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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors?
53
Do Transient Working Conditions
Trigger Medical Errors?
Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf,
Clay Dunagan, Gary Sorock, Bradley Evanoff
Abstract
Objective: Organizational factors affecting working conditions for health …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
January 01, 2004 - Observing Nurse Interaction with Infusion Pump Technologies
349
Observing Nurse Interaction with
Infusion Pump Technologies
Pascale Carayon, Tosha B. Wetterneck, Ann Schoofs Hundt,
Mustafa Ozkaynak, Prashant Ram, Joshua DeSilvey, Brian Hicks,
Tanita L. Robert, Myra Enloe, Rupa Sheth, Sade Sobande
Abstract…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
January 01, 2004 - Financial and Demographic Influences on Medicare Patient Safety Events
437
Financial and Demographic Influences on
Medicare Patient Safety Events
Didem Bernard, William E. Encinosa
Abstract
Background: The hospital market is stratified between the “have” and the “have
not” hospitals. Whether financial dis…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative
133
Mixed Methods Analysis of Medical
Error Event Reports: A Report from
the ASIPS Collaborative
Daniel M. Harris, John M. Westfall, Douglas H. Fernald,
Christine W. Duclos, David R. West, Linda Niebauer,
Linda Ma…
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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 - Pillars of a Smart, Safe Operating Room
Pillars of a Smart, Safe Operating Room
F. Jacob Seagull, MD; Gerald R. Moses, PhD; Adrian E. Park, MD
Abstract
Major gains in patient safety can be achieved through development of innovative approaches to
the care of surgical patients. Investigators and clinicians have…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
August 01, 2017 - Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease
Appropriate Emergency Department Blood Testing for
Children with Sickle Cell Disease
Section 1. Basic Measure Information
1.A. Measure Name
Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease
…
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www.ahrq.gov/sites/default/files/2024-02/wachs1-report.pdf
January 01, 2024 - Final Report: GestureClean: A Touchless Interaction Language for the Operating Room
Title Page
Title of Project: GestureClean: A Touchless Interaction Language for the Operating Room
Principal Investigator:
• Juan P. Wachs, Professor, School of Industrial Engineering, Purdue University.
Co-Investigators:
• Richar…
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www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
January 01, 2025 - Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report
Leveraging Existing Assessments of Risk Now (LEARN)
Final Report
PI: Donna Woods, EdM, PhD
Jane Holl, MD, MPH; Sally Reynolds, MD; Robert Wears, MD; Ellen Schwalenstocker,
PhD; Jonathan Young; O…
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www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
January 01, 2024 - Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly
Title:
Proactive Risk Assessment of Primary Care of the Elderly
Principal Investigator and Team Members:
Ben-Tzion Karsh, PhD (PI)
Brian Arndt, MD
John Beasley, MD
Vicki Bier, PhD
Roger Brown, PhD
Pascale Carayon, PhD
Sue Dovey, P…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pptx
June 16, 2016 - Slide 1
National Healthcare Quality and
Disparities Report
Chartbook on Care Coordination
June 2016
This presentation contains notes. Select View, then Notes page to read them.
1
National Healthcare Quality and Disparities Report
Annual report to Congress mandated in the Healthcare Research and Quality Act of …
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
September 01, 2023 - percent of these
encounters contained diagnostic discrepancies.68 Clinicians reported that these pauses helped
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
March 01, 2020 - and clinicians.4
Epstein et al. found that a vendor representative on the alarm management committee helped
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
January 01, 2022 - efforts to reduce hospital-acquired conditions such
as adverse drug events and injuries from falls helped
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
January 01, 2022 - efforts to reduce hospital-acquired conditions such
as adverse drug events and injuries from falls helped
-
www.ahrq.gov/sites/default/files/2024-02/kleinman-report.pdf
January 01, 2024 - monthly
reports regarding Rx fills
18
CME POST TEST EVALUATION (N=208; 201 completed)
Q1: The survey helped
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
January 01, 2022 - efforts to reduce hospital-acquired conditions such
as adverse drug events and injuries from falls helped
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE.pdf
January 01, 2023 - 2023 National Healthcare Quality and Disparities Report Appendixes
2023
National Healthcare
Quality and Disparities
Report Appendixes
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated.
Suggested citation: 2023 National Healthcare Quali…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
October 25, 2022 - 2022 National Healthcare Quality and Disparities Report Appendixes
2022 National Healthcare Quality and
Disparities Report
Appendixes
U.S. DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
AHRQ Publication No. 22(23)-0030
…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
January 01, 2023 - 2023 National Healthcare Quality and Disparities Report Appendixes
2023
National Healthcare
Quality and Disparities
Report Appendixes
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated.
Suggested citation: 2023 National Healthcare Quali…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-MOSOPS-Database-Report-Part-II-508.pdf
January 01, 2022 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report Part II
Surveys on Patient Safety CultureTM (SOPS®)
Medical Office Survey:
2022 User Database Report
Part II: Appendix A – Results by Medical Office
Characteristics
Appendix B – Results by Respondent Characteristics
Pre…