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  1. www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
    January 01, 2024 - Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety FINAL PROGRESS REPORT PROJECT TITLE: A PILOT STUDY FOR INTEGRATING FACILITY INFORMATION WITH HEALTHCARE INFORMATION TO IMPROVE PATIENT SAFETY PRINCIPAL INVESTIGATOR: DR C. J. ANUMBA (Penn…
  2. www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
    January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) MALPRACTICE INSURERS’ MEDICAL ERROR SURVEILLANCE AND PREVENTION STUDY (MIMESPS) Principal Investigator: David M. Studdert, LLB, ScD Team Members: Harvard School of Public Health: Allison Nagy, BA Ann Louise Puo…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
    December 01, 2017 - Facilitator Guide: Optimize Your Briefings and Debriefings Optimize Briefings and Debriefings – Facilitator Notes Slide Title and Commentary Slide Number and Slide Optimize Briefings and Debriefings SAY: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement …
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
    March 15, 2016 - Documentation and Coding for the AHRQ Pediatric Quality Indicators Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool B.4 i Documentation and Coding for the AHRQ Pediatric Quality Indicators Note: This tool was updated based on test software provided by AHR…
  5. www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
    January 01, 2024 - Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Project Title: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Grant Number: 5R18HS026156-04 Project/Grant Period: 08-01/2018-05/31/2022 Principal Investig…
  6. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care Final Report This page is intentionally blank. Potentially Preventable Readmissions: Conceptual Framewo…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
    January 01, 2003 - Medical Injury Identification Using Hospital Discharge Data 119 Medical Injury Identification Using Hospital Discharge Data Peter M. Layde, Linda N. Meurer, Clare Guse, John R. Meurer, Hongyan Yang, Prakash Laud, Evelyn M. Kuhn, Karen J. Brasel, Stephen W. Hargarten Abstract Objective: Determine the feasi…
  8. www.ahrq.gov/news/events/nac/2020-07-nac/nacmtg071420-minutes.html
    November 01, 2020 - Meeting Minutes, July 2020 National Advisory Council Minutes from the July 14, 2020, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. ( Virtual Meeting ) Contents Summary Call to Order and Approval of March 26, 2020, Meeting Summary Overview and Recent Accomplis…
  9. www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2020-07-nac/nacminutes-071420.pdf
    January 01, 2020 - National Advisory Council Meeting, July 14, 2020: Minutes National Advisory Council, July 14, 2020 Page 1 Agency for Healthcare Research and Quality National Advisory Council Meeting (Virtual Meeting) July 14, 2020 SUMMARY NAC Members Present Tina M. Hernandez-Boussard, Ph.D., M.…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
    April 01, 2003 - Lessons in Safety Climate and Safety Practices from a California Hospital Consortium 411 Lessons in Safety Climate and Safety Practices from a California Hospital Consortium Sara J. Singer, Kelly M. Dunham, Jennie D. Bowen, Jeffrey J. Geppert, David M. Gaba, Kathryn M. McDonald, Laurence C. Baker Abstract…
  11. 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…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
    April 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety 269 The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski, Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Snow.pdf
    January 01, 2010 - A Clinical Assessment Program to Evaluate the Safety of Patient Care 57 A Clinical Assessment Program to Evaluate the Safety of Patient Care Richard J. Snow, Martin S. Levine, Dwain L. Harper, Sharon L. McGill, George Thomas, Joseph P. McNerney Abstract The American Osteopathic Association’s Clinical Asses…
  14. 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 …
  15. 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 …
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
    June 02, 2025 - Each facility will determine the best source of data elements to define each of the listed issues, except
  17. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
    January 12, 2021 - How you practically define this term can vary.
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
    October 01, 2014 - It goes on to define and explain what a fall is, noting that falls should be distinguished from sudden
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
    January 01, 2004 - process involved the survey participants’ collective concern for patient safety, and their inability to define
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/8.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 3. Specifications for Each Pressure Ulcer Prevention Report (continued) 3.8. Completeness Report 3.8.1. Report Description The Completeness Report is a check of CNA documentation to determine how much of…

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