-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room
Patient Identification Errors in the Operating Room 11-1
11. Patient Identification Errors in the Operating
Room
Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H.
Introduction
In the first Making Health Care Safer …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
January 01, 2002 - Organizational Climate, Stress, and Error in Primary Care: The MEMO Study
65
Organizational Climate, Stress, and Error
in Primary Care: The MEMO Study*
Mark Linzer, Linda Baier Manwell, Marlon Mundt, Eric Williams,
Ann Maguire, Julia McMurray, Mary Beth Plane*
Abstract
Background: The impact of organizatio…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator
39
Readmissions for Selected Infections
Due to Medical Care: Expanding the
Definition of a Patient Safety Indicator
Brian Gallagher, Liyi Cen, Edward L. Hannan
Abstract
Objective: Evaluate the A…
-
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 - The Use of Surgical Simulators to Reduce Errors
165
The Use of Surgical Simulators
to Reduce Errors
Marvin P. Fried, Richard Satava, Suzanne Weghorst,
Anthony Gallagher, Clarence Sasaki, Douglas Ross,
Mika Sinanan, Hernando Cuellar, Jose I. Uribe,
Michael Zeltsan, Harman Arora
Abstract
The training of…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
January 01, 2021 - Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard
rds
Beyond Nursing Quality Measurement:
The Nation’s First Regional Nursing Virtual Dashboard
Carolyn E. Aydin, PhD; Linda Burnes Bolton, DrPH, RN, FAAN;
Nancy Donaldson, DNSc, RN, FAAN; Diane Storer Brown, PhD, RN, FN…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care
Minding the Gaps: Creating Resilience in Health Care
Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD;
Richard Cook, MD
Abstract
Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
-
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 - The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems
The Use of Modest Incentives to Boost Adoption of
Safety Practices and Systems
Gregg S. Meyer, MD, MSc; David F. Torchiana, MD; Deborah Colton;
James Mountford, MB, BCh; Elizabeth Mort, MD; Sarah Lenz;
Nancy Gagliano, MD; Elizabet…
-
www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
July 01, 2010 - Ambulatory Safety and Quality Program: Health IT Portfolio
AHRQ’s Ambulatory
Safety and Quality
Program: Health IT
Portfolio
P R O G R A M B R I E F
The mission of AHRQ is to improve the quality,
safety, efficiency, and effectiveness of health
care by:
• Using evidence to improve health care.
• Improving health …
-
www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
January 01, 2024 - Final Progress Report: Drug-Drug Interaction Clinical Decision Support Conference Series
Drug-Drug Interaction Clinical Decision Support
Conference Series
Investigators:
Daniel C. Malone, RPh, PhD, Principal Investigator
Mary L. Brown, PhD, Co-Investigator
Lisa E. Hines, PharmD, Co-Investigator
Amy Grizzle, Pha…
-
www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
January 01, 2025 - Final Progress Report: NPSF Joint Medical-Legal Conference at SMU
Final Progress Report
NPSF Joint Medical-Legal Conference at SMU
October 27 – 29, 2003
Principal Investigator: John J. Nance, JD
Team members: Thomas Wm. Mayo, JD
Robert Krawisz
Deborah Cummins, PhD
Organization: National Patient Safety Found…
-
www.ahrq.gov/sites/default/files/2025-02/lofland-report.pdf
January 01, 2025 - Final Progress Report: Patient Focused Outcomes: Quality of Life and Lost Productivity
PATIENT FOCUSED OUTCOMES: QUALITY OF LIFE AND LOST PRODUCTIVITY
Jennifer H. Lofland, PharmD, MPH, PhD Principal Investigator1, David B. Nash, MD,
MBA Co-Mentor1, Donald Steinwachs, PhD Co-Mentor2, Kevin D. Frick, PhD Thesis
Advi…
-
www.ahrq.gov/sites/default/files/2024-07/madison-report.pdf
January 01, 2024 - Final Progress Report: Stakeholder Summit: Setting a Quality Improvement Research Agenda To Leverage HIT/HIM in Rural America
Setting a Quality Improvement Research Agenda to
Leverage HIT/HIM in Rural America
A National Stakeholder Summit
April 22 - 23, 2010
Alexandria, VA
Final Progress Report
Principal Inv…
-
www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
January 01, 2025 - Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners
FINAL PROGRESS REPORT
Bridging the Gap between EMS and Health Services Research:
A Conference for Researchers an d Practitioners
Project Team Members*
Derek DeLia, PhD, Principal …
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results-appendix.pdf
January 01, 2025 - 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results: Appendix—Results by Respondent Characteristics
2025 AHRQ Surveys on Patient Safety Culture®
(SOPS®) Nursing Home Survey Version 2.0 Pilot
Test Results
Appendix—Results by Respondent Characteristics
Prepar…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
July 18, 2008 - Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies
Understanding Quality and Safety Problems in the
Ambulatory Environment: Seeking Improvement With
Promising Teamwork Tools and Strategies
John S. Webster, MD, MBA; Heidi B. …
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti.pdf
January 01, 2019 - Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part I
2019 User Database Report
Community Pharmacy Survey on
Patient Safety Culture
The authors of this report are responsible for its content. Statements in the report should not
be construed as endorsement by the Agency for Health…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
April 01, 2018 - Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease
1
Appropriate Emergency Department Pain Assessment
for Children with Sickle Cell Disease
Section 1. Basic Measure Information
1.A. Measure Name
Appropriate Emergency Department Pain Assessment for Children with Sickle Cell D…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part I
SURVEYS ON PATIENT
SAFETY CULTURE™
Surveys on
Patient Safety
Culture™
Ambulatory Surgery Center Survey:
2021 User Database Report
e PATIENT
SAFETY
[This page is intentionally left blank]
Surveys o…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti-rev091721.pdf
January 01, 2019 - Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part I
2019 User Database Report
Community Pharmacy Survey on
Patient Safety Culture
The authors of this report are responsible for its content. Statements in the report should not
be construed as endorsement by the Agency for Health…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/CaseStudyPatientExperience_July2011FINAL_revised20110728.pdf
July 01, 2011 - This emphasis has
helped to support the practice manager by signaling a wider commitment to the goal … Survey
data helped to corroborate the existence of a problem.