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Showing results for "experiences".

  1. www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
    January 01, 2025 - Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports Final progress report Developing Evidence for Safety Surveillance from Device Adverse Event Reports Grant number: 1R03HS026291-01 Supported by AGENCY FOR HEALTHCARE RESEARCH AND QUALITY Research Team Principal invest…
  2. www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
    November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities May 13, 2014 Download accessible version of slides (PDF, 1.1 MB) Introducing Nine Levers to Support the Aims and Priorities [Slide 1] Ann Gordon: Welcome to today's event featuring t…
  3. pso.ahrq.gov/faq
    April 01, 2023 - SHARE: Frequently Asked Questions Frequently asked questions and definition of terms used in the Patient Safety Act or Patient Safety Rule are summarized here solely for convenience; always rely on the actual text of the Patient Safety Act or Patient Safety …
  4. psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Vogus T, Lee M, Mos…
  5. psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
    October 01, 2009 - The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety Robert M. Wachter, MD | October 1, 2009  Also Read a Conversation View more articles from the same authors. Citation Text: Wachter R. The Media: An Essential, If Sometimes Arbitrary, Pro…
  6. psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
    February 26, 2025 - In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Essay View more articles from the same authors. Ci…
  7. psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
    May 01, 2014 - In Conversation With… Didier Pittet, MD, MS May 1, 2014  Also Read an Essay Citation Text: In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
    June 15, 2003 - Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative 153 Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative Carl A. Sirio, Donna J. Keyser, Heidi Norman, Robert J. We…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
    February 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive Care Unit Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD Abstract Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas where errors occur frequently is t…
  10. integrationacademy.ahrq.gov/news-and-events/calendar/event/23308
    June 10, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
  11. psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis
    December 18, 2019 - Newspaper/Magazine Article What can physicians do to help curb the opioid crisis? Citation Text: What can physicians do to help curb the opioid crisis? Bendix J. Copy Citation Save Save to your library Print Download PDF Share Facebook …
  12. psnet.ahrq.gov/issue/ajr-podcast-series-diagnostic-excellence-and-error
    November 19, 2014 - Audiovisual AJR Podcast Series on Diagnostic Excellence and Error. Citation Text: AJR Podcast Series on Diagnostic Excellence and Error. Deng F, ed. AJR Am J Roentgenol. July 2024-February 2025. Copy Citation Save Save to your library Print Download PDF …
  13. psnet.ahrq.gov/issue/case-shook-medicine
    October 24, 2012 - Newspaper/Magazine Article A case that shook medicine. Citation Text: A case that shook medicine. Lerner BH. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  14. psnet.ahrq.gov/issue/engaging-patients-improving-ambulatory-care
    January 17, 2024 - Book/Report Engaging Patients in Improving Ambulatory Care. Citation Text: Engaging Patients in Improving Ambulatory Care. Aligning Forces for Quality. Princeton, NJ: Robert Wood Johnson Foundation; 2013. Copy Citation Save Save to your library Print …
  15. effectivehealthcare.ahrq.gov/sites/default/files/web-based_willis_respondent.pdf
    January 01, 2009 - Willis_respondent_DuBenske_4   Source:    Eisenberg  Center  Conference  Series  2009,  Translating  Information  Into  Action:  Improving  Quality  of   Care  Through  Interactive  Media,  Effective  Health  Care  Program  Web  site   (http://www.effectivehealthcar…
  16. psnet.ahrq.gov/issue/ismp-survey-iv-push-medication-practices
    January 26, 2023 - Press Release/Announcement ISMP Survey on IV Push Medication Practices. Citation Text: ISMP Survey on IV Push Medication Practices. Institute for Safe Medication Practices; ISMP. Copy Citation Save Save to your library Print Download PDF Share …
  17. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/event-tree-analysis
    January 01, 2023 - Event Tree Analysis Acronym ETA Description An event tree analysis (ETA) examines the different paths that can be taken in a given scenario. Each step consists of a node and corresponding exit lines for each possible outcome at that step. The tool was originally developed for use in system rel…
  18. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/kepner-tregoe-matrix
    January 01, 2023 - Kepner-Tregoe Matrix Also Known As Is-Is Not Matrix Kepner and Tregoe Method Description A Kepner-Tregoe matrix is used to find causes of a problem. It isolates the who, what, when, where, and how aspects of an event, keeping the focus on the elements that have an impact on the event and…
  19. psnet.ahrq.gov/issue/stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission
    June 21, 2023 - Newspaper/Magazine Article Stop using these adult bed rails, warns the Consumer Product Safety Commission. Citation Text: Stop using these adult bed rails, warns the Consumer Product Safety Commission. Treisman R. National Public Radio. June 6, 2022 Copy Citation Save…
  20. psnet.ahrq.gov/issue/medical-errors-still-claiming-many-lives
    September 19, 2007 - Newspaper/Magazine Article Medical errors still claiming many lives. Citation Text: Medical errors still claiming many lives. Weise E. USA Today. May 18, 2005. Copy Citation Save Save to your library Print Download PDF Share Facebook …