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  1. pbrn.ahrq.gov/news/blog/ahrqviews/comments-pso-draft-report.html
    February 01, 2021 - SHARE: More topics in this section News Newsroom Blog AHRQ Views Newsletter Events AHRQ Views: Blog posts from AHRQ leaders AHRQ Welcomes Your Comments on Draft Report to Congress about Improving Patient Safe…
  2. pbrn.ahrq.gov/news/newsroom/press-releases/carbon-emissions.html
    September 01, 2022 - SHARE: More topics in this section News Newsroom Press Releases AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events AHRQ Releases Primer for Reducing Healthcare Carbon Emis…
  3. pbrn.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
    January 01, 2021 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families About AHRQ's Quality & Patient Safety Work Patie…
  4. 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 …
  5. 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
  6. 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:
  7. 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…
  8. 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…
  9. pbrn.ahrq.gov/news/newsroom/case-studies/201509.html
    January 01, 2018 - SHARE: More topics in this section News Newsroom Press Releases AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events AHRQ Research Inspires Efforts at Banner Desert To Reduc…
  10. 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
  11. pbrn.ahrq.gov/patient-safety/news-events/psaw-2024/index.html
    March 01, 2024 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families About AHRQ's Quality & Patient Safety Work Patie…
  12. pbrn.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    April 01, 2024 - SHARE: More topics in this section Research Publications & Products Research Findings & Reports Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets National Healthcare Quality & Disparities Rep…
  13. pbrn.ahrq.gov/research/publications/search.html
    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 …
  14. pbrn.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
    February 01, 2024 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families About AHRQ's Quality & Patient Safety Work Patie…
  15. 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) ___
  16. pbrn.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
    October 01, 2014 - SHARE: More topics in this section News Newsroom Press Releases AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events Massachusetts Hospital Improves Medication Reconciliatio…
  17. pbrn.ahrq.gov/patient-safety/settings/hospital/match/index.html
    April 01, 2023 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …
  18. 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.
  19. pbrn.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day.html
    September 01, 2023 - SHARE: More topics in this section News Newsroom Blog AHRQ Views Newsletter Events AHRQ Views: Blog posts from AHRQ leaders For World Patient Safety Day 2023, AHRQ Recognizes the Imperative of Engaging Patien…
  20. 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

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