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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-transcript.doc
July 08, 2014 - Paul Tedrick
July National Content Call
July 8, 2014
11:00AM CT
Operator:
This is a recording of the Paul Tedrick conference, the July National Content Call, on July 8, 2014 at 11:00AM Central. Excuse me, everyone. We now have our speakers in conference. Please note the participation on this call is by express wri…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
July 02, 2008 - What Exactly Is Patient Safety?
What Exactly Is Patient Safety?
Linda Emanuel, MD, PhD; Don Berwick, MD, MPP; James Conway, MS; John Combes, MD;
Martin Hatlie, JD; Lucian Leape, MD; James Reason, PhD; Paul Schyve, MD;
Charles Vincent, MPhil, PhD; Merrilyn Walton, PhD
Abstract
We articulate an intellectual h…
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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-Webster_76.pdf
July 18, 2008 - Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies
Understanding Quality and Safety Problems in the
Ambulatory Environment: Seeking Improvement With
Promising Teamwork Tools and Strategies
John S. Webster, MD, MBA; Heidi B. …
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter
PATIENT
SAFETY
e
Issue Brief 12
Patient Experience as a Source for
Understanding the Origins, Impact,
and Remediation of Diagnostic Errors
Volume 1: Why Patient Na…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
January 01, 2003 - Clinical Inertia and Outpatient Medical Errors
293
Clinical Inertia and Outpatient Medical Errors
Patrick J. O’Connor, JoAnn M. Sperl-Hillen,
Paul E. Johnson, William A. Rush, George Biltz
Abstract
Clinical inertia is defined as lack of treatment intensification in a patient not at
evidence-based goals for …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
April 01, 2004 - The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization
87
The Brighton Collaboration: Creating a
Global Standard for Case Definitions
(and Guidelines) for Adverse Events
Following Immunization
Katrin S. Kohl, Jan Bonhoeffer, M…
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www.ahrq.gov/sites/default/files/publications/files/redtoolkitforms.pdf
September 01, 2012 - Using clinical judgment, use this conversation to determine if further
recommendations, teaching, or
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www.ahrq.gov/sites/default/files/publications/files/redtoolkitforms.docx
September 01, 2012 - Using clinical judgment, use this conversation to determine if further recommendations, teaching, or
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
March 01, 2020 - Two-sided test with a p
value of .05 or less was
used to determine statistical
significance.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/quickref/tobaqrg.pdf
April 01, 2009 - Assess—Determine willingness to make a quit attempt
Action Strategies
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
July 01, 2023 - Determine what code words to use as an
organization; include these in the Readiness materials
o Tip
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
July 01, 2023 - Determine what code words to use as an organization; include these in the Readiness materials
Tip!
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-figure-1-tables-1-5.pdf
January 01, 2011 - preferences and goals
PLAN
Share Plans
Execute Plans
•Partnership btw care
coordinator and family
DO
Determine
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
July 01, 2015 - Appendix C: The Health Care Safety Hotline: Operations Manual
Appendix C. Operations Manual
The Health Care Safety Hotline: Operations Manual
Denise D. Quigley, RAND Corporation
Shaela Moen, RAND Corporation
Robert Giannini, ECRI Institute
Lauren Hunter, RAND Corporation
Operations Ma…
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www.ahrq.gov/news/newsroom/ahrq-stats.html
January 01, 2025 - AHRQ Stats
New data nuggets from AHRQ News Now posted weekly to highlight AHRQ statistical reports on health care trends. Adverse Drug Events Involving Hypoglycemic Agents In 2021, 7.5 percent of Hispanic patients, 6.6 percent of Black patients, 6.2 percent of patients with an “other” or unknown race, and 4.0…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23464-Crystal-draft-1.pdf
February 13, 2019 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care
Title of Project: Improving Medication Safety in Nursing Home Dementia Care
Principal Investigator: Stephen Crystal, Ph.D.
Team Members: Stephen Crystal, Richard Hermida, Olga Jarrin, Marsha Rosenthal, Beth Angell,
Sharon Cook, Shere…
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www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
January 01, 2025 - Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL)
Title of Project: Failure to Rescue-Patient Safety Learning Lab (FTR-PSLL)
Principal Investigator and Team Members:
Dartmouth-Hitchcock: George Blike, MD, MHCDS, PI; Susan McGrath, PhD, CoI; Todd McKenzie, PhD;
Irina Pearrard, PhD…
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www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
January 01, 2024 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care
Title of Project: Improving Medication Safety in Nursing Home Dementia Care
Principal Investigator: Stephen Crystal, Ph.D.
Team Members: Stephen Crystal, Richard Hermida, Olga Jarrin, Marsha Rosenthal, Beth Angell,
Sharon Cook, Shere…
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www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
January 01, 2024 - Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children
Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children
PI: Stuart L. Goldstein, M.D.
Team Members
David Askenazi M.D., University of Alabama-Birmingham
Patrick Brophy, M.D., University of…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-transcript.pdf
September 01, 2019 - Developing Invitation Messages that Increase CAHPS Survey Response Rates Webcast Transcript
Developing Invitation Messages that Increase CAHPS Survey Response Rates
September 2019 Webcast
Speakers
Caren Ginsberg, PhD, CPXP, Director, CAHPS Division, Center for Quality Improvement and Patient Safety,
Agency fo…