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2521. St. Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cquips1402.html
      January 01, 2014 - "It's not about blaming them that an error occurred." … These dimensions include nonpunitive response to error, communication openness, hospital management support

2522. Spanish Translation of AHRQ's Hospital Survey on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital_survey_composites-spanish.pdf
      October 01, 2009 - Cuando se comete un error, pero es descubierto y corregido antes de afectar al paciente, ¿qué tan a menudo … Cuando se comete un error, pero no tiene el potencial de dañar al paciente, ¿qué tan frecuentemente es … Cuando se comete un error que pudiese dañar al paciente, pero no lo hace, ¿qué tan a menudo es reportado

2523. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-2.html
      June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Introduction Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Introduct…

2524. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
      May 01, 2011 - Wu discusses this concept in his article “Medical Error: The Second-Victim” and the associated “expectation … the second-victim phenomenon even in cases where no adverse event occurred, but they feared that an error … stage. 9 Stage 1: Chaos and Accident Response Stage characterized by the second-victim: Realizing error … During this stage, the second-victim might tell someone about the error/event as their way of asking … Medical error: the second victim. The doctor who makes the mistake needs help too.

2525. Conclusion | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-5.html
      June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Conclusion Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Introductio…

2526. On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
      December 01, 2017 - On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts AHRQ’s Safety Program for Nursing Homes Review of Self-Assessment Worksheet Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet Completed Self-Assessment Worksheet …

2527. Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti.pdf
      January 01, 2019 - Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part I 2019 User Database Report Community Pharmacy Survey on Patient Safety Culture 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…

2528. Final Progress Report: National Claims-Based Quality Measures for Surgical Site Infections (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/platt-report.pdf
      January 01, 2025 - Final Progress Report: National Claims-Based Quality Measures for Surgical Site Infections TITLE PAGE Project Title: National Claims-Based Quality Measures for Surgical Site Infections Principal Investigator: Richard Platt, MD, MSc, Professor and Chair, Department of Population Medicine, Executive Director, Harv…

2529. Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph2-report.pdf
      January 01, 2024 - Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit Final Progress Report 1. TITLE PAGE Grant Number: 5R13HS021824-03 FAIN: R13HS021824 Principal Investigator: Anjali Joseph Project Title: Developing and disseminating a Patient Safety Risk Assessment (PSRA) toolkit …

2530. Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
      January 01, 2024 - Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology Improving Medication Management Practices and Care Transitions through Technology Penny H. Feldman, Ph.D. – Principal Investigator Liliana E. Pezzin, Ph.D. – Co-Investigator Timothy R. Peng, Ph.D. – Co-Inv…

2531. Puh-Implementation-Handouts (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
      July 01, 2016 - Handouts: Implementation of the Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts Review of Self-Assessment Worksheet Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet Com…

2532. Adolescent Depression Remission/Response (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-247-fullreport.pdf
      December 01, 2019 - Adolescent Depression Remission/Response 1 Adolescent Depression Remission/Response Section 1. Basic Measure Information 1.A. Measure Name Adolescent Depression Remission/Response (Provider) 1.B. Measure Number 0247 1.C. Measure Description Please provide a non-technical description of the measure that conv…

2533. Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-2-pf-as-a-resource.pdf
      September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement Agency for Healthcare Research and Quality Advancing Excellence in Healt…

2534. 6. Research Gaps and Prioritization of Federally Funded HSR and PCR | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
      June 01, 2020 - 6. Research Gaps and Prioritization of Federally Funded HSR and PCR Health Services and Primary Care Research Study: Comprehensive Report One of the study’s key research questions focuses on identifying research gaps—understudied or underfunded areas in HSR and PCR that, if addressed, would move the fields fo…

2535. Technical Review 17: Nutritional Research Series, Vol. 1: Application of Systematic Review Methodology to the Field of Nutrition (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp1.pdf
      January 01, 2009 - Technical Review 17: Nutritional Research Series, Vol. 1: Application of Systematic Review Methodology to the Field of Nutrition Technical Review 17 Nutritional Research Series Volume 1: Application of Systematic Review Methodology to the Field of…

2536. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
      December 01, 2021 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part I SURVEYS ON PATIENT SAFETY CULTURE™ Surveys on Patient Safety Culture™ Ambulatory Surgery Center Survey: 2021 User Database Report e PATIENT SAFETY [This page is intentionally left blank] Surveys o…

2537. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report-rev091721.pdf
      January 01, 2020 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part I PATIENT SAFETY Surveys on Patient Safety CultureTM (SOPSTM) Ambulatory Surgery Center Survey: 2020 User Database Report [This page is intentionally left blank] Surveys on Patient Safety CultureTM…

2538. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
      May 20, 2016 - with drug reaction ∗ Death associated with adverse drug reaction ∗ Death associated with medication error … Procedures  Prophylaxis  Resuscitation  Supervision/management  Triage/transitions  Human error … usual procedures performed in accordance with standards of care) and nosocomial infections  Human error … Multi-professional mortality review: supporting a culture of teamwork in the absence of error finding

2539. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-1.html
      June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Intr…

2540. Directions for Future Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-4.html
      June 01, 2023 - move away from previous practices of asking respondents if they experienced medical or diagnostic “error