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www.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdfFebruary 01, 2015 - Health Care Simulation to Advance Safety: AHRQ Issue Brief Foreword Simulation has long been recognized for the integral role it plays in high- risk industries. Our aerospace, transportation, and power-generation industries have become steadily safer over the years with the aid of simulation. As the Ebola virus di…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.htmlOctober 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Module 3. Falls Prevention Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating Change in a Resident's Cond…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.htmlOctober 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Module 2. Communicating Change in a Resident's Condition Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicati…
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.htmlFebruary 01, 2017 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Say: This module introduces and provides evidence for the lung protective…
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Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
www.ahrq.gov/downloads/pub/advances/vol2/pace.pdfJanuary 01, 2004 - Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative 63 Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative Wilson D. Pace, Douglas H. Fernald, Daniel M. Harris, L. Miriam Dickinson, Rodrigo Araya-Guerra, Elizabeth W. … -
www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2b.htmlMay 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued, 2) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-slides.pptxJanuary 01, 2017 - Presentation: Program Overview Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-54-EF January 2017 LTVV Intro, Evidence, Implementation ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docxJanuary 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation SAY: This module introduces and provides evidence for the lung protective low tidal volume strategy, and offers recommendation…
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www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdfJanuary 01, 2024 - Final Progress Report: A Memory-Based Approach to Reducing Medication Errors A Memory-Based Approach to Reducing Medication Errors Project Final Report June 26th, 2023 Principal Investigator: Sadaf Kazi, PhD Team Members: Raj Ratwani, PhD Ella Franklin, MSN, RN Deanna-Nicole Busog Organization: MedSta…
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www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.htmlSeptember 01, 2016 - Biosketches Jason Adelman, MD, MS Chief Patient Safety Officer and Associate Chief Quality Officer Columbia University Medical Center/New York-Presbyterian Hospital Dr. Adelman is the Chief Patient Safety Officer and Associate Chief Quality Officer at Columbia University Medical Center/NewYork-Presbyter…
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Recovering After Hip Fracture Surgery (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-fracture-booklet.pdfNovember 01, 2023 - Recovering After Hip Fracture Surgery Recovering After Hip Fracture Surgery e Hip Fracture Surgery Patient Education Guide 1 Recovering After Hip Fracture Surgery Patient Name ___________________________________________________________________ Surgeon Name _________________________________________________… -
0129Table8 (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdfJanuary 01, 2013 - Table 8 – Evidence for the Relationship between Readmission and Quality of Care Type of Evidence Key Findings Citation Readmission and Quality of Care Coordination, Discharge, and Care Transition Processes Meta-analysis Investigators reviewed randomized controlled studies of structured telephone support or t… -
Developing a Taxonomy for Coding Ambulatory Medical Errors: 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/Pace.pdfJanuary 01, 2004 - Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative 63 Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative Wilson D. Pace, Douglas H. Fernald, Daniel M. Harris, L. Miriam Dickinson, Rodrigo Araya-Guerra, Elizabeth W. … -
www.ahrq.gov/downloads/pub/prevent/pdfser/thyrser.pdfJanuary 01, 2004 - Screening for Thyroid Disease: Systematic Evidence Review This report may be used, in whole or in part, as the basis for development of clinical practice guidelines and other quality enhancement tools, or a basis for reimbursement and coverage policies. AHRQ o…
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.htmlAugust 01, 2022 - Demonstration Grants Final Evaluation Report Appendix A. Grantee Profiles Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned Fro…
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www.ahrq.gov/ncepcr/reports/primary-care-research/results.htmlJanuary 01, 2024 - Motivated to reduce the volume of opioid overdoses and deaths in the Northwest United States, and to … identifying patients at highest risk of opioid overdose, a national crisis that leads to more than 125 deaths
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdfMarch 01, 2020 - Manufacturer and User Facility Device Experience (MAUDE) reporting system received 566 reports of patient deaths … medical device alarm safety, which identified alarm fatigue as a main contributing factor to patient deaths
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www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdfJanuary 01, 2024 - Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study Principal Investigator: Gershon, RRM Safety in the Home Healthcare Sector: A pilot study (Final Report) Safety in the Home Healthcare Sector: A Pilot Study Final Report September 30, 2010 Grant Number: R03 HS018284-01 Project Period: 10…
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Experiences From the Frontline: Case Studies (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdfMay 01, 2015 - Experiences From the Frontline: Case Studies AHRQ Safety Program for Perinatal Care Experiences From the Frontline: Case Studies University of Arkansas for Medical Sciences THE NEED TO CHANGE Over the last 10 years, deliveries in the labor and delivery (L&D) unit at the University of Arkansas for Medical Sc… -
Pediatric All-Condition Readmission Measure (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdfDecember 31, 2015 - Pediatric All-Condition Readmission Measure Pediatric All-Condition Readmission Measure Section 1. Basic Measure Information 1.A. Measure Name Pediatric All-Condition Readmission Measure 1.B. Measure Number 0129 1.C. Measure Description Please provide a non-technical description of the measure that conveys…
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