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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 13. Alarm Fatigue
Alarm Fatigue 13-1
13. Alarm Fatigue
Authors: Meghan Woo, Sc.D., and Olivia Bacon
Reviewer: Ann Gaffey, R.N., M.S.N., CPHRM, DFASHRM
Introduction
Alarm fatigue occurs when clinicians experience high exposure to medical device alarms, causing alarm
desensitiz…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
January 01, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Teamwork and Leadership
According to The Joint Commission, failures in communication and teamwork as well as consist…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
August 01, 2025 - Researchers recommended that future research include defining
safety in the nursing home context.
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program2.html
April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs
Chapter 2. Electronic Searchable Catalog
Previous Page Next Page
Table of Contents
Environmental Scan of Patient Safety Education and Training Programs
Introduction
Chapter 1. Environmental Scan
Chapter 2. Electronic Searchab…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/section5part2.html
January 01, 2020 - Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2)
Contents
On Page 1 of 2:
5.A. Analyze CAHPS Survey Results
5.B. Analyze Other Sources of Information for Related Information
Page 2 of 2:
5.C. Evaluate the Process of Care Delivery
5.D. Gather Input From Stakeh…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
March 01, 2023 - NPSD Data Spotlight - Falls: Associated Factors and Clinical Outcomes
Falls: Associated
Factors and Clinical
Outcomes
NPSD Data Spotlight
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated. Suggested citation: NPSD Data Spotlight, Falls…
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www.ahrq.gov/sites/default/files/2024-11/laveist-report.pdf
January 01, 2024 - Final Progress Report: Measuring Mistrust in Healthcare
Grant Title: Measuring Mistrust in Healthcare
Principal Investigator: Thomas A. LaVeist, Ph.D.
Professor of Health Policy and Management
Organization: Johns Hopkins Bloomberg School of Public
Health
Inclusive Dates of Project: 7/1/2002 - 12/31/2003
Federal…
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www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
January 01, 2025 - Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs
PI: Akira Nishisaki Grant Number: R03 HS21583-01
AHRQ Grant Final Progress Report
Title: Evaluating safety and quality of tracheal intubation in pediatric ICUs
PI: Akira Nishisaki, MD, MSCE
Team Members: Vinay …
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www.ahrq.gov/sites/default/files/2024-11/sarkar-report.pdf
January 01, 2024 - Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients
FINAL PROGRESS REPORT
1. TITLE, TEAM, DATES
Interactive HIT to promote ambulatory safety among vulnerable diabetes patients
Urmimala Sarkar, M.D., M.P.H.
Dean Schillinger, M.D.
Margaret Handley, Ph.D., M.P.H.
Ned…
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-synthesis.pdf
September 01, 2025 - Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Partner Roundtable Synthesis
Person-Centered Care Planning for
Persons With Multiple Chronic
Conditions
Partner Roundtable Synthesis
I. Background and Objectives
Person-centered care has been operationalized as planning and enacti…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
June 03, 2021 - Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5
PATIENT
SAFETY
e
Issue Brief 5
Leadership To Improve Diagnosis:
A Call to Action
e
Issue Brief 5
Leadership To Improve Diagnosis:
A Call to Action
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, M…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/preparing-data-for-analysis.pdf
May 15, 2017 - Preparing Data from CAHPS Surveys for Analysis
Preparing Data from CAHPS®
Surveys for Analysis
Contents
Introduction ................................................................................................................................................... 1
Creating Your Analysis Dataset ...............…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-fac-notes.html
October 01, 2020 - Coaching Clinical Teams Module: Facilitator Notes
Slide 1: Coaching Clinical Teams Module
Say:
The Coaching Clinical Teams module helps an organization implement a process for coaching teams as a unit. This module is meant to augment the existing teamwork and communication tools and individual coaching mo…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
September 01, 2015 - Module 16: Academic Detailing as a Quality Improvement Tool
Primary Care
Practice Facilitation
Curriculum
Module 16: Academic Detailing as a Quality
Improvement Tool
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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www.ahrq.gov/sites/default/files/publications/files/clabsineonatal.pdf
October 01, 2012 - Eliminating CLABSI, A National Patient Safety Imperative: A Progress Report on the National 'On the CUSP: Stop BSI' Project, Neonatal CLABSI Prevention
Eliminating CLABSI,
A National Patient Safety
Imperative
A Progress Report on the National On the CUSP: Stop BSI
Project, Neonatal CLABSI Prevention
A Pr…
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www.ahrq.gov/policymakers/hrqa99c.html
October 01, 2014 - Healthcare Research and Quality Act of 1999 (continued 2)
Text of the Act that reauthorizes the former Agency for Health Care Policy and Research, now the Agency for Healthcare Research and Quality (AHRQ).
PART C—GENERAL PROVISIONS SEC. 921. ADVISORY COUNCIL FOR HEALTHCARE RESEARCH AND QUALITY. (a) ESTABLISHM…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
June 03, 2021 - Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5
PATIENT
SAFETY
e
Issue Brief 5
Leadership To Improve Diagnosis:
A Call to Action
e
Issue Brief 5
Leadership To Improve Diagnosis:
A Call to Action
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, …
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda
Managing Interruptions to Improve Diagnostic
Decision-Making: Strategies and Recommended Research
Agenda
Jennifer F. Sloane, PhD1,2 , Chris Donkin, PhD2,3, Ben R. Newell, PhD2,
Hardeep Singh, MD MPH1, and Ashl…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program
223
Identifying, Understanding, and
Communicating Medical Device Use Errors:
Observations from an FDA Pilot Program
Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner
Abstract
The U.S. Food an…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Suydam.pdf
January 01, 2001 - Patient Safety Data Sharing and Protection from Legal Discovery
361
Patient Safety Data Sharing and
Protection from Legal Discovery
Steven Suydam, Bryan A. Liang, Storm Anderson, Matthew B. Weinger
Abstract
The Institute of Medicine report, To Err Is Human, recommended that
collaborative networks of heal…