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1781. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
      January 01, 2003 - The full EPC Report9 on how these PSIs were selected, as well as the definition of major surgery, can

1782. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
      January 01, 2004 - ” risks and proposed management strategies to minimize these risks Study risks Clinical risks Definition

1783. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
      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 - errors and procedural errors, such as performing the wrong test on a patient, were included in this definition

1784. Envisioning Patient Safety in the Year 2025: Eight Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
      January 01, 2025 - In 2025, the definition of patient-centered care, within the patient safety domain, will have evolved

1785. Assemble the Team and Engage Leadership for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
      July 01, 2023 - The technical work of change includes addressing problems for which— The definition is clear, the

1786. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
      January 01, 2024 - group “best practices” associated with a learning-oriented environment or culture Best practice * Definition

1787. Final Progress Report: Physician Organization and the Efficiency of Surgical Specialty Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/miller-birkmeyer-report.pdf
      January 01, 2024 - A second limitation is that there is no standardized definition for an integrated delivery system, and

1788. Six Building Blocks How-To-Implement Toolkit: Fast Track Approach Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
      January 12, 2021 - One common definition when using EHR data is any patient who has received at least two opioid prescriptions

1789. Minding the Gaps: Creating Resilience in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
      April 27, 2008 - A very simple resilience definition? (No!) Model? (No!) Example!

1790. Final Report - AHRQ EvidenceNOW Technical Assistance (TA) to and Evaluation of Grant Initiative to Develop State-Level Capacity for Dissemination and Implementation of Patient-Centered Outcomes Research into Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-final-report-a.pdf
      January 01, 2025 - Program Sustainability When asked about how their work would be sustained, respondents used a broad definition … Respondents used a broad definition of sustainability in their replies. 2.2.1.

1791. Guide for Developing a Community-Based Patient Safety Advisory Council (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
      April 01, 2008 - In addition, it encourages a broader perspective on the definition of patient- centered care, to include

1792. Tool 6: How To Monitor RED Implementation and Outcomes | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6: How To Monitor RED Implementation and Outcomes Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "3…

1793. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/execsumm.html
      December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure Executive Summary Previous Page Next Page Table of Contents ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians an…

1794. Tool 6: How To Monitor RED Implementation and Outcomes | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6: How To Monitor RED Implementation and Outcomes Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "3…

1795. Puh-Implementation-Factraining-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1 Implementation of the Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports Note: This part of the training primarily consists of exercises …

1796. Discussion of Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/findings.html
      March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Discussion of Findings Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitation…

1797. User-Centered Quality Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/user-centered-quality-reports-mcgee-20120301-transcript.pdf
      June 02, 2025 - User-Centered Quality Report Transcript release date 3/1/12 www.talkingquality.ahrq.gov Tips on Making Quality Reports User-Centered Moderator: Lise Rybowski, Consultant, TalkingQuality; President, The Severyn Group Speaker: Jeanne McGee, Sociologist, McGee and Evers Consulting Lise Rybowski From th…

1798. Advancing Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advancing/index.html
      July 01, 2022 - Advancing Patient Safety A Decade of Evidence, Design, and Implementation After the Institute of Medicine released its sentinel report, To Err is Human: Building a Safer Health System , the Agency for Healthcare Research and Quality (AHRQ), in conjunction with its Federal partners and non-Federal…

1799. Final Progress Report: Toward safer opioid prescribing for chronic pain in high risk populations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/robinson-papp-report.pdf
      January 01, 2024 - Final Progress Report: Toward safer opioid prescribing for chronic pain in high risk populations FINAL PROGRESS REPORT 1. TITLE PAGE Title: Toward safer opioid prescribing for chronic pain in high risk populations: implementing the Centers for Disease Control Guideline (CDC) guideline in the primary care HIV clini…

1800. Final Progress Report: Workload effects on response time to life-threatening arrhythmias (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/segall-report.pdf
      January 01, 2024 - Final Progress Report: Workload effects on response time to life-threatening arrhythmias Workload effects on response time to life-threatening arrhythmias Principal investigator: Noa Segall, PhD Team members: Christopher Granger, MD Melanie Wright, PhD Gene Hobbs, CHT Alberto Bonifacio, RN, BSN, MHA, CEN Jeffr…