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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense
361
Standardizing Medication Error Event
Reporting in the U.S. Department of Defense
Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake
Abstract
Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …
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www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
January 01, 2024 - Final Progress Report: Quality Factors in Nursing Home Choice
1
Title Page
Title of Project: Quality Factors in Nursing Home Choice
Principal Investigator: JoAnn G. Congdon
Team Members:
Co-Principal Investigator: Joan K. Magilvy
Investigator: Mary A. Blegen
Investigator: Katherine R. Jones
Investigator: Nor…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-implementation-guide.pdf
March 01, 2023 - individual;
• Have credibility among his or her peers;
• Be a skilled communicator skills; and
• Have experience
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www.ahrq.gov/workingforquality/events/webinar-2014-qdr-working-together-to-improve-health-care.html
November 01, 2016 - status, that there are disparities in patient safety, that minorities and low income people typically experience
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
January 01, 2021 - , mission) and the extent
to which these features were associated with PCOR-based clinical, patient experience … acquisitions f rom 2009 through 2013 were associated with modest
deterioration in performance on patient-experience … CHSP researchers found
that hospitals acquired by health systems experienced a decline in patient experience … Peiris D,
Mainor AJ, Westert GP,
Rosenthal MB, Sequist T,
Colla CH
2018 ACOs With Risk-Bearing Experience
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
July 28, 2016 - Board‐level goals relating to quality, patient experience, disparities, or stewardship? … • [insert rationale for quality, patient experience here]
– Commitment to delivering the right care … As your cross-continuum team gains experience with whole-
person, cross-setting assessment, you may be
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
January 01, 2025 - Hospitals that were more deliberate in
preparing for the five strategic steps were more likely to experience … Science
University
Portland, Oregon
U18 HS015800
[Grant]
Using Military &
Aviation Simulation
Experience … may lend weight to the argument that highly reliable,
safe perioperative teams report more NREs but experience
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-fullreport.pdf
May 01, 2018 - Measure Topic – family experience with care: No.
l. … The Golden Hour: care of the LBW infant during the first
hour of life, one unit's experience.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-118-fullreport.pdf
October 01, 2016 - Measure Topic – family experience with care: No.
l. … The Golden Hour: care of the LBW infant
during the first hour of life one unit's experience.
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
September 01, 2015 - asking members to reflect on how specific changes, actions, and ideas might affect patient
experience … The most useful thing you can do when you suddenly experience a strong
feeling (e.g., anger, defensiveness
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0123-fullreport.pdf
November 01, 2019 - For every maternal death, 100 or more women suffer severe maternal morbidity, experience a
potentially … Measure Topic – family experience with care: No.
l. … All else equal, we would
expect women who live in more medically dense communities to experience greater
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0120-fullreport.pdf
May 01, 2018 - Similar to maternal and neonatal mortality,
minority women are more likely to experience severe maternal … Measure Topic – family experience with care: No.
l. … All else equal, we would
expect women who live in more medically dense communities to experience greater
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-fullreport.pdf
September 01, 2019 - For every maternal death, 100 or more women suffer severe maternal morbidity, experience a
potentially … Measure Topic – family experience with care: No.
l. … All else equal, we would
expect women who live in more medically dense communities to experience greater
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
September 01, 2017 - The recent experience for the resident that you described, Jill [Nurse Manager A], and our high rate … Facilitator: Well, good, but I’m sorry you and the resident had to have that experience.
-
www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
January 01, 2024 - systems constitutes a major barrier to patient safety10; in safety-net health systems where
patients experience … reporting of suspected adverse drug reactions: a review of
published literature and international experience
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
June 02, 2025 - ■ Premature infants beyond the immediate neonatal period can experience apnea following
ketamine … ■ Some infants may experience aspiration, cyanosis, and vomiting.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
December 01, 2017 - and other stakeholders together to address problems continuously and to improve care and the patient experience … In my own experience, I think that a great way to help identify defects within your work environment
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
June 02, 2025 - and other stakeholders together to address problems continuously and to improve care and the patient experience … In my own experience, I think that a great way to help identify defects within your work environment
-
www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
January 01, 2024 - Rural Hospital Experience
The ACI-TIPI ECG software and the TIPI-IS were implemented in a 12-bed rural … ● Develop hospital level reference rule-in rates based on
participating hospital experience.
-
www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
January 01, 2025 - Physicians with limited pediatric training or experience are responsible for the majority of patient … ,
evaluate, and treat pediatric patients similar to adult patients because of lack of training and experience