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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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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.
-
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
-
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
-
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
-
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 …
-
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…
-
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-…
-
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…
-
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 …
-
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
…
-
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…
-
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…