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  1. 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
  2. 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
  3. 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
  4. 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 …
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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…
  13. Healthteamworks (pdf file)

    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,…
  14. 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 …
  15. 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…
  16. 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…
  17. 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…
  18. 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 …
  19. 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…
  20. 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…

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