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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
April 21, 2008 - Patient Safety Learning Pilot: Narratives from the Frontlines
Patient Safety Learning Pilot: Narratives from
the Frontlines
Shirley E. Kellie, MD, MSc; James B. Battles, PhD; Nancy M. Dixon, PhD;
Harold S. Kaplan, MD; Barbara Rabin Fastman, MHA
Abstract
Although patient safety experts have focused on event…
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www.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
April 29, 2021 - SDOH Environmental Scan - Updated April 29, 2021
Overview
Scan Overview:
AHRQ conducted an environmental scan of social determinants of health (SDOH) data sources to inform the development of AHRQ’s SDOH beta data files publicly released in December 2020. AHRQ is publicly releasing the environmental scan as a resour…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
January 01, 2004 - The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis
121
The AAFP Patient Safety Reporting System:
Development and Legal Issues Pertinent to
Medical Error Tracking and Analysis
Robert L. Phillips, Susan M. Dovey, John S. Hickner,
Deborah Graha…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - Improving Patient Safety Through Provider Communication Strategy Enhancements
Improving Patient Safety Through Provider
Communication Strategy Enhancements
Catherine Dingley RN, PhD, FNP; Kay Daugherty RN, PhD; Mary K. Derieg RN, DNP;
Rebecca Persing, RN, DNP
Abstract
The purpose of this study was to devel…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
June 15, 2005 - Developing a Community-Wide Electronic Shared Medication List
Developing a Community-Wide Electronic
Shared Medication List
Ron Stock, MD; Eldon R. Mahoney, PhD; Dawn Gauthier, MIS; Linda Center;
Mary Minniti, CPHQ; James Scott, MD; Marc Pierson, MD; Lori Nichols
Abstract
This study demonstrates the feasib…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
February 04, 2022 - These events are excellent learning
opportunities for team members.
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www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
January 01, 2025 - The inter-
observer reliability for the detection of errors was excellent (K=0.89).31
After the home
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/measures-rapid-scan-report.pdf
April 10, 2025 - N=77 available for
test-retest produced
an ICC of 0.89,
considered excellent
Examples of
Use for
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
January 01, 2020 - Redesigning Systems To Improve Teamwork and Quality for Hospitalized Patients: RESET Project Implementation Guide
REdesigning SystEms to
Improve Teamwork
and Quality for Hospitalized
Patients: RESET Project
Implementation Guide
Prepared by the RESET Investigators Version 2.0: September 2019 Funded by …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool
1
Global Assessment of Pediatric Patient Safety
(GAPPS) Trigger Tool
Section 1. Basic Measure Information
1.A. Measure Name
Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool
1.B. Measure Number
0143
1.C. Measure Description
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits
AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet
On-Time Preventable Hospital and Emergency Department Visits:
Electronic Reports
Five reports are described here. Each section presents a sample report followed by purpose,
description…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
August 01, 2010 - Strategy 3: Nurse Bedside Shift Report Implementation Handbook
Strategy 3: Nurse Bedside Shift Report (Implementation Handbook)
Guide to Patient and Family Engagement
Nurse Bedside Shift Report
Implementation Handbook
Strategy 3: Nurse Bedside Shift Report (Implementation Handbook)
Guide to Patie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
December 01, 2017 - Improving Your Laboratory Testing Process Toolkit
c
IMPROVING YOUR LABORATORY
TESTING PROCESS
A Step-by-Step Guide for Rapid- Cycle Patient Safety and Quality Improvement
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
PATIENT
SAFETY
IMPROVING
YOUR …
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www.ahrq.gov/sites/default/files/2024-02/schnipper2-report.pdf
January 01, 2024 - Final Progress Report: Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2)
1 | P a g e
Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2)
Principal Investigator: Jeffrey L. Schnipper, MD, MPH
Team Members: Harry Reyes Nieva, MAS; Me…
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www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
January 01, 2024 - AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements
AHRQ GRANT FINAL PROGRESS REPORT
Title: Improving Patient Safety through Provider Communication Strategy Enhancements
Principal Investigator: Kay Daugherty, RN, PhD
Team Members: Catherine Dingley, RN, F…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
July 01, 2022 - USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities
USER GUIDE: COVID-19 Vaccination Tracking
Tool for Use in Skilled Nursing Facilities
2 This tool is voluntary and not related to any interim, final, or enjoined Centers for
Medicare & Medicaid Services (CMS) rules or regulation…
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www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
January 01, 2025 - Final Progress Report: Incident Reporting Practices in Nursing Homes
FINAL PROGRESS REPORT
Incident Reporting Practices in Nursing Homes
PI: Nicholas G. Castle, Ph.D.1
1. University of Pittsburgh
A610 Crabtree Hall
Graduate School of Public Health
130 DeSoto Street, Pittsburgh, PA 15261
Telephone: (412) 383-7…
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www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
January 01, 2024 - Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children
Title Page
Application title: Training Leaders to Improve Healthcare Quality in Emergency
Settings for Children
Principal investigator:
Charles G. Macias, MD, MPH
Co-investigator:
Evaline Alessandrini, MD,…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits
AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet
On-Time Preventable Hospital and Emergency Department Visits:
Electronic Reports
Five sample reports are provided here. The reports are:
• High-Risk Transfer Report (a medium-risk rep…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals
Preventing CAUTI in the ICU Setting
Facilitator’s Guide
AHRQ Pub No. 15-0073-4-EF
September 2015
Contents
Introduction 5
Using This Guide 5
Preparing for a Session 5
Delivering the Session 6
Module 1: Overview 7
Potential Questions To Ask Before …