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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
January 01, 2004 - Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation?
291
Can an Academic Health Care
System Overcome Barriers to
Clinical Guideline Implementation?
Debra Quinn, Mary Cooper, Lynn Chevalier,
Jerry Balentine, Lawrence Kadish, Steven Walerstein,
Fredric Weinbaum, Mark Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
September 01, 2005 - Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative
105
Using Reported Primary Care
Errors to Develop and Implement
Patient Safety Interventions: A
Report from the ASIPS Collaborative
David R. West, John M. Westfall, Rodrigo Araya-G…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
January 01, 2004 - Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology
323
Evaluating and Predicting Patient
Safety for Medical Devices with
Integral Information Technology
Jiajie Zhang, Vimla L. Patel, Todd R. Johnson,
Philip Chung, James P. Turley
Abstract
Human errors in med…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
March 31, 2004 - Creating a Curriculum for Training Health Profession Faculty Leaders
299
Creating a Curriculum for Training
Health Profession Faculty Leaders
Pamela H. Mitchell, Lynne S. Robins, Douglas Schaad
Abstract
Objectives: An interprofessional, collaborative group of educators, patient safety
officers, and Federal …
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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-Stalhandske2_70.pdf
March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs
VHA’s National Falls Collaborative and
Prevention Programs
Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN;
Julia Neily, MS, MPH; James P. Bagian, MD, PE
Abstract
Falls are a high-volume, high-cost problem in he…
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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-Riley_58.pdf
April 02, 2008 - The Nature, Characteristics and Patterns of Perinatal Critical Events Teams
The Nature, Characteristics and Patterns
of Perinatal Critical Events Teams
William Riley, PhD; Helen Hansen, PhD, RN; Ayse P. Gürses, PhD; Stanley Davis, MD;
Kristi Miller, RN, MS; Reinhard Priester, JD
Abstract
The Institute …
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www.ahrq.gov/sites/default/files/2024-02/vaughan-report.pdf
January 01, 2024 - Final Progress Report: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department)
Title: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the
Emergency Department)
PI: E. Camille Vaughan, MD, MS
Team Members
Emory/Grady: Ann…
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www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
January 01, 2024 - Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study
AHRQ grant final progress report
TITLE
The Effect of EMR on Medication Safety: A SPUR-Net Study
PRINCIPAL INVESTIGATORS AND TEAM MEMBERS
Principal Investigator: Grace M. Kuo, PharmD, MPH
Study Co-Investigators: Jeffrey R. Steinbauer,…
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www.ahrq.gov/sites/default/files/2024-07/gallagher3-report.pdf
January 01, 2024 - Final Progress Report: Training Doctors To Disclose Unanticipated Outcomes to Patients: Randomized Trial
R01HS016506 Final Progress Report 12-26-13; Gallagher TH, PI. 1
Title Page
Title of Project: Training Doctors to Disclose Unanticipated Outcomes to Patients:
Randomized Trial
Principal Investigator and Team M…
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www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety
Final Progress Report
Title: Effects of Extended Work Hours on ICU Patient Safety
Principal Investigator: Charles A. Czeisler, Ph.D., M.D.
Organization: Brigham and Women's Hospital
Co-Investigators: Christopher P. Landrigan, M.D., M.P.H.…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1.html
March 01, 2018 - Improving Patient Safety in Long-Term Care Facilities
Module 1. Detecting 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. Communicating C…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room
Patient Identification Errors in the Operating Room 11-1
11. Patient Identification Errors in the Operating
Room
Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H.
Introduction
In the first Making Health Care Safer …
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Technical Interventions To Prevent CAUTI
Previous Page Next Page
Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Ove…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
January 01, 2002 - Organizational Climate, Stress, and Error in Primary Care: The MEMO Study
65
Organizational Climate, Stress, and Error
in Primary Care: The MEMO Study*
Mark Linzer, Linda Baier Manwell, Marlon Mundt, Eric Williams,
Ann Maguire, Julia McMurray, Mary Beth Plane*
Abstract
Background: The impact of organizatio…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
January 01, 2004 - Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration
27
Validation of AHRQ’s Patient Safety Indicator
for Accidental Puncture or Laceration
Brian Gallagher, Liyi Cen, Edward L. Hannan
Abstract
Objectives: This study examined whether clinical evidence in medical records
confirms…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator
39
Readmissions for Selected Infections
Due to Medical Care: Expanding the
Definition of a Patient Safety Indicator
Brian Gallagher, Liyi Cen, Edward L. Hannan
Abstract
Objective: Evaluate the A…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/trdepression-protocol-amendment.pdf
April 01, 2017 - adults 65 and older make up 12 percent of the population, they
constitute 16 percent of all suicide deaths
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14253-Carayon-draft-1.pdf
December 01, 2006 - common, occurring in nearly 20% of inpatient medication doses
(Barker, 2002) and accounting for 7000 deaths
-
www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
January 01, 2024 - common, occurring in nearly 20% of inpatient medication doses
(Barker, 2002) and accounting for 7000 deaths
-
www.ahrq.gov/sites/default/files/2025-02/lofland-report.pdf
January 01, 2025 - For example, the association between the early initiation of
prenatal care and decreased prenatal deaths