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www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety
Title: VTE Safety Toolkit: A Systems Approach to Patient Safety
Principal Investigator: Brenda K. Zierler, PhD1
Team Members:
Ann Wittkowsky, PharmD2
Robb Glenny, MD3
Seth Wolpin, PhD1
Jung-Ah Lee, MN1
Gene Peterson, MD, PhD3
Fre…
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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/2024-01/muller-report.pdf
January 01, 2024 - Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care
Title: Medication Reconciliation: Bridging Communications Across the Continuum of
Care
Principal Investigator and Team Members: Melinda Muller, MD, Lynn Belcher, RPh,
Melissa Blanchard, MP, Amy Caster-Winegeart, …
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www.ahrq.gov/policymakers/chipra/pubs/background-2012/index.html
December 01, 2012 - Recommendations to Improve Children's Health Care Quality Measures
Background Report on the 2012 Process
This background report describes the process used to identify, evaluate, and select children's health care quality measures to be recommended for addition to the initial core set of 24 measures released by…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-virtual-research-meeting-summary_2022.pdf
January 01, 2022 - Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2022 Virtual Research Meeting Summary: Assessing Patient Experience for Insights into Enhancing Equity in Healthcare
Consumer Assessment of Healthcare Providers and
Systems (CAHPS®) 2022 Virtual Research Meeting
Summary: Assessing Patient Experience …
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www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
December 01, 2017 - Sustaining Change Webinar Transcript
April 14, 2015
Operator: The following is a recording for [Cathy Drury 00:00:02], with the American Hospital Association in Chicago, for the April National Conference 00:00:06 call on Tuesday, April 14, 2015 at 11 a.m. Central Time. Excuse me everyone. We now have all of …
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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 …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
April 14, 2015 - April 14, 2015
Sustaining Change
Speaker 1: The following is a recording for [Cathy Drury 00:00:02], with the American Hospital Association in Chicago, for the April National conference 00:00:06 call on Tuesday, April 14, 2015 at 11 a.m. central time. Excuse me everyone. We now have all of our speakers in conference. 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…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
January 12, 2021 - Six Building Blocks How-To-Implement Toolkit: Fast Track Approach Guide
A Team-Based Approach to Improving
Opioid Management in Primary Care
Table of Contents
Introduction ......................................................................................................................................1
W…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors?
53
Do Transient Working Conditions
Trigger Medical Errors?
Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf,
Clay Dunagan, Gary Sorock, Bradley Evanoff
Abstract
Objective: Organizational factors affecting working conditions for health …
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www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - The PRIDx framework to engage payers in reducing diagnostic errors in healthcare
Mini Review
Kisha J. Ali*, Christine A. Goeschel, Derek M. DeLia, Leah M. Blackall and Hardeep Singh
The PRIDx framework to engage payers in
reducing diagnostic errors in healthcare
https://doi.org/10.1515/dx-2023-0042
Received April 9…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - Learning from Errors in Ambulatory Pediatrics
355
Learning from Errors in
Ambulatory Pediatrics
Julie J. Mohr, Carole M. Lannon, Kathleen A. Thoma, Donna Woods,
Eric J. Slora, Richard C. Wasserman, Lynne Uhring
Abstract
Background: Approximately 70 percent of pediatric care occurs in ambulatory
settings, …
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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, …
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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/vol4/Hundt.pdf
January 01, 2003 - Outpatient Surgery and Patient Safety—The Patient’s Voice
445
Outpatient Surgery and Patient Safety—
The Patient’s Voice
Ann Schoofs Hundt, Pascale Carayon, Scott Springman,
Maureen Smith, Kelly Florek, Rupa Sheth, Margaret Dorshorst
Abstract
Four outpatient surgery centers from a large Midwestern communit…
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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-Donaldson_87.pdf
April 23, 2008 - Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement
Role of the External Coach in Advancing Research
Translation in Hospital-Based
Performance Improvement
Nancy Donaldson, RN, DNSc, FAAN; Dana Rutledge, RN, PhD; Kristin Geiser, PhD
Abstract
The Califo…
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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-Emanuel_19.pdf
February 20, 2008 - The Patient Safety Education Project: An international Collaboration
The Patient Safety Education Project:
An International Collaboration
Linda Emanuel, MD, PhD; Merrilyn Walton, PhD; Martin Hatlie, JD; Denys Lau, PhD;
Tim Shaw, PhD; Joel Shalowitz, MD, MBA; John Combes, MD
Abstract
The Patient Safety Edu…