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4341. The Use of Surgical Simulators to Reduce Errors (pdf file)
      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…

4342. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
      January 01, 2022 - United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document … xii https://www.cms.gov/files/document/report-congress-fy-2020-qio-program.pdf. … quality-initiatives-patient-assessment-instruments/qualityimprovementorgs https://www.cms.gov/files/document

4343. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
      January 01, 2022 - United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document … xii https://www.cms.gov/files/document/report-congress-fy-2020-qio-program.pdf. … quality-initiatives-patient-assessment-instruments/qualityimprovementorgs https://www.cms.gov/files/document

4344. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
      January 01, 2022 - United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document … xii https://www.cms.gov/files/document/report-congress-fy-2020-qio-program.pdf. … quality-initiatives-patient-assessment-instruments/qualityimprovementorgs https://www.cms.gov/files/document

4345. Medical Office SOPS: 2016 User Comparative Database Report, Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-1.pdf
      January 01, 2016 - AHRQ Publication No. 16-0028-EF May 2016 http://www.ahrq.gov/ ii This document is in the public

4346. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_II_508.pdf
      January 01, 2020 - United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document

4347. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-MOSOPS-Database-Report-Part-II-508.pdf
      January 01, 2022 - United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document

4348. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-appendix.pdf
      January 01, 2024 - United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document

4349. Pediatric Diagnostic Safety: State of the Science and Future Directions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
      September 01, 2023 - United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document

4350. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
      January 01, 2025 - This document is in the public domain and may be used and reprinted without permission. … patient safety and the role of organizational leadership; (2) produce dissemination materials to document … Carolina 290-06-00001-4 [Contract] TeamSTEPPS Adoption in ACTION 2007–2009 $248,236 Purpose: To document

4351. Making Healthcare Safer Practices: 13. Alarm Fatigue (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
      March 01, 2020 - Making Healthcare Safer Practices: 13. Alarm Fatigue Alarm Fatigue 13-1 13. Alarm Fatigue Authors: Meghan Woo, Sc.D., and Olivia Bacon Reviewer: Ann Gaffey, R.N., M.S.N., CPHRM, DFASHRM Introduction Alarm fatigue occurs when clinicians experience high exposure to medical device alarms, causing alarm desensitiz…

4352. Impguide2 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/impguide2.pdf
      September 08, 2015 - The observations in this document represent the views of the authors and do not necessarily reflect … This document is in the public domain and may be used and reprinted without permission. 4 Designing … efforts provided the building blocks for the CHIPRA quality demonstration projects described in this document

4353. Preventing Pressure Injuries in Hospitals
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
      June 16, 2017 - Preventing Pressure Injuries in Hospitals Preventing Pressure Injuries in Hospitals ADD Name of Hospital Here Module 1 – Understanding Why Change Is Needed 1 Ice Breaker Describe an interesting fact about yourself. 2 Compelling Reasons To Implement Program Pressure injury rates continue to escalate. The inci…

4354. Rapid Response for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
      July 01, 2023 - Rapid Response for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Say: The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also referred to as a rapid response system, for respon…

4355. Early Mobility in the Intensive Care Unit: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
      February 01, 2017 - Early Mobility in the Intensive Care Unit: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Early Mobility in the Intensive Care Unit Say: In this slide set, we will look at the benefits, safety, feasibility, and sustainability of early mobility. Many hospitals and int…

4356. The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
      March 01, 2017 - The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures The Culture of Culturing— The Importance of Knowing When To Order Urine Cultures AHRQ Pub. No. 16(17)-0003-16-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to today’s educational session on The Culture of C…

4357. Chapter 6. Measure Maps and Profiles (continued, 17) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6p.html
      June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 17) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…

4358. Chapter 6. Measure Maps and Profiles (continued, 10) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6i.html
      June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 10) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…

4359. Established Child Health Care Quality Measures: AHRQ Quality Indicators | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-3.html
      November 01, 2017 - Established Child Health Care Quality Measures: AHRQ Quality Indicators Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. Contents Pediatric Quality Indicators Child-Specific Quality Indicators Availa…

4360. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-references.html
      June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors References Previous Page   Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Introduction Past…