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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
    March 01, 2004 - Development and Implementation of The University of Texas Close Call Reporting System 149 Development and Implementation of The University of Texas Close Call Reporting System Sharon K. Martin, Jason M. Etchegaray, Debora Simmons, W. Thomas Belt, Kelly Clark Abstract This report describes the development…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
    January 07, 2005 - From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice 441 From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice Veronica F. Nieva, Robert Murphy, Nancy Ridley, Nancy Donaldson, John Combes, Pamela Mitchell, Christine Kovner…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Dutta.pdf
    January 01, 2003 - SimCare: A Model for Studying Physician Decisionmaking Activity 179 SimCare: A Model for Studying Physician Decisionmaking Activity Pradyumna Dutta, George R. Biltz, Paul E. Johnson, JoAnn M. Sperl-Hillen, William A. Rush, Jane E. Duncan, Patrick J. O’Connor Abstract A major factor that contributes to th…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carayon.pdf
    February 01, 2005 - An Employee Questionnaire for Assessing Patient Safety in Outpatient Surgery 461 An Employee Questionnaire for Assessing Patient Safety in Outpatient Surgery Pascale Carayon, Carla J. Alvarado, Ann Schoofs Hundt, Scott Springman, Amanda Borgsdorf, Peter L.T. Hoonakker Abstract This paper provides informa…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
    January 01, 2003 - Patient Monitors in Critical Care: Lessons for Improvement Patient Monitors in Critical Care: Lessons for Improvement Frank A. Drews, PhD Abstract Unexpected incidents are common in intensive care medicine. One means of detecting, diagnosing, and treating these events is use of physiologic displays that sho…
  6. www.ahrq.gov/sites/default/files/publications/files/pharmlit.pdf
    October 01, 2007 - Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide Is Our Pharmacy Meeting Patients’ Needs? A Pharmacy Health Literacy Assessment Tool User’s Guide This user’s guide was produced under contract to the Agency for Healthcare Research and Quality (AHRQ) under Contract No.…
  7. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 6. Horizon Hospital—Lakeview Healthcare Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Centra…
  8. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 3. Grand Hospital Center Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Ca…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
    April 01, 2014 - Multiple Chronic Conditions Chartbook Multiple Chronic Conditions Chartbook 2010 MEDICAL EXPENDITURE PANEL SURVEY DATA ALL OF THE INFORMATION INCLUDED IN THIS CHARTBOOK IS FREELY AVAILABLE FOR REPRODUCTION. PERMISSION FROM THE AUTHORS FOR THE USE THE CHARTS OR GRAPHICS CONTAINED IN THIS REPORT IS NOT NECESSA…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
    March 01, 2004 - Detection of Inpatient Health Care Associated Injuries: Comparing Two ICD-9-CM Code Classifications 227 Detection of Inpatient Health Care Associated Injuries: Comparing Two ICD-9-CM Code Classifications Carol J. Masheter, Paul Hougland, Wu Xu Abstract This paper compares two complementary International …
  11. www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
    March 11, 2022 - Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes Issue Brief 7 Improving Education—A Key to Better Diagnostic Outcomes PATIENT SAFETY e This page intentionally left blank. e Issue Brief 7 Improving Education—A Key to Better Diagnostic Outcomes Prepared for: Agency for Healthcare…
  12. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
    July 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action PATIENT SAFETY e Issue Brief 22 re ostic Safety in Older Adults Issue Brief 24 Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action PATIENT SAFETY e This page intentionally left blank. e Issue Brief 24 Diagnostic Excelle…
  13. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport.pdf
    March 01, 2020 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care Final Report This page is intentionally blank. Potentially Preventable Readmissions: Conceptual Framewo…
  14. www.ahrq.gov/sites/default/files/2024-01/rosen-report.pdf
    January 01, 2024 - Final Progress Report: Developing Peer-to-Peer Learning Tools for Critical Care Physicians AHRQ Grant Final Progress Report Title of Project: Developing Peer-to-Peer Learning Tools for Critical Care Physicians: Peer- and Competency- based Ongoing Approach for Critical Healthcare Evaluations of Skills (P-COACHES) …
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdf
    March 05, 2008 - Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care Robert E. Graham, MD, MPH; Tejal K. Gandhi, MD, MPH; Joshua Borus, MD; Andrew C. Seger, PharmD; Elisabeth Bur…
  16. www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
    January 01, 2024 - Final Progress Report: Developing Best Practices for Patient Safety Developing Best Practices for Patient Safety Laurence Baker, PI Sara Singer, Co-PI Jeff Geppert, Co-Investigator Bruce Spurlock, Consultant David Classen, Consultant Stanford University Center for Health Policy August 2000 - August 2004 Federal P…
  17. www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
    January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety Final Progress Report Title: Effects of Extended Work Hours on ICU Patient Safety Principal Investigator: Charles A. Czeisler, Ph.D., M.D. Organization: Brigham and Women's Hospital Co-Investigators: Christopher P. Landrigan, M.D., M.P.H.…
  18. www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
    January 01, 2024 - Final Progress Report: Profiling the Needs of Dying Children FINAL PROGRESS REPORT Title of Project: Profiling the Needs of Dying Children Principal Investigator: Chris Feudtner, MD, PhD, MPH Organizations: The University of Washington (2000-2002) and The Children's Hospital of Philadelphia (2002-2006) Date…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
    December 01, 2017 - Presentation: Building Your SSI Prevention Bundle Building Your SSI Prevention Bundle AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 SAY: In this module, you’ll learn about using building a local bundle to reduce surgical site infections. 1 Learning Objectives After this se…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
    December 01, 2017 - PowerPoint Presentation: Learn From Defects for Sustainability Sustainability: Learning From Defects AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Sustainability SAY: This module will review some concepts from Learning From Defects Th…

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