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1301. Appendix III (continued) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiii.html
      June 01, 2010 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

1302. Serious Reportable Adverse Events in Health Care (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…

1303. Advances in Patient Safety | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/reports/advances/index.html
      July 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

1304. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
      January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned 415 On-line Patient Safety Climate Survey: Tool Development and Lessons Learned Lynne M. Connelly, Judy L. Powers Abstract Objective: A key tenet of patient safety programs is the elimination of the “culture of blame.” The On-line P…

1305. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
      April 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety 269 The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski, Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell…

1306. Identifying Barriers to the Success of a Reporting System (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
      March 01, 2004 - Identifying Barriers to the Success of a Reporting System 167 Identifying Barriers to the Success of a Reporting System Michelle L. Harper, Robert L. Helmreich Abstract Spurred by a controversial report from the Institute of Medicine on the prevalence of medical error, To Err Is Human, the medical profe…

1307. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
      January 01, 2004 - Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology 323 Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology Jiajie Zhang, Vimla L. Patel, Todd R. Johnson, Philip Chung, James P. Turley Abstract Human errors in med…

1308. Learn About CUSP, Facilitator Notes | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
      December 01, 2012 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

1309. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
      April 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

1310. How are CHIPRA quality demonstration States supporting the use of care coordinators? | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight09.html
      July 01, 2014 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

1311. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
      January 01, 2021 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care Final Report This page is intentionally blank. Potentially Preventable Readmissions: Conceptual Framewo…

1312. 3. What are the best practices in pressure ulcer prevention that we want to use? | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
      October 01, 2014 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

1313. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
      June 05, 2008 - News Media and Health Care Providers at the Crossroads of Medical Adverse Events News Media and Health Care Providers at the Crossroads of Medical Adverse Events Pamela Whitten, PhD; Mohan J. Dutta, PhD; Serena Carpenter, PhD; Graham D. Bodie Abstract In 2005, Indiana Governor Mitch Daniels issued an executi…

1314. The Nature, Characteristics and Patterns of Perinatal Critical Events Teams (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
      April 02, 2008 - The Nature, Characteristics and Patterns of Perinatal Critical Events Teams The Nature, Characteristics and Patterns of Perinatal Critical Events Teams William Riley, PhD; Helen Hansen, PhD, RN; Ayse P. Gürses, PhD; Stanley Davis, MD; Kristi Miller, RN, MS; Reinhard Priester, JD Abstract The Institute …

1315. Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
      January 01, 2024 - Given most of these asthma -related events happened on average 5 to 6 months before the index analgesic

1316. Seamless Care: Safe Patient Transitions from Hospital to Home (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
      April 18, 2004 - underlying assumption in the discharge planning process that the patient’s providers knew what had happened

1317. CAHPS Transcript: Strategies for Improving CAHPS Health Plan Survey Scores (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/hp-survey-strategies-webcast-transcript.pdf
      April 01, 2016 - Well, one of the things I learned after this happened with us is that in talking with other systems about

1318. Implementing the AHRQ Health Literacy Universal Precautions Toolkit (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/healthlit-guide_3.pdf
      January 01, 2015 - Implementing the AHRQ Health Literacy Universal Precautions Toolkit Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Ne w G uid e Implementing the AHRQ Health Literacy Universal Precautions Toolkit: Practical Ideas for Primary Care Practices Universal Guide final…

1319. AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Medical-Office-Users-Guide-2021.pdf
      January 01, 2021 - AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide USER’S G UIDE MEDICAL OFFICE SURVEY ON PATIE NT SAFETY CULTURE PATIENT SAFETY AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Hum…

1320. Fall Prevention Program Implementation Guide (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/implementation-guide_falls.docx
      September 01, 2017 - The team presented data showing that 95 percent of falls in this unit happened when patients tried to