-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
January 01, 2003 - In
hospital settings misuse of a therapy may lead to adverse events in minutes to
hours.
-
www.ahrq.gov/sites/default/files/2024-05/anderson-thomas-report.pdf
January 01, 2024 - Final Progress Report: Simulation to Support Competency-Based Training in Orthopedic Trauma
1. TITLE PAGE
Title of Project: Simulation to Support Competency-Based Training in Orthopedic Trauma
Principal Investigator and Team Members.
Principal Investigators:
Donald D. Anderson, PhD – Professor, Orthopedics & Rehab…
-
www.ahrq.gov/sites/default/files/2024-12/doucette-report.pdf
January 01, 2024 - Final Progress Report: Demonstration of Quality Improvement of Medication Therapy Management Services
AHRQ Grant Final Report
Project Title:
Demonstration of Quality Improvement of Medication Therapy Management Services
Principal Investigator:
William R. Doucette, PhD
Email: william-doucette@uiowa.edu
(319) 335-8…
-
www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
January 01, 2024 - Final Progress Report: EMR Planning To Improve North Iowa Healthcare
AHRQ Grant Final Progress Report
Title of Project: EMR Planning to Improve North Iowa Healthcare
Principal Investigator and Team (Steering Committee) Members:
• Toni Ebeling (Principal Investigator), RN, MSN, formerly, Chief Executive Officer, …
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/access/access-slides.html
June 01, 2018 - Access to Health Care Chartbook: Slide Presentation
National Healthcare Quality and Disparities Report
Slide 1
National Healthcare Quality and Disparitites Report
Chartbook on Access to Health Care
May 2016
Slide 2
National Healthcare Quality and Disparities Report
Annual report to Congress m…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Facilitator Guide: Learning From Defects Through Sensemaking
Slide Title and Commentary
Slide Number and Slide
Learning From Defects Through Sensemaking
SAY:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 1
Learning Objectives
SAY:
At the end of this module, you will …
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Learning From Defects Through Sensemaking: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Learning From Defects Through Sensemaking
Say:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 2: Learning Objectives
Say:
At the end of this module, you w…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator
395
From Insight to Implementation:
Lessons from a Multi-site Trial of
a PDA-based Warfarin Dose Calculator
Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth,
Debora A. Paterniti, William Dager, …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
February 20, 2008 - The Patient Safety Education Project: An international Collaboration
The Patient Safety Education Project:
An International Collaboration
Linda Emanuel, MD, PhD; Merrilyn Walton, PhD; Martin Hatlie, JD; Denys Lau, PhD;
Tim Shaw, PhD; Joel Shalowitz, MD, MBA; John Combes, MD
Abstract
The Patient Safety Edu…
-
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…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/addexercises.pdf
August 08, 2025 - On-Time Pressure Ulcer Prevention: Facilitator Training—Additional Exercises
AHRQ’s Safety Program for Nursing Homes: On-Time
Pressure Ulcer Prevention Facilitator Training
Additional Exercises
Nutrition Risk Reports Information Exercises ........................................................................…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pdf
June 01, 2014 - QDR 2014: Chartbook for Hispanic Health Care, Part 3
Chartbook on Health Care for Hispanics Part 3: Trends in Access and Priorities of the National Quality Strategy
2014 National Healthcare Quality and Disparities Report | 41
PART 3: TRENDS IN ACCESS AND PRIORITIES OF THE NATIONAL
QUALITY STRATEGY
2014 QDR Cha…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-135-fullreport.pdf
February 01, 2017 - SCD, and pneumococcal sepsis is known to progress from
the onset of fever to death in fewer than 12 hours
-
www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
January 01, 2025 - The CEO of the hospital within 24 hours went to the family, fully disclosed and discussed
the error
-
www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
January 01, 2024 - first with all the
monitors, and a lot of things going on with the patient…and the workload and the hours
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-234-fullreport.pdf
June 17, 2014 - Surgeon General estimated the effect on missed school time to be quite
significant, at 51 million school hours
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - Safety Culture
should be completed by all staff (whether employed or contracted) working at least eight hours
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
December 01, 2017 - So staff meetings, admin hours, like I said, lunch and learn.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
June 03, 2014 - So staff meetings, admin hours, like I said, lunch and learn.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
December 01, 2017 - Even a small amount of time, as little as 4 hours a month, can make a difference visible to the surgical