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psnet.ahrq.gov/issue/high-reliability-health-care
May 06, 2015 - Measurement Tool/Indicator
High Reliability in Health Care.
Citation Text:
High Reliability in Health Care. Joint Commission Center for Transforming Healthcare.
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-0
December 24, 2008 - Multi-use Website
Common formats for patient safety data collection and event reporting.
Citation Text:
Common formats for patient safety data collection and event reporting. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/ahrq-2008-annual-conference
December 24, 2008 - Government Resource
AHRQ 2008 Annual Conference.
Citation Text:
AHRQ 2008 Annual Conference. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/ahrq-2009-annual-conference
December 24, 2008 - Meeting/Conference Proceedings
AHRQ 2009 Annual Conference.
Citation Text:
AHRQ 2009 Annual Conference. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/guide-infection-prevention-outpatient-settings-minimum-expectations-safe-care
June 11, 2014 - Book/Report
Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care.
Citation Text:
Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care. Atlanta, GA: Centers for Disease Control and Prevention; 2011.
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psnet.ahrq.gov/issue/organisation-patient-safety-incident-reports
October 26, 2007 - Multi-use Website
Organisation Patient Safety Incident Reports.
Citation Text:
Organisation Patient Safety Incident Reports. National Patient Safety Agency
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psnet.ahrq.gov/issue/tennessee-center-patient-safety
May 03, 2023 - Multi-use Website
Tennessee Center for Patient Safety.
Citation Text:
Tennessee Center for Patient Safety. Tennessee Center for Patient Safety.
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psnet.ahrq.gov/issue/ashp-statement-role-medication-safety-leader
June 16, 2019 - Organizational Policy/Guidelines
ASHP statement on the role of the medication safety leader.
Citation Text:
ASHP Statement on the Role of the Medication Safety Leader. Am J Health-Syst Pharm. 2020;77(4):308-312. doi:10.1093/ajhp/zxz292.
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DOI Google Sc…
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www.ahrq.gov/hai/tools/surgery/modules/index.html
December 01, 2017 - Instructional Modules
Toolkit To Promote Safe Surgery
Fifteen instructional modules cover topics spread across the three phases that clinical teams will use in their program: onboarding, implementation, and sustainability. Each module is designed to be delivered as part of a 1-hour subject matter expert-led …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/outcomes-research-depression.pdf
October 01, 2021 - iv
Executive Summary
Patient registries are important tools for advancing research, improving healthcare … externally requires a coordinated effort between individuals at all levels of the
registry, from executive … In many cases, an executive steering/operations body makes key
decisions about sharing data externally … Roles comprising governance for sharing data externally
Executive Steering/Operations—As the primary … The Executive
Steering/Operations Committee or similar decision-making body for the registry should
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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
December 01, 2006 - I think executive walkrounds are a fantastic idea. … We ask, for example, are you having any problems or barriers at the executive level, or with the physician
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - I think executive walkrounds are a fantastic idea. … We ask, for example, are you having any problems or barriers at the executive level, or with the physician
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psnet.ahrq.gov/node/33613/psn-pdf
May 01, 2005 - Organizational Change in the Face of Highly Public
Errors—II. The Duke Experience
May 1, 2005
Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
Pe…
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psnet.ahrq.gov/node/49484/psn-pdf
June 01, 2005 - Two Pills, Same Drug
June 1, 2005
Horsky J, Patel VL. Two Pills, Same Drug. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/two-pills-same-drug
The Case
A 34-year-old woman with AIDS developed a fever and hypotension due to suspected pneumonia. Her past
medical history included several AIDS-related complica…
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cdsic.ahrq.gov/sites/default/files/2024-02/OY1%20Operations%20Center%20Charter.pdf
January 01, 2024 - Final Revised Operations Center Charter
Operations Center:
Charter – Option Year 1
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicago
November 2023
http://www.ahrq.gov/
1
…
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digital.ahrq.gov/sites/default/files/docs/library/d06750.pdf
August 30, 2006 - 5
Significant Network Weaknesses Place Medical Data at Risk 6
Conclusions 11
Recommendation for Executive … Conclusions
Recommendation for
Executive Action
Page 11 GAO-06-750 CMS Information Security … Segregation of Duties
Security Policies Were Not Always Fully Implemented
Conclusions
Recommendation for Executive
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching.pptx
July 01, 2023 - PowerPoint Presentation
Coaching
Module 6 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools.
1
Coaching
Involve…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching.pptx
July 01, 2023 - PowerPoint Presentation
Coaching
Module 6 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools.
1
Coaching
Involve…
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digital.ahrq.gov/sites/default/files/docs/cds-authoring-tool-qas-020719.pdf
December 08, 2017 - AHRQ Training Web Conference on the Clinical Decision Support Authoring Tool - Q&A
AHRQ National Web Conference on the Clinical Decision Support Authoring Tool …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/colorectal-cancer-liver-metastases-therapies_disposition-comments.pdf
December 11, 2012 - However, it is very detailed and needs an
executive summary. … We apologize if you did not see the executive
summary, but it is present in the report from pages
ES1 … However, there is
redundancy/repetitiveness in the executive summary and the main
body of the manuscript … Thank you, the overlap in the executive summary
and main report reflects the importance of those
key