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1861. 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

1862. 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

1863. 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

1864. 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

1865. Usability Testing and the Relation of Clinical Information Systems to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
      January 01, 2003 - Usability Testing and Software Systems 377 Conclusion Clinical information systems, by definition

1866. “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

1867. 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

1868. 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!

1869. Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
      January 01, 2023 - Reaffirmation of the definition of patient- centeredness is warranted to consider patient experiences

1870. 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.

1871. 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

1872. Advancing Patient Safety: A Decade of Evidence, Design, and Implementation (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
      January 01, 2010 - Advancing Patient Safety: A Decade of Evidence, Design, and Implementation Evidence Design and Implementation Advancing Excellence in Health Care •www.ahrq.gov Agency for Healthcare Research and Quality Advancing Patient Safety: A Decade of 1999 1 Introduction Patient safety was a fairly new field when the …

1873. 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…

1874. Module 1: Preventing Pressure Injuries in Hospitals (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
      July 12, 2017 - Module 1: Preventing Pressure Injuries in Hospitals Module 1: Preventing Pressure Injuries in Hospitals — Understanding Why Change Is Needed Module Aim The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training. Module Goals The goals of this introductory module are to identify …

1875. 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 …

1876. Tool 1: Readmission Data Analysis and Interpretation (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
      June 02, 2025 - Tool 1: Readmission Data Analysis and Interpretation Instructions Tool 1. Readmission Data Analysis and Interpretation Brief Description: A quantitative readmission analysis tool. Purpose: Analyze hospital administrative data to evaluate readmission patterns. Understanding readmission patterns is critical to design…

1877. Preventablehospitalandedvisits-Implmatl (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
      June 03, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Hospital Transfer Self-Assessment Worksheet Purpose The Hospital Transfer Self-Assessment Worksheet can help nurs…

1878. Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
      January 01, 2025 - Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience 28 November 2009 Title of Project Creating Safe Ambulatory Care: The Path to Resilience Principal Investigator Christopher Nemeth, PhD Team Members James Walter, MD Robert Wears, MD, MS Richard Cook, MD Organization The University of Ch…

1879. 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…

1880. 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…