-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
February 18, 2021 - Time
1.5 to 2 hours.
Objectives
1. … • Meet after hours in more of a social setting to discuss issues for which your clinic is trying to
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
April 02, 2020 - Missed red flag findings or incorrect
diagnosis during initial office visit
ED/PC visit within 72 hours … initial
ED/PC or hospital visit
Unexpected transfer from hospital
general floor to ICU within 24 hours
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - Missed red flag findings or incorrect
diagnosis during initial office visit
ED/PC visit within 72 hours … initial
ED/PC or hospital visit
Unexpected transfer from hospital
general floor to ICU within 24 hours
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
September 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
Issue Brief 14
Pediatric Diagnostic Safety:
State of the Science and
Future Directions
PATIENT
SAFETY
e
This page intentionally left blank.
e
Issue Brief 14
Pediatric Diagnostic Safety: State of
the Science and Future Directions
…
-
www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - This delayed
discharge at least 24 hours.
3. … he says he does not, but again, it is
not clear that he understands what this means.
44
Several hours
-
www.ahrq.gov/sites/default/files/2024-10/gorelick-report.pdf
January 01, 2024 - asthma, that the hospitalization rate for
children with acute asthma is 60% higher during late night hours
-
www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
January 01, 2024 - The analysis showed that the number of hours hyperkalemic
patients spent on potassium supplementation
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
October 01, 2020 - Staff Turnover
As people leave an organization, they take with them hours of training and knowledge
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
May 01, 2017 - Staff Turnover
As people leave an organization, they take with them hours of training and knowledge
-
www.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 - simulation training, while nursing staff and support staff rotated into the training during
scheduled work hours
-
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 - Over the course of the next 4 hours,
five more critically ill patients arrived and required ventilator
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Blood Culture Practices and Stewardship
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Blood Culture Practices and Stewardship
SAY:
Welcome to this presentation about blood culture practices and stewardship.
This presentation will help ensure that units ha…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/healthteamworks.pdf
August 01, 2014 - c
Case Studies
of EXEMPLARY PRIMARY CARE
PRACTICE FACILITATION
TRAINING PROGRAMS
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
The PCM Portfolio graphic element is intended to be closely aligned with AHRQ's overall brand,…
-
www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
January 01, 2025 - Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs
PI: Akira Nishisaki Grant Number: R03 HS21583-01
AHRQ Grant Final Progress Report
Title: Evaluating safety and quality of tracheal intubation in pediatric ICUs
PI: Akira Nishisaki, MD, MSCE
Team Members: Vinay …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #1: Stanford Coordinated Care
New Models of Primary Care
Workforce and Financing
Case
Example Stanford Coordinated Care1
New Models of Primary Care Workforce
and Financing
Case Example #1: Stanford Coordinated Care
Prepared for:
Agen…
-
www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-1.html
July 01, 2019 - Case Example #1: Stanford Coordinated Care
This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, M…
-
www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-synthesis.pdf
September 01, 2025 - Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Partner Roundtable Synthesis
Person-Centered Care Planning for
Persons With Multiple Chronic
Conditions
Partner Roundtable Synthesis
I. Background and Objectives
Person-centered care has been operationalized as planning and enacti…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
September 01, 2015 - Module 16: Academic Detailing as a Quality Improvement Tool
Primary Care
Practice Facilitation
Curriculum
Module 16: Academic Detailing as a Quality
Improvement Tool
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda
Managing Interruptions to Improve Diagnostic
Decision-Making: Strategies and Recommended Research
Agenda
Jennifer F. Sloane, PhD1,2 , Chris Donkin, PhD2,3, Ben R. Newell, PhD2,
Hardeep Singh, MD MPH1, and Ashl…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program
223
Identifying, Understanding, and
Communicating Medical Device Use Errors:
Observations from an FDA Pilot Program
Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner
Abstract
The U.S. Food an…