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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-slides.html
February 01, 2017 - Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Introduction to Daily C…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Labor and Delivery Unit Safety
SAY:
The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the importance of a comprehensive unit-based …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - Labor and Delivery Unit Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Labor and Delivery Unit Safety
Say:
The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-intermediate-progress.pdf
November 04, 2018 - Lessons from the Field: Measuring Intermediate Progress
Lessons from the Field: Measuring Intermediate
Progress
Prepared for the Agency for Healthcare Research and Quality by L&M
Policy Research, LLC with guidance from the Pediatric Quality Measure
Program (PQMP) Grantees
i
Table of Contents
List of Acrony…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
March 01, 2004 - reporting system and incident review process supported within the
hospitals, the survey addressed specific experiences
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
March 31, 2004 - Approach
We built on our experiences in creating the Health Sciences Partnerships in
Interprofessional
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
April 14, 2004 - growing number of State, regional, and national primary care
PBRNs, little has been written about experiences
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
July 01, 2023 - members should be encouraged to participate and contribute their thoughts and feelings about their experiences
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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-Nemeth_116.pdf
April 27, 2008 - An emergency department (ED) that experiences a large influx of
patients might increase throughput by
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
June 01, 2023 - AHRQ Safety Program for Improving
Surgical Care and Recovery
Implementation Guide
Purpose of This Guide
This guide intends to help hospitals integrate an enhanced recovery pathway into their perioperative area as part of the AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR). ISCR is a collaborativ…
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www.ahrq.gov/sites/default/files/2024-05/gold-report.pdf
January 01, 2024 - A Systematic Review of Nurses' Experiences With
Unintended Consequences When Using the Electronic Health
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www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-coach.html
February 01, 2024 - provide the coaches with feedback about the TeamSTEPPS implementation based on their own observations and experiences
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
January 01, 2003 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities
395
Using Probabilistic Risk Assessment
to Model Medication System Failures
in Long-term Care Facilities
Sharon Conrow Comden, David Marx, Margaret Murphy-Carley, Misti Hale
Abstract
Objectives: State agenc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
January 01, 2004 - “Near-miss” Reporting System Development and Implications for Human Subjects Protection
181
“Near-miss” Reporting System
Development and Implications
for Human Subjects Protection
Harvey J. Murff, Daniel W. Byrne, Paul A. Harris,
Daniel J. France, Christa Hedstrom, Robert S. Dittus
Abstract
Background: R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors?
53
Do Transient Working Conditions
Trigger Medical Errors?
Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf,
Clay Dunagan, Gary Sorock, Bradley Evanoff
Abstract
Objective: Organizational factors affecting working conditions for health …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
July 01, 2023 - Mutual Support: Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II
Mutual Support
Severe Hypertension
Module 5 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 5 of the SPPC‐II Teamwork Toolkit. In this module, we will discuss the
different facets of mutual support and strategies for supporting each.
1 …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
July 01, 2023 - Mutual Support: Severe Hypertension - PowerPoint Presentation
Mutual Support
Severe Hypertension
Module 5 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 5 of the SPPC-II Teamwork Toolkit. In this module, we will discuss the different facets of mutual …
-
www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
January 01, 2025 - Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery
Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery
Principal Investigator and Team Members:
Name Role
Medical University of South Carolina
Ken Catchpole, PhD Principal Investigator
My…
-
www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
January 01, 2025 - Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste
Transdisciplinary Learning Lab to Eliminate Patient Harm and Reduce Waste
Johns Hopkins Medicine
Principal Investigator: Adam Sapirstein, MD
Project Team Members:
Ravi Aron, PhD
Noah Barasch, MS
Howard Carolan, MBA,…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es-rev.pdf
January 01, 2023 - This year’s special emphasis topics explore the nation’s experiences with
COVID-19 healthcare delivery … Early experiences during the COVID-19 PHE raised concern that financially distressed
primary care practices