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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
May 25, 2023 - The National Action Alliance to Advance Patient Safety Summer Webinar Series - PowerPoint Presentation
The National Action Alliance to Advance Patient
Safety Summer Webinar Series
Robert Otto Valdez, Ph.D.
Director
Agency for Healthcare Research & Quality
April 25, 2023
Welcome and Thank-You!
Presenter Notes
P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense
235
Implementation of a Data-based
Medical Event Reporting System in
the U.S. Department of Defense
Mary Ann Davis, Geoffrey W. Rake
Abstract
Objective: As a result of the Institute of Medicine (IOM) report, To…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
January 01, 2004 - Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change
383
Beyond the Dusty Shelf: Shifting
Paradigms and Effecting Change
Dwight McNeill, Howard Holland, Kerm Henriksen
Abstract
This paper addresses how to make happen the improvements in the quality of
health care that have been identified from si…
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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-Hurley_55.pdf
March 07, 2008 - Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community
Using Lean Six Sigma® Tools to Compare
INR Measurements from Different Laboratories
Within a Community
Brion Hurley, CSSBB; James M. Levett, MD, FACS; Carla Huber, ARNP; Tim L. Taylor, SSBB
Abstract
Whene…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
December 01, 2017 - On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts
AHRQ’s Safety Program for Nursing Homes
Review of Self-Assessment Worksheet
Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet
Completed Self-Assessment Worksheet
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
July 01, 2016 - Handouts: Implementation of the Healing Reports
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
Facilitator Training
Implementation of the Healing Reports: Handouts
Review of Self-Assessment Worksheet
Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet
Com…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
August 01, 2017 - Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease
Appropriate Emergency Department Blood Testing for
Children with Sickle Cell Disease
Section 1. Basic Measure Information
1.A. Measure Name
Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease
…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fullreport.pdf
March 01, 2018 - Family Experiences with Coordination of Care (FECC) Measure Set
1
Family Experiences with Coordination of Care (FECC)
Measure Set
Section 1. Basic Measure Information
1.A. Measure Name
Family Experiences with Coordination of Care (FECC) Measure Set
1.B. Measure Number
0166 FECC Survey/Measure Set
1.C. Measu…
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www.ahrq.gov/sites/default/files/2024-01/stifter-report.pdf
January 01, 2024 - Final Progress Report: Using an Electronic Health Record to Examine Nurse Continuity and Pressure Ulcers
1
Using an Electronic Health Record to Examine Nurse Continuity and Pressure Ulcers
Janet STIFTER, PhD, RN,1 Yingwei YAO, PhD, Research Associate Professor,1 Karen Dunn LOPEZ, PhD,
MPH, RN, Assistant Professor…
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www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
January 01, 2025 - , we conclude that
active MRSA surveillance with targeted decolonization resulted in a significant decrease
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www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
January 01, 2024 - and
improve clinical outcomes in patients, to measure effectiveness of care, or to determine
how to decrease
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
January 01, 2013 - Medical Center
Welcome to this webinar which is intended to help you improve unit safety culture to decrease
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www.ahrq.gov/sites/default/files/2024-07/carroll-report.pdf
January 01, 2024 - In order to
decrease these situational influences on participant responses, the interviewers tried to
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www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
January 01, 2024 - at home after discharge can increase patient satisfaction,
resolve medication-related problems, and decrease
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - ASK:
Did the factor increase the harm or the risk for harm or decrease it?
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
December 01, 2021 - to be those with physical, sensory, and/or mental health conditions that can be
associated with a decrease
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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 - medication discrepancies between the practice
medical record and what the patient is actually taking would decrease
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
July 01, 2024 - management, promote healthy lifestyles, and address social determinants
of health, which can substantively decrease
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
January 17, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
PATIENT
SAFETY
e
Issue Brief 22
State of the Science and Future
Directions To Improve Diagnostic
Safety in Older Adults
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e
Issue Brief 22
State of the Science and Future
Directions…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-fullreport.pdf
August 01, 2018 - There was a decrease from 10.9 percent to 10.0 percent in uninsured children from 2007 to 2010,
which