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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
March 31, 2008 - system accepted both anonymous and confidential
reports of “medical events you don’t wish to have happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - plan is through briefings and team management,
· being aware of what is going on and what is likely to happen
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www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
January 01, 2025 - that we are able to give feedback to the physicians and advanced practice providers, this work will
happen
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/preparing-data-for-analysis.pdf
May 15, 2017 - data is less imperative with Web surveys and optical scanning
because most of these problems cannot happen
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
November 01, 2014 - "Our intent is to be a corporation peopled by problem solvers, and we see that beginning to happen….The … Our intent is to be a corporation of problem solvers, and we see that beginning to happen."
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
February 18, 2021 - Will edits happen in person or over email? … Will edits happen in person or over email?
d.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - constructive approach to educating lower levels around
ways to lessen the probability for such a mistake to happen … Maybe they
get caught before they happen, like giving someone a wrong drug
dose. … the correct course of diagnostic
or treatment activities for a given patient), lest the same mistake happen
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc3.pdf
September 01, 2014 - 2013 Child Core Set Measure Retirement Process Summary of SNAC Scoring: Round II – Final Scoring
The findings and conclusions in this document are those of the author(s), who are responsible for its
content, and do not necessarily represent the views of AHRQ and the Centers for Medicare & Medicaid
Services (CMS). N…
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
May 01, 2025 - Tools to make the right care happen include resource registries,
which are described as lists of resources … Community Care Hubs: making social care happen.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System
26,000 Close Call Reports: Lessons from the
University of Texas Close Call Reporting System
Debora Simmons, RN, MSN, CCRN, CCNS; JoAnn Mick, PhD, RN, MBA, AOCN, CNAA,
BC; Krisanne Graves, RN, BSN, CPHQ; Sharon K. Martin, ME…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
January 01, 2007 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology
Physician-Reported Adverse Events and Medical
Errors in Obstetrics and Gynecology
Martin November, MD, MBA; Lucy Chie, MD; Saul N. Weingart, MD, PhD
Abstract
Objective: To explore the feasibility of a novel method for capturi…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apvii.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix VII: Public Comments Submitted Between March 7 and March 21, 2008
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Execu…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
October 01, 2017 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices
Training Guide
Module Aim
The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices.
Module Goals
The goals of Module 5 are to have the Implementation T…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facguide.html
December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide
AHRQ’s Safety Program for Nursing Homes: Implementation of the Healing Reports
Note: This part of the training primarily consists of exercises and does not have any associated slides.
Review of Self-Assessment Worksheet
Say:
Y…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/summary.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter 3. Description …
-
www.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
February 01, 2024 - Two-Day Training Content
The Team Leadership Module provides an overview of what teams are as well as how to lead teams effectively. The overview of teams can be taught in about 40 minutes using the approach described
The Team Leadership Module provides an overview of what teams are as well as how to lead te…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-guide.docx
September 01, 2022 - Implementing Antibiotic Stewardship in Your Practice – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
Implementing Antibiotic
Stewardship in Your Practice
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
Implementing Antibiotic Stewardship in Your Practice
Ambulatory Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/016-contact-precautions-webinar-slides.pptx
October 01, 2024 - Slide Presentation: Contact Precautions for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Contact Precautions for MRSA Prevention
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Contact Precautions
1
| 2
Discuss the purpose behind using contact pr…
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www.ahrq.gov/sites/default/files/2025-05/bisantz-report.pdf
January 01, 2025 - Final Progress Report: Immersive Simulation for Design and Evaluation of an Emergency Department IT System
Immersive Simulation for Design and Evaluation of an
Emergency Department IT System
Principal Investigator:
Ann Bisantz, PhD1
Co-Investigators:
Rollin J. Terry Fairbanks, MD1, 2,5
Li Lin, PhD1
A. Zachary He…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/design_plan_for_chipra.pdf
July 01, 2012 - Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Summary of the Design Plan for the National Evaluation of the
CHIPRA Quality Demonstration Grant Program
Prepared for:
Agency for Healthcare Research and Quality
Rockville, MD 20850
Contract No. …