, and
experience pregnancy complications and poor outcomes, including maternal and
fetal death … The risk of having a preterm delivery, placental
abruption, and intrauterine fetal death (still birth
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternity.pdf
February 23, 2012 - suicidal, and
experience pregnancy complications and poor outcomes, including maternal and
fetal death … The risk of having a preterm delivery, placental
abruption, and intrauterine fetal death (still birth
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternitycare.pdf
February 23, 2012 - suicidal, and
experience pregnancy complications and poor outcomes, including maternal and
fetal death … The risk of having a preterm delivery, placental
abruption, and intrauterine fetal death (still birth
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082maternity.pdf
February 23, 2012 - suicidal, and
experience pregnancy complications and poor outcomes, including maternal and
fetal death … The risk of having a preterm delivery, placental
abruption, and intrauterine fetal death (still birth
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 13. Alarm Fatigue
Alarm Fatigue 13-1
13. Alarm Fatigue
Authors: Meghan Woo, Sc.D., and Olivia Bacon
Reviewer: Ann Gaffey, R.N., M.S.N., CPHRM, DFASHRM
Introduction
Alarm fatigue occurs when clinicians experience high exposure to medical device alarms, causing alarm
desensitiz…