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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 - system.4 This paper is about this error-
reporting tool—its evolution, the data it yields, reporters’ experience
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
February 01, 2005 - Simulation-
based training in anesthesia crisis resource
management (ACRM): a decade of experience.
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www.ahrq.gov/downloads/pub/prevent/pdfser/chdser.pdf
December 08, 2003 - Each
year, more than 1 million Americans experience nonfatal or fatal myocardial infarction or sudden … electrocardiogram in men at high risk of future coronary heart disease: Multiple
Risk Factor Intervention Trial experience … Enhanced risk assessment for primary
coronary heart disease events by maximal exercise testing: 10 years' experience
-
www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - related to health care-associated infections.8,9,10,11,12
Assessing the Intervention Scope
• Experience … Hospitals with robust experience in rolling out ICU strategies may be able to
engage in a full simultaneous … In addition, hospitals with considerable prior
experience with chlorhexidine bathing due to preoperative
-
www.ahrq.gov/sites/default/files/2025-02/dudley-report.pdf
January 01, 2025 - Process Measure Selection
Process measures were selected by a panel of two registered nurses with ICU experience
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - These themes may be used to inform a more
patient-centered emergency care experience and contextualize … Processes
and Risk Assessment
2007-2009
$199,977
Final Report
Purpose: Understand the patient experience
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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/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
January 01, 2004 - Observing Nurse Interaction with Infusion Pump Technologies
349
Observing Nurse Interaction with
Infusion Pump Technologies
Pascale Carayon, Tosha B. Wetterneck, Ann Schoofs Hundt,
Mustafa Ozkaynak, Prashant Ram, Joshua DeSilvey, Brian Hicks,
Tanita L. Robert, Myra Enloe, Rupa Sheth, Sade Sobande
Abstract…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems
337
Work System Analysis: The Key to
Understanding Health Care Systems
Ben-Tzion Karsh, Samuel J. Alper
Abstract
Many articles in the medical literature state that medical errors are the result of
systems problems, require systems analyses, a…
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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/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
October 01, 2017 - Patient experience.
Financial information.
Safety and quality.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
June 02, 2025 - commitment, stability of staff, staff familiarity with
computerized reports, and quality improvement (QI) experience
-
www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
January 01, 2025 - One item, 10, “Integrate knowledge and experience
of all team members to inform treatment decisions
-
www.ahrq.gov/sites/default/files/2024-12/dimick-report.pdf
January 01, 2024 - Approximately 5-10% of patients will experience a
complication, leading to 1-2 million patients with
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
October 01, 2024 - One paper found 20% of hospitalized patients experience an adverse reaction related to antibiotic therapy
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - developed a visual management board—or visibility board—that targets four key themes:
· People
· Patient experience
-
www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
January 01, 2024 - Previous
studies in New York focused on the hospital experience generally; however, their
work revealed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
June 03, 2025 - staff, how
familiar the facility is with using computerized reports, and quality improvement (QI) experience
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
January 01, 2009 - When teams experience fatigue with the barrage of improvement projects, team leaders should remember
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - We all see the world differently, and the diversity of background, experience, and training that exists