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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs
VHA’s National Falls Collaborative and
Prevention Programs
Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN;
Julia Neily, MS, MPH; James P. Bagian, MD, PE
Abstract
Falls are a high-volume, high-cost problem in he…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
July 01, 2003 - Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors
185
Preparing for Ambulatory Computerized
Prescriber Order Entry by Evaluating
Preimplementation Medication Errors
Emily Beth Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless,
Thomas K. Hazlet, R…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
March 01, 2004 - Identifying Barriers to the Success of a Reporting System
167
Identifying Barriers to the Success
of a Reporting System
Michelle L. Harper, Robert L. Helmreich
Abstract
Spurred by a controversial report from the Institute of Medicine on the prevalence
of medical error, To Err Is Human, the medical profe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
March 31, 2004 - Creating a Curriculum for Training Health Profession Faculty Leaders
299
Creating a Curriculum for Training
Health Profession Faculty Leaders
Pamela H. Mitchell, Lynne S. Robins, Douglas Schaad
Abstract
Objectives: An interprofessional, collaborative group of educators, patient safety
officers, and Federal …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
April 14, 2008 - Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration
Proactive Postmarketing Surveillance:
Overview and Lessons Learned from Medication
Safety Research in the Veterans Health Administration
Robert R. Campbell, JD, MPH, PhD; An…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 9: Using Appreciative Inquiry with Practices
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Primary Care
Practice Facilitation
Curriculum
Module 9: Using Appreciative Inquiry with Practices
…
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www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
January 01, 2024 - Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study
AHRQ grant final progress report
TITLE
The Effect of EMR on Medication Safety: A SPUR-Net Study
PRINCIPAL INVESTIGATORS AND TEAM MEMBERS
Principal Investigator: Grace M. Kuo, PharmD, MPH
Study Co-Investigators: Jeffrey R. Steinbauer,…
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www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
January 01, 2024 - Final Progress Report: Are Volume Standards Accurate Measures?
FINAL PROGRESS REPORT:
ARE VOLUME STANDARDS ACCURATE MEASURES?
Principal Investigator: Laurent G. Glance, M.D.
Co-Investigators: Andrew W. Dick, Ph.D.
Turner M. Osler, M.D.
Dana B. Mukamel, Ph.D.
Organization: University of Rochester School of Medic…
-
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.…
-
www.ahrq.gov/sites/default/files/2024-02/gandhi-report.pdf
January 01, 2024 - Final Progress Report: Improving Safety and Quality with Outpatient Order Entry
Grant Final Report
Grant ID: 5R01HS015226-03
Improving Safety and Quality with Outpatient Order
Entry
Inclusive dates: 09/03/04 - 08/31/08
Principal Investigator:
Tejal K. Gandhi, MD, MPH
Team members:
Eric G. Poon, MD, MPH
Thomas D.…
-
www.ahrq.gov/sites/default/files/2024-01/magid-report.pdf
January 01, 2024 - Final Report: Improving Drug Safety
Final Report:
Improving Drug Safety
PI: David Magid, MD, MPH
Co-PI: Marsha Raebel, PharmD
Project Manager: David Brand, MSPH
Project Staff:
Bates, David, MD
Chester, Elizabeth, PharmD
Glasgow, Russell, PhD
Nelson, Kent, PharmD
Palen, Ted, MD, PhD
Platt, Richard, MD, MSc…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - Quantitative and Qualitative Analysis of Medication Errors: The New York Experience
131
Quantitative and Qualitative Analysis of
Medication Errors: The New York Experience
Elizabeth Duthie, Barbara Favreau, Angelo Ruperto,
Janet Mannion, Ellen Flink, Ruth Leslie
Abstract
Objectives: In June 2000, the New Yo…
-
www.ahrq.gov/sites/default/files/2024-02/vaughan-report.pdf
January 01, 2024 - Final Progress Report: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department)
Title: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the
Emergency Department)
PI: E. Camille Vaughan, MD, MS
Team Members
Emory/Grady: Ann…
-
www.ahrq.gov/healthsystemsresearch/hspc-research-study/impacts.html
June 01, 2020 - 5. Impacts of Federally Funded HSR and PCR
Health Services and Primary Care Research Study: Comprehensive Report
Health services and primary care in the United States are complex, multilevel, and layered systems in which the process of change is not always well understood, and effecting positive change often …
-
www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
June 01, 2020 - Appendix B. Detailed Research Domain Framework Definitions and Classification Rules
Health Services and Primary Care Research Study: Comprehensive Report
This appendix provides the following supplementary information on the research domain framework and environmental scan and portfolio analysis results:
D…
-
www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-a.html
June 01, 2020 - Appendix A. Details on Scan Data Set, Manual Reviews, Algorithm Classification Methods, and Supplemental Scan Results
Health Services and Primary Care Research Study: Comprehensive Report
This appendix provides additional information about the data set, methods, and results used in the environmental scan to s…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/compare/CAHPS-Database-2013-HP-Chartbook.pdf
January 01, 2013 - 2012 Chartbook: What Patients Say About Their Health Care Providers and Clinics
THE CAHPS DATABASE
2013 CAHPS Health Plan
Survey Database
2013 Chartbook: What Consumers Say About Their
Experiences with Their Health Plans and Medical Care
AHRQ Contract No.: HHSA290201300003C
Managed and prepared by:
Westa…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation
SAY:
This module introduces and provides evidence for the lung protective low tidal volume strategy, and offers recommendation…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-fullreport.pdf
July 01, 2017 - Pediatric Medical Complexity Algorithm
Pediatric Medical Complexity Algorithm
Section 1. Basic Measure Information
1.A. Measure Name
Pediatric Medical Complexity Algorithm
1.B. Measure Number
0141
1.C. Measure Description
Please provide a non-technical description of the measure that conveys what it measure…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - Return on Investment Tool
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool F.1
Return on Investment Estimation
What is the purpose of this tool? When your hospital invests in a new program, quality
improvement intervention, or technology, leaders often need to kn…