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  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 16. Venous Thromboembolism Venous Thromboembolism 16-1 16. Venous Thromboembolism Eleanor Fitall, M.P.H., and Kendall K. Hall, M.D., M.S. Introduction Background Venous thromboembolism (VTE) is a disorder that includes deep vein thrombosis (DVT) and pulmonary embolism (PE). …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt1.pdf
    January 01, 2016 - 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part I PATIENT SAFETY NURSING HOME SURVEY ON PATIENT SAFETY CULTURE: 2016 User Comparative Database Report The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Health…
  3. www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
    January 01, 2024 - Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance AHRQ Grant Final Progress Report Title of Project: Analysis of Factors Associated with Clinical Checklist Compliance Principal Investigator: Aleksandra Sarcevic, PhD Associate Professor, College of Computing and Informatics, D…
  4. www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
    January 01, 2024 - Final Progress Report: Older adult safety while receiving home health services after hospital discharge Older adult safety while receiving home health services after hospital discharge Principal Investigator: Alicia I. Arbaje, MD, MPH, PhD Other team members: Bruce Leff, MD (Primary mentor) Ayse P. Gurses, PhD, MS…
  5. www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
    January 01, 2024 - Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home TITLE PAGE  AHRQ Final Progress Report Title: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home Principle Investigator: Steven M. Handler, MD, PhD Team Members: Joseph T. Hanlon…
  6. www.ahrq.gov/ncepcr/tools/public-reporting/guide2.html
    June 01, 2017 - Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information The purpose of the Best Practices in Public Reporting series is to provide practical approaches to designing public reports that make health care performanc…
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment-guide.pdf
    April 01, 2022 - ICU Assessment Response Guide AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI ICU Assessment Response Guide This guide is intended to be used to respond to and evaluate the intensive care unit (ICU) team’s responses to the ICU assessment. The guide offers an explanation of the…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-2-public-reporting.pdf
    June 01, 2010 - Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Compar…
  9. www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-transcript.html
    December 01, 2017 - Breaking Down Barriers to Aseptic Catheter Insertion (May 12, 2015) Webinar Transcript May 12, 2015 Breaking Down Barriers to Aseptic Catheter Insertion Operator 1: The following is a recording of the Kathy Drury May National content calls with the American Hospital Association on May 12th, 2015, at 11:0…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-transcript.docx
    May 12, 2015 - May 12, 2015 Breaking Down Barriers to Aseptic Catheter Insertion Speaker 1: The following is a recording of the Kathy Drury May National content calls with the American Hospital Association on May 12th, 2015, at 11:00 a.m. Central Time. Speaker 2: Excuse me everyone. We now have all of our speakers in conference. Ple…
  11. www.ahrq.gov/sites/default/files/2024-07/carroll-report.pdf
    January 01, 2024 - Final Progress Report: Cultural Competency and African Women’s Health Services Title (revised): Cultural Competency and African Women’s Health Services Original title: Cultural Competency and Maternal Health in African Women Principal Investigator: Jennifer Carroll, MD, MPH Team Members: Ronald Epstein, MD; Kevin …
  12. www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
    April 01, 2013 - Organizational Embrace of CUSP to Improve Patient Safety (Transcript) March 20, 2012 Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions. At that ti…
  13. www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
    April 01, 2013 - Appropriate Assertion Call (Transcript) December 14, 2010 Operator: Good day, ladies and gentleman and welcome to the CUSP Content Call. At this time, all participants are in a listen only mode. Later, we will conduct a question-and-answer session, and instructions will follow at that time. If anyone should …
  14. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
    May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes Slide 1: Improving Communication and Teamwork in the Surgical Environment Module Say: The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communicat…
  15. www.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
    November 01, 2016 - Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update August 8, 2013 Download accessible version of slides (PDF, 920 KB) National Quality Strategy: 2013 Annual Progress Report Update [Slide 1] Ann Gordon: Welcome everyone. My name is Ann Gordon and I'll be facilitating…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
    January 01, 2004 - A Strategic Approach for Funding Research: The Agency for Healthcare Research and Quality’s Patient Safety Initiative 2000–2004 7 A Strategic Approach for Funding Research: The Agency for Healthcare Research and Quality’s Patient Safety Initiative 2000–2004 Margaret A. Keyes, Eduardo Ortiz, Deborah Queenan, Ro…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
    April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems 135 Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems Ellen Flink, C. Lynn Chevalier, Angelo Ruperto, Peg Dameron, Frederick J. Heigel, Ruth Leslie, Janet Mannion, Robert J. Panzer Abstract New Yor…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
    February 01, 2005 - Medical Team Training Programs in Health Care 253 Medical Team Training Programs in Health Care David P. Baker, Sigrid Gustafson, J. Mathew Beaubien, Eduardo Salas, Paul Barach Abstract Numerous medical team training programs have been developed and implemented in response to the patient safety crisis hig…
  19. 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 - Improving Patient Safety Through Provider Communication Strategy Enhancements Improving Patient Safety Through Provider Communication Strategy Enhancements Catherine Dingley RN, PhD, FNP; Kay Daugherty RN, PhD; Mary K. Derieg RN, DNP; Rebecca Persing, RN, DNP Abstract The purpose of this study was to devel…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
    January 01, 2016 - 2016 Hospital Survey on Patient Safety Culture Part I PATIENT SAFETY HOSPITAL SURVEY ON PATIENT SAFETY CULTURE 2016 User Comparative Database Report Surveys on Patient Safety Culture™ The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement…

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