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www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
January 01, 2024 - Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy
Principal Investigator/Program Director (Last, First, Middle): Ferguson, T. Bruce Jr.
Project Title: Cardiovascular Care Disparities: Safety-Net HIT
Strategy
T. Bruce Ferguson, Jr., MD LSU HSC, HCSD Principal Investigator
Michael M .…
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www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
January 01, 2024 - Final Progress Report: Quality Care and Error Reduction in Rural Hospitals
Principal Investigator: Cook, Ann F.
Title of the Project: Quality Care and Error Reduction in Rural Hospitals
Principal Investigator: Ann Cook, Ph.D.
Co-investigator: Helena Hoas, Ph.D.
Team Member: Katarina Guttmannova, Ph.D.
Organizat…
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www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home
Project Title: Enhancing the Safety of Warfarin in the Nursing Home
Principal Investigator: Jerry H. Gurwitz, MD
Principal Team Members: Jerry Gurwitz, MD; Terry S. Field, DSc; Jennifer Tjia, MD,
MSCE; Kathleen M. Mazor, EdD; Leslie R. Ha…
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www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
January 01, 2024 - Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety
PI: Guise, J-M
FINAL GRANT REPORT
Title: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety
Grant Award #: 5U18HS015800-02
Grantee Institution: Oregon Health & Science University…
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www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
January 01, 2024 - Final Progress Report: Quality Factors in Nursing Home Choice
1
Title Page
Title of Project: Quality Factors in Nursing Home Choice
Principal Investigator: JoAnn G. Congdon
Team Members:
Co-Principal Investigator: Joan K. Magilvy
Investigator: Mary A. Blegen
Investigator: Katherine R. Jones
Investigator: Nor…
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www.ahrq.gov/sites/default/files/2024-07/middleton-wald-report.pdf
January 01, 2024 - Final Progress Report: Shared Online Health Records for Patient Safety and Care
FINAL REPORT: December, 18th 2007
Shared Online Health Records for Patient Safety and Care
Principal Investigator: Blackford Middleton, MD, MPH, MSc; bmiddleton1@partners.org
Brigham and Women’s Hospital
Blackford Middleton, MD, MPH,…
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www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
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e
Issue Brief 8
Distributed Cognition and the Rol…
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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 - Facilitator Guide: Learning From Defects Through Sensemaking
Slide Title and Commentary
Slide Number and Slide
Learning From Defects Through Sensemaking
SAY:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 1
Learning Objectives
SAY:
At the end of this module, you will …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - Facilitator Guide: Overview of the Improvement Model
Program Overview – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
Project Overview
SAY:
You have embarked on a unique journey.
Slide 1
Mead Quotation
SAY:
Margaret Mead was a popular and sometimes controversial cultural an…
-
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - Program Overview: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Program Overview
Say:
You have embarked on a unique journey.
Slide 2: Mead Quotation
Say:
Margaret Mead was a popular and sometimes controversial cultural anthropologist in the ’60s and ’70s. This statement still resona…
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
July 25, 2023 - The National Action Alliance to Advance Patient Safety Summer Webinar Series: CDC Presentation
The National Action Alliance to Advance Patient Safety
Summer Webinar Series
Addressing Violence in the Workplace
June 27, 2023
2:00-3:00 PM ET
Special Guest Speakers
2
Martin Hatlie, JD
President & CEO,
Project P…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Learning From Defects Through Sensemaking: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Learning From Defects Through Sensemaking
Say:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 2: Learning Objectives
Say:
At the end of this module, you w…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
3. Results
Previous Page Next Page
Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3. Results
4. Discussion
References
Appe…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - Making Health Care Safer II, Executive Summary
Evidence-Based
Practice
Evidence-based Practice
Program
The Agency for Healthcare Research and
Quality (AHRQ), through its Evidence-
based Practice Centers (EPCs), sponsors
the development of evidence reports and
technology assessments to assist public-
and priv…
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
This page intentionally left blank.
e
Issue Brief 8
Distributed Cognition and the Rol…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study
35
Decision Support System Design and
Implementation for Outpatient Prescribing:
The Safety in Prescribing Study
Adrianne C. Feldstein, David H. Smith, Nan R. Robertson,
Christine A. Kovach, Stephen B…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator
395
From Insight to Implementation:
Lessons from a Multi-site Trial of
a PDA-based Warfarin Dose Calculator
Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth,
Debora A. Paterniti, William Dager, …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
January 01, 2004 - Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System
207
Ten Considerations for Easing
the Transition to a Web-based
Patient Safety Reporting System
Sharon K. Ulep, Sheryl L. Moran
Abstract
Moving to a Web-based system for tracking patient safety events is a goal o…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
April 07, 2008 - Pillars of a Smart, Safe Operating Room
Pillars of a Smart, Safe Operating Room
F. Jacob Seagull, MD; Gerald R. Moses, PhD; Adrian E. Park, MD
Abstract
Major gains in patient safety can be achieved through development of innovative approaches to
the care of surgical patients. Investigators and clinicians have…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
September 01, 2017 -
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Appetite: Poor or loss of appetite
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