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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd.pdf
November 01, 2023 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Healthcare Facility Design
1
PATIENT
SAFETY
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Healthcare Facility Design
Overview
Research has shown that optimizing the physical, function…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
January 01, 2004 - Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause?
371
Does Medical Error Disclosure
Violate the Medical Malpractice
Insurance Cooperation Clause?
John D. Banja
Abstract
Medical malpractice insurance policies customarily contain a “cooperation”
clause requiring ins…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS)
325
Developing a Taxonomy of Anesthetists’
Nontechnical Skills (ANTS)
Rona Patey, Rhona Flin, Georgina Fletcher,
Nicola Maran, Ronnie Glavin
Abstract
Safety research in high-reliability industries, such as aviation, has clearly shown
that t…
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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…
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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…
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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-Goeschel_24.pdf
January 01, 2008 - Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project
Harnessing the Potential of Health Care
Collaboratives: Lessons from the Keystone ICU
Project
Christine A Goeschel, RN, MPA, MPS; Peter J. Pronovost, MD, PhD
Abstract
In October 2003, the Quality and Safety Research…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
March 01, 2020 - notification of healthcare
facilities when cases were detected
upon transfer or admission
screening, by establishing
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
April 30, 2025 - By establishing the
feasibility of using the VRE methodology for this significant problem, researchers
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-1.pdf
January 01, 2015 - community pharmacies
continually strive to improve, there is growing recognition of the importance of establishing
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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…
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www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
January 01, 2024 - Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study
Principal Investigator: Gershon, RRM
Safety in the Home Healthcare Sector: A pilot study (Final Report)
Safety in the Home Healthcare Sector:
A Pilot Study
Final Report
September 30, 2010
Grant Number: R03 HS018284-01
Project Period: 10…
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www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
January 01, 2024 - Final Progress Report: Improving Medication Safety Across Clinical Settings
FINAL REPORT: November 29, 2007
Improving Medication Safety Across Clinical Settings
Principal Investigator: David W. Bates; dbates@…
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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
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e
Issue Brief 7
Improving Education—A Key to Better
Diagnostic Outcomes
Prepared for:
Agency for Healthcare…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
March 01, 2020 - Chapter-8 - Diabetes
Harms Due to Diabetic Agents 8-1
8. Harms Due to Diabetic Agents
Authors: Lisa LeRoy Ph.D., M.B.A., and Sonja Richard, M.P.H.
Reviewer: Shelia Roman, M.D.
Introduction
In this chapter, two different kinds of diabetes patient safety practices are addressed—both intended to
improve diabete…
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
May 01, 2025 - #2b: Rapid Scan May 1, 2025
25
Concept Definition Examples
MeSH Terms (Bold)
Key Words
(6) establishing
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
January 01, 2024 - Improving Diagnostic Performance Related to Diagnostic Inequity and Implicit Bias
Aside from establishing
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 3
Improving
Patient Safety
in Long-Term
Care Facilities
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Module 3.
Falls Prevention
and Management
Student
Workbook
These training materials were dev…
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www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/systems/index.html
December 01, 2012 - Systems Change: Treating Tobacco Use and Dependence
Based on the Public Health Service (PHS) Clinical Practice Guideline—2008 Update
Systems change describes specific strategies that health care administrators, managed care organizations, and purchasers of health plans can implement to treat tobacco dependenc…