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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
January 01, 2003 - The Use of Surgical Simulators to Reduce Errors
165
The Use of Surgical Simulators
to Reduce Errors
Marvin P. Fried, Richard Satava, Suzanne Weghorst,
Anthony Gallagher, Clarence Sasaki, Douglas Ross,
Mika Sinanan, Hernando Cuellar, Jose I. Uribe,
Michael Zeltsan, Harman Arora
Abstract
The training of…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
February 26, 2008 - Error Producing Conditions in the Intensive Care Unit
Error Producing Conditions in the
Intensive Care Unit
Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD
Abstract
Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas
where errors occur frequently is t…
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www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
January 01, 2024 - Final Progress Report: Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent ADEs in the Nursing Home
Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient-
Centered, Telemedicine-Based Approach to Prevent…
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www.ahrq.gov/sites/default/files/2025-06/xu-report.pdf
January 01, 2025 - Final Progress Report: Occult Uterine Cancer and Power Morcellation in Hysterectomy and Myomectomy
AHRQ Grant Final Progress Report
Project Title
Occult Uterine Cancer and Power Morcellation in Hysterectomy and Myomectomy
Principal Investigator and Team Members
Principal Investigator:
Xiao Xu, PhD
Co-Investigator…
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www.ahrq.gov/sites/default/files/2024-02/schnipper2-report.pdf
January 01, 2024 - Final Progress Report: Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2)
1 | P a g e
Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2)
Principal Investigator: Jeffrey L. Schnipper, MD, MPH
Team Members: Harry Reyes Nieva, MAS; Me…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - Preventing CAUTI: What to Do When it’s Time for Plan B (November 4, 2014)
Webinar Transcript
American Hospital Association – Chicago
November National Content Call
November 4, 2014
11:00 AM CT
Operator: The following is a recording for Kathy Drury with the American Hospital Association. This is the N…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - Rafael Borja
American Hospital Association – Chicago
November National Content Call
November 4, 2014
11:00 AM CT
Operator:
The following is a recording for Kathy Drury with the American Hospital Association. This is the November National Content Call on Tuesday, November 4, 2014 at 11:00 a.m. Central Time. Excuse m…
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www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
January 01, 2024 - Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children
Title Page
Application title: Training Leaders to Improve Healthcare Quality in Emergency
Settings for Children
Principal investigator:
Charles G. Macias, MD, MPH
Co-investigator:
Evaline Alessandrini, MD,…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-slides.pptx
September 01, 2022 - Acute Otitis Media and Associated Complications in United States Emergency Departments.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/mythbustingwebcast.pdf
October 01, 2013 - Linda, does “helpfulness” mean the same for all departments? … deeper on what helpfulness means, did
you find that there were any differences in helpfulness between departments … Linda Sparks
We found that there was very little difference between departments and it was the consistency … that patients were
really looking for among sites and departments that was important to them.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
January 01, 2020 - strategies previously described
Lack of resources for training Identify novel resources (e.g., from departments … such as unit
nurse and physician leaders and members of the information technology and/or analytics
departments … Limited resources Partner with key stakeholders, such as quality improvement and patient
experience departments … Many hospitals
have patient experience departments that have developed
communication skills training … the unit
Proactively address roadblocks to meet unit goals
Co-lead incorporation of ancillary staff/departments
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
May 01, 2017 - Gynecologists. 2012 ACOG Survey on Professional Liability Results 2012. http://www.acog.org/-/media/Departments
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6y.html
June 01, 2014 - of this measure set exist, each tailored to transitions to and from a different setting: emergency departments
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal4.html
January 01, 2013 - In States that had health departments with CDC contracts to reduce HAIs, State health department representatives
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
March 01, 2020 - Note: "Ambulatory care" includes visits to office-based physicians, hospital outpatient departments, … and hospital emergency departments
Importance: Adverse effects of medical care can arise from medical … treating adverse events in outpatient settings may include office-based physicians, hospital outpatient departments … , and hospital emergency departments. … their asthma is controlled with routine care and education, they are less likely to visit emergency departments
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment-guide.pdf
April 01, 2022 - In
addition, guidelines recommend that senior management assure adequate staffing of
departments that … Are those departments inserting urinary catheters using the most
updated evidence? … If not, CUSP teams need to consider sharing this evidence with
those departments and engaging them in
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-reimagining-healthcare-teams.pdf
July 07, 2023 - Clinical Assistant Professor, Departments of Internal Medicine, Pediatrics, and Learning Health Sciences … Assistant Professor, Departments of Learning Health Sciences, Internal Medicine, Urology, and Information … access to primary care) or
when in need (e.g., urgent care that may result in overuse of emergency departments
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www.ahrq.gov/sops/about/faq/index.html
June 01, 2022 - They can be used to assess individual units or departments or can be administered organization wide. … Is the SOPS Ambulatory Surgery Center Survey applicable to hospital outpatient departments? … affiliated with a hospital and the SOPS Hospital Survey may best suit the needs of hospital outpatient departments
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www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
July 01, 2010 - These settings
include practitioner offices, clinics,
outpatient departments of hospitals,
large or small … group practices,
community health centers (CHCs),
emergency departments, diagnostic
imaging centers, … Focus Area(s): ADEs for pediatric
patients in ambulatory settings,
emergency departments, and transitions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - Initial pilot testing of huddles occurred within two departments: radiology and laboratory
services. … specific units served as pilot areas for pre- and post-data collection, it was necessary to involve
all departments … In addition, we integrated the perspectives of other
disciplines/departments by eliciting their participation