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AHRQ Welcomes Your Comments on Draft Report to Congress about Improving Patient Safe…
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AHRQ Releases Primer for Reducing Healthcare Carbon Emis…
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pbrn.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
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pbrn.ahrq.gov/sites/default/files/docs/AHRQ_PBRN_Webinar_IRB_Challenges_QI_Research_5.27.15.pdf
September 10, 2015 - Institutional Review Board (IRB) Challenges in QI & Research Webinar Presentation Slides
Institutional Review Board (IRB) Challenges in QI
& Research
Presented By:
Holly Taylor, PhD, MPH; Mark Schreiner, MD; Alexander Fiks, MD, MSCE
Moderated By:
Rebecca Roper, MS, MPH, Director, Practice-Based Research …
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/patient-safety-technology-resources.pdf
May 01, 2023 - Safe Health IT Saves Lives
https://www.jointcommission.org/resources/sentinel-event/safe-health-it-saves-lives … resources-critical-access-hospitals-and-small-rural-hospitals
https://www.jointcommission.org/resources/sentinel-event
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pbrn.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - Slide 77
CAUTI Alert
Tool to alert staff of a CAUTI
Lists date & time of event
Cites NHSN criteria … for event labeled as a CAUTI
Raises awareness of incident for use for further prevention
Image:
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pbrn.ahrq.gov/sites/default/files/docs/Best-Practices-for-Measuring-Triple-Aim-120914.pdf
September 10, 2015 - Best Practices for Measuring Practice Transformation to Implement the Triple Aim
Best Practices for Measuring Practice
Transformation to Implement the Triple Aim
Presented By:
Chet Fox, MD, FAAFP, FNKP; Lynne Nemeth, PhD, RN, FAAN; Zsolt Nagykaldi, PhD;
Paula Darby Lipman, PhD; Rodger Kessl…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions
Final Report: Potentially Preventable Readmissions: A Conceptual Framework To Rethink the Role of Primary Care: Addendum 1
The Five Principles of Effective Primary Care-Based Care
Coordination fo…
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pbrn.ahrq.gov/news/newsroom/case-studies/201509.html
January 01, 2018 - SHARE:
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AHRQ Research Inspires Efforts at Banner Desert To Reduc…
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pbrn.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
February 01, 2017 - day a patient is on a ventilator, he or she accumulates a risk for developing a ventilator-associated event … a combination of these criteria define the different tiers we see within the ventilator-associated event
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pbrn.ahrq.gov/patient-safety/news-events/psaw-2024/index.html
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April 01, 2024 - SHARE:
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Publications & Products
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Grantee Final Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
National Healthcare Quality & Disparities Rep…
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January 01, 2024 - SHARE:
Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 1 - 10 of 187 Publications displayed
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pbrn.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
February 01, 2024 - SHARE:
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/root-cause.html
January 01, 2013 - ___ Don't know
___ Catastrophic event (e.g., stroke, arrhythmia NOT orthostatic hypotension)
___
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pbrn.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
October 01, 2014 - SHARE:
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Massachusetts Hospital Improves Medication Reconciliatio…
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pbrn.ahrq.gov/patient-safety/settings/hospital/match/index.html
April 01, 2023 - SHARE:
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Hospital
Fall Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered Rounds …
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pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
July 01, 2023 - Sentinel Event Alert: Issue #30 Preventing Infant Death and Injury During Delivery. 2004.
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pbrn.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day.html
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For World Patient Safety Day 2023, AHRQ Recognizes the Imperative of Engaging Patien…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
August 01, 2005 - Objective information
can originate from a variety of sources, including adverse event and near-miss … For continued success, the organization needs to view the culture change as a process rather than
an event