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  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
    March 01, 2020 - In 2004, based on expert consensus, the Joint Commission (JC) developed the Universal Protocol principles
  2. www.ahrq.gov/sites/default/files/2025-07/fenton2-report.pdf
    January 01, 2025 - sought medical advice for acute low back pain and 9 key informant interviews with primary care or expert
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
    January 01, 2003 - Other errors, such as “past pointing” or “lack of progress,” may need further quantification, and an expert
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
    March 03, 2008 - priorities and challenges for the adoption of information technology in healthcare: Opinions from an expert
  5. www.ahrq.gov/sites/default/files/2024-01/lannon2-report.pdf
    January 01, 2024 - a 6-month virtual “QI Fundamentals” course that involves webinars and project-based learning with expert
  6. www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
    January 01, 2025 - sought medical advice for acute low back pain and nine key informant interviews with primary care or expert
  7. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2014cahpshealthplanchartbook.pdf
    October 01, 2014 - affiliations or financial involvement (e.g., employment, consultancies, honoraria, stock options, expert
  8. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_hp-chartbook.pdf
    January 01, 2014 - affiliations or financial involvement (e.g., employment, consultancies, honoraria, stock options, expert
  9. 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 - The team must also contain at least one expert in system analysis to guide the process.
  10. www.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/research/survey-administration-literature-review.pdf
    October 01, 2017 - affiliations or financial involvement (e.g., employment, consultancies, honoraria, stock options, expert
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
    July 22, 2015 - Four grants reported the use of practice facilitation, where an outside expert or team of experts (sometimes
  12. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/recent-insights-transcript.pdf
    January 01, 2020 - We've had multiple literature reviews, multiple technical expert panels, and while this is not a CAHPS … Like I said we tried three to four reminders, and we had two different technical expert panels that
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
    June 02, 2025 - AHRQ’s Safety Program for Nursing Homes On-Time Pressure Ulcer Healing Facilitator Training Overview of On-Time Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be …
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
    September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Facilitator Training This version of the On-Time Facilitator Training Overview is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of sli…
  15. 157-What-Are-4-Es (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/157-what-are-4-es.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention What Are the 4 Es? ICU & Non-ICU Slide Title and Commentary Slide Number and Slide What Are the 4 Es? SAY: This presentation reviews the 4 Es, a framework to guide the implementation of patient safety interventions. This framework integrates well with the Comprehensive Unit-…
  16. Candor-Impguide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
    April 01, 2016 - Purpose: The Communication and Optimal Resolution (CANDOR) Toolkit Implementation Guide is a reference for organizational leaders who are committed to improving their response to unexpected patient harm events. The guide describes the CANDOR process, implementation phases, resources, and responsibilities to support s…
  17. www.ahrq.gov/sites/default/files/2024-02/maynard-report.pdf
    January 01, 2024 - Final Progress Report: Optimal Prevention of Hospital-Acquired Venous Thromboembolism Optimal Prevention Of Hospital-Acquired Venous Thromboembolism Greg Maynard, M.D., M.Sc. - Principal Investigator Tim Morris, M.D. Ian Jenkins, M.D. Sarah Stone, M.D. Joshua Lee, M.D. Marian Renvall, M.Sc. Ed Fink …
  18. www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
    May 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Final Report High-Performance Work Practices in CLABSI Prevention Interventions: Executive Summary Final Report High-Performance Work Practices in CLABSI Prevention Interventions: Executive Summary …
  19. www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil3.html
    April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Chapter 3. Steps for Creating a Patient Safety Advisory Council Step 1—Determine the Scope of the Council The first steps in creating a patient advisory council are often the toughest. The concept of bringing patients to the table as…
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
    July 01, 2023 - Introduction to the SPPC‐II Teamwork Toolkit for Obstetric Hemorrhage SPPC‐II Toolkit                                                                                                                                                                             Hospital AIM Team Leads SPPC II Introduct…

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