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  1. 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…
  2. hcup-us.ahrq.gov/reports/statbriefs/sb159.jsp
    July 01, 2013 - Statistical Brief #159 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  3. hcup-us.ahrq.gov/reports/statbriefs/sb173-Childbirth-Delivery-Complications.jsp
    May 01, 2014 - Complicating Conditions Associated With Childbirth, by Delivery Method and Payer, 2011 - Statistical Brief #173 An official website of the Department of Health & Human Services Search All AHRQ Websites …
  4. psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
    August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD | August 30, 2023  Also Read the Essay View more articles from the same authors. …
  5. hcup-us.ahrq.gov/reports/statbriefs/sb101.jsp
    November 01, 2010 - Statistical Brief #101 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  6. hcup-us.ahrq.gov/reports/statbriefs/sb109.pdf
    April 01, 2011 - Statistical Brief #109: Medication-Related Adverse Outcomes in U.S. Hospitals and Emergency Departments, 2008 1 From April 2011 Medication-Related Adverse Outcomes in U.S. Hospitals and Emergency Departments, 2008 Jennifer Lucado, M.P.H., Kathryn Paez, Ph.D., M.B.A., R.N., and Anne Elixhauser, …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
    September 01, 2008 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety Brenda K. Zierler, PhD; Ann Wittkowsky, PharmD; Gene Peterson, MD, PhD; Jung-Ah Lee, MN; Courtney Jacobson, BA; Robb Glenny, MD; Fred Wolf, PhD; Lynne Robin…
  8. psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
    January 23, 2017 - SPOTLIGHT CASE The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. Citation Text: Amashta ML, Barnes DK. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department.. PSNet [internet]. Rockv…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
    March 26, 2008 - Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse…
  10. www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-5.html
    July 01, 2019 - Case Example #5: WellMed This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract Nos. 2…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_5.pdf
    October 01, 2016 - New Models of Primary Care Workforce - Case Example #5: WellMed New Models of Primary Care Workforce and Financing Case Example WellMed 5 New Models of Primary Care Workforce and Financing Case Example #5: WellMed Prepared for: Agency for Healthcare Research and Qu…
  12. hcup-us.ahrq.gov/reports/methods/2004-05.pdf
    January 01, 2004 - HCUP_methods_series_cover.ai HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email: hcu…
  13. hcup-us.ahrq.gov/reports/statbriefs/sb234-Adverse-Drug-Events.pdf
    June 01, 2016 - Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014 1 January 2018 Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014 Audrey J. Weiss, Ph.D., William J. Freeman, M.P.H., Kevin C. Heslin, Ph.D., and Marguerite L. Barrett, M.S. Introduction An adverse drug event (ADE) involves harms to patients ca…
  14. hcup-us.ahrq.gov/reports/statbriefs/sb87.pdf
    March 01, 2010 - Statistical Brief #87: Characteristics of Weekday and Weekend Hospital Admissions HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #87 Highlights Of the 39.5 million community hospital stays in 2007, 7.7 million stays or about 19 percent began on a …
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention The Evidence Behind Decolonization Strategies for MRSA ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Evidence Behind Decolonization Strategies for MRSA SAY: Welcome to this presentation on the current evidence behind decolonization strategies as part of an …
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & No…
  17. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Kenyon2014.pdf
    February 01, 2014 - Rehospitalization for Childhood Asthma: Timing, Variation, and Opportunities for Intervention Rehospitalization for Childhood Asthma: Timing, Variation, and Opportunities for Intervention Ch�en C. Kenyon, MD1,2, Patrice R. Melvin, MPH3, Vincent W. Chiang, MD2,4, Marc N. Elliott, PhD5, Mark A. Schuster, MD, PhD2,4, …
  18. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4c.html
    August 01, 2021 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 4: Defining Language Need and Categories for Collection, cont. Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary …
  19. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5a.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 5. Improving Data Collection Across the Health Care System (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary …
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
    April 01, 2011 - Strategy 4: IDEA Discharge Planning (Tool 4) Insert hospital logo here Care Transitions from Hospital to Home: IDEAL Discharge Planning Training [Hospital Name | Presenter name and title | Date of presentation] Strategy 4: IDEAL Discharge Planning (Tool 4) Guide to Patient & Family Engagement If you have condu…