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Showing results for "gaps".

1641. Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
      January 01, 2024 - For each intervention session, the most current hospital protocols were used to address any gaps in

1642. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
      August 01, 2022 - Therefore, nurses often fill the gaps and translate jargon into terms the patient can comprehend.29

1643. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
      January 01, 2004 - event response efforts help to improve awareness of process flow and reveal departmental procedure gaps

1644. Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
      July 01, 2004 - We bridged all gaps in membership of 45 days or fewer.

1645. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
      January 01, 2004 - These gaps require more study.

1646. Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
      January 01, 2003 - evidence-based to the extent possible, and would integrate expert opinion to resolve questions emerging from gaps

1647. Development of a Comprehensive Medical Error Ontology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
      June 16, 2008 - manually by finding places where the ontologies were equivalent, disjointed, overlapped, or filled gaps

1648. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
      April 04, 2008 - synthesized the research to date on racial disparities in health and health care and documented large gaps

1649. Pillars of a Smart, Safe Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
      April 07, 2008 - Bearing such concepts in mind, we are working to bridge key gaps between information systems and care

1650. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
      May 01, 2023 - Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture I. Purpose This document provide…

1651. CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
      January 01, 2017 - CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients CUSP Guide for Reducing Ventilator- Associated Events in Mechanically Ventilated Patients AHRQ Pub. No. 16(…

1652. Surgical Complication Prevention Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
      December 01, 2017 - Surgical Complication Prevention Guide AHRQ Safety Program for Surgery Surgical Complication Prevention Guide AHRQ Publication No. 16(18)-0004-13-EF December 2017 AHRQ Safety Program for Surgery Surgical Complication Prevention Guide Contents Introduction .................................................…

1653. Presentation: Engaging Senior Executives
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
      December 01, 2017 - Presentation: Engaging Senior Executives Engaging Senior Executives AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 SAY: In this module we will discuss the importance of senior engagement on your safety program team. 1 Why Do We Need an Executive? We discussed our PSSA data …

1654. Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3.html
      July 01, 2018 - Guide to Patient and Family Engagement Findings Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key Informant I…

1655. Biosketches | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
      September 01, 2016 - Biosketches Jason Adelman, MD, MS Chief Patient Safety Officer and Associate Chief Quality Officer Columbia University Medical Center/New York-Presbyterian Hospital Dr. Adelman is the Chief Patient Safety Officer and Associate Chief Quality Officer at Columbia University Medical Center/NewYork-Presbyter…

1656. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/references.html
      June 01, 2020 - References Health Services and Primary Care Research Study: Comprehensive Report 42 CFR 67.13, 42 CFR 67.13, Public Health Service Act. 42 U.S.C. ch. 6A § 201 et seq. 42 U.S.C. 299 et seq, “Healthcare Research and Quality Act of 1999. S.580.” AcademyHealth, “HSRProj,” undated. As of October 3, 2019: ht…

1657. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Error Disclosure Training and Organizational Culture Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability System in M…

1658. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
      September 01, 2022 - Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis 1 PATIENT SAFETY e Issue Brief 9 Improved Diagnostic Accuracy Through Probability-Based Diagnosis This page intentionally left blank. e Issue Brief 9 Improved Diagnostic Accuracy…

1659. Section 3: Are You Ready To Improve? | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
      February 01, 2020 - Section 3: Are You Ready To Improve? July 2015 Contents 3.A. Cultivating and Supporting QI Leaders 3.B. Organizing for Quality Improvement 3.C. Training Staff in QI Concepts and Techniques 3.D. Paying Attention to Customer Service 3.E. Recognizing and Rewarding Success References Download Se…

1660. Issue Brief: Simulation To Improve Patient Safety: Getting Started (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/simulation/simulation-issue-brief.pdf
      July 01, 2024 - Issue Brief: Simulation To Improve Patient Safety: Getting Started Issue Brief Simulation To Improve Patient Safety: Getting Started e PATIENT SAFETY This page intentionally left blank. e Issue Brief Simulation To Improve Patient Safety: Getting Started Prepared for: Agency for Healthcare Research …