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  1. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - Blame the pa- tient, blame the doctor or blame the system?
  2. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
    May 01, 2017 - Just before the start of procedures, the doctor encouraged all team members to speak up at any time
  3. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/qdr-ruralhealthchartbook-update.pdf
    January 01, 2020 - National Healthcare Quality and Disparities Report Chartbook on Rural Health Care National Healthcare Quality and Disparities Report CHARTBOOK ON RURAL HEALTH CARE Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov This document is in the public domain and may be us…
  4. ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
    January 01, 2024 - Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? Kevin B. Johnson, MD, MS (PI) Associate Professor, Biomedical Informatics Associate Professor, Pediatrics Vanderbilt Universi…
  5. ce.effectivehealthcare.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6.html
    March 01, 2013 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  6. ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/kharrazi-report.pdf
    January 01, 2024 - Final Progress Report: Development of a community-wide real-time health information exchange–based hospital readmission risk prediction and notification system Final Report Development of a community-wide real-time health information exchange–based hospital readmission risk prediction and notification system for…
  7. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
    December 01, 2017 - Surgical Complication Prevention Guide AHRQ Safety Program for Surgery Surgical Complication Prevention Guide AHRQ Publication No. 16(18)-0004-13-EF December 2017 AHRQ Safety Program for Surgery Surgical Complication Prevention Guide Contents Introduction .................................................…
  8. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
    January 01, 2001 - Development of a Screening Tool for Safe Wheelchair Seating 127 Development of a Screening Tool for Safe Wheelchair Seating Deborah Gavin-Dreschnack, Lawrence Schonfeld, Audrey Nelson, Stephen Luther Abstract Objectives: Most elderly nursing home residents who need wheelchairs are not being assessed i…
  9. ce.effectivehealthcare.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
    December 01, 2009 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  10. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-transcript.pdf
    September 01, 2015 - Preventing CAUTI in the ICU Setting: Transcript Preventing CAUTI in the ICU Setting Transcript AHRQ Safety Program for Reducing CAUTI in Hospitals AHRQ Pub No. 15-0073-4-EF September 2015 Contents Module 1: Overview .............................................................................................…
  11. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd.pdf
    November 01, 2023 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Healthcare Facility Design 1 PATIENT SAFETY AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Healthcare Facility Design Overview Research has shown that optimizing the physical, function…
  12. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
    May 01, 2023 - Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture I. Purpose This document provide…
  13. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
    April 01, 2016 - Purpose: To help you identify members of your organization who are effective at delivering disclosure communications. Who should use this tool? Communication and Optimal Resolution (CANDOR) Implementation Team, Disclosure Lead(s), Disclosure Communicators. How to use this tool: Use the Communication Assessment Guid…
  14. ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
    March 01, 2013 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  15. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-fairbanks_20.pdf
    February 21, 2008 - Clinical Pharmacists in Emergency Medicine Clinical Pharmacists in Emergency Medicine Rollin J. Fairbanks, MD, MS; Erik A. Rueckmann, MD; Karen E. Kolstee, MPA, RN; Daniel P. Hays, PharmD; Daniel J. Cobaugh, PharmD; Robert L. Wears, MD, MS; Karen H. Dewar, RN; Heather A. Martin, MS, RN; Colleen O. Davis, MD, MPH…
  16. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Becker_3.pdf
    January 09, 2008 - The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place Shirley Ann Becker, PhD, MS; Frank M. Webbe, PhD Abstract Objective: We report on the first in-home test of “Buddy…
  17. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-StJacques_105.pdf
    March 29, 2008 - Improving Perioperative Patient Safety Through the Use of Information Technology 1 Improving Perioperative Patient Safety Through the Use of Information Technology Paul J. St. Jacques, MD; Michael N. Minear Abstract The perioperative care process is a unique and challenging environment. Perioperative …
  18. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Stone.pdf
    January 01, 2004 - certified nursing assistant (CNA), licensed practical nurse (LPN), medical assistant (MA), medical doctor
  19. ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
    June 01, 2014 - information transfer between health care providers and patients, such as whether patients can email their doctor
  20. ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/pichert.html
    August 01, 2017 - One report might contain several complaints (e.g., "doctor was very late for my appointment," "did not

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