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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/2024-02/wei-report.pdf
January 01, 2024 - Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults
AHRQ Grant Final Progress Report
Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-
Related Hospitalizations in Older Adults
Principal Investigat…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - Strategy 4: IDEA Discharge Planning (Tool 4)
Insert hospital logo here
Care Transitions from Hospital to Home: IDEAL Discharge Planning Training
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 4: IDEAL Discharge Planning (Tool 4)
Guide to Patient & Family Engagement
If you have condu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
January 01, 2017 - References
Summary
Continuous or frequent intermittent suctioning of subglottic secretions, via an endotracheal tube (ETT) specially designed with a dorsal lumen to accommodate this, is associated with up to a 50 percent decreased incidence of aspiration and ventilator-associated pneumonia (VAP). Guidelines support …
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www.ahrq.gov/antibiotic-use/long-term-care/improve/sustain.html
June 01, 2021 - Sustaining Your Antibiotic Stewardship Program
After viewing or presenting this presentation viewers will be able to—
Recognize that stewardship interventions must be sustained to have a continued effect.
Discuss approaches for identifying new stewardship targets.
Discuss personnel and resources nec…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcd-inventory.xlsx
October 01, 2015 - Sheet1
Measure Characteristics Overall Measure Inventory Details Deep Dive Measure Inventory Details
Condition of Focus Measure Condition Subcategory Measure Type (Cost, Quality, or Utilization) Quality Category (Process, Outcomes, Structure, Not Applicable) Measure Name or Paper Name (From Lit Review) …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-rev.pdf
January 01, 2024 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part I
SURVEYS ON PATIENT
SAFETY CULTURE®
2024 MEDICAL OFFICE
USER DATABASE REPORT
Surveys on
Patient Safety
Culture®
e PATIENT
SAFETY
[This page intentionally left blank]
Surveys on Patient Safety Culture® (SOPS®) …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-14-collecting-performance-data.pdf
September 01, 2015 - Collecting Performance Data Using Chart Audits and Electronic Data Extraction
Primary Care
Practice Facilitation
Curriculum
Module 14: Collecting Performance Data Using
Chart Audits and Electronic Data Extraction
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care ww…
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www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
January 01, 2024 - Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention
Labor and Delivery Nurse Staffing: A Patient Safety Intervention
Team members:
Barbara L. Wilson, PhD, RN
Principal Investigator (PI)
Associate Professor
University of Utah College of Nursing
Barbara.wilson@nurs.utah.edu
R…
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www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
January 01, 2024 - Final Progress Report: Encoding and Processing Patient Allergy Information in EHRs
AHRQ Grant Final Progress Report
Title of Project:
Encoding and Processing Patient Allergy Information in EHRs
Principal Investigator:
Li Zhou, MD, PhD
Associate Professor
Brigham and Women’s Hospital, Harvard Medical School
Team…
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www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
January 01, 2025 - Medical Failure-to-Rescue Final Report
Medical Failure-to-Rescue
Final Report
November 13, 2018
Principal Investigator: Jeffrey H. Silber, MD, PhD1,2,3,4,5
Co-investigators: Paul R. Rosenbaum, Ph.D5,6
Patrick S. Romano, MD, MPH7
Project Manager: Bijan A. Niknam, BS1
Orit Even-Shoshan, MS1,5
Senior Statis…
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www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home
TITLE PAGE
AHRQ Final Progress Report
Title: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home
Principle Investigator: Steven M. Handler, MD, PhD
Team Members: Joseph T. Hanlon…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Galt.pdf
January 01, 2004 - Physician Use of Hand-held Computers for Drug Information and Prescribing
93
Physician Use of Hand-held Computers
for Drug Information and Prescribing
Kimberly A. Galt, Mark V. Siracuse, Ann M. Rule,
Bartholomew E. Clark, Wendy Taylor
Abstract
The purpose of this study was to develop and pilot-test an ins…
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www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
January 01, 2024 - Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study
Problem Density, Workload, and Medical
Error in Primary Care Practice:
a WREN Study
Final Grant Report to the Agency for Healthcare Research and Quality
1 R03 HS16026-01 (PI: Jonathan Temte)
Dates: 6/1…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
March 01, 2004 - On the
one hand, implementation in 2001of Utah patient safety administrative rules,
which require health
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-topic-refinement.pdf
November 01, 2022 - This would then inform the implementation and evaluation of amended
requirements.
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www.ahrq.gov/downloads/pub/prevent/pdfser/famviolser.pdf
March 01, 2004 - nurse-visit group.101 This study
had a similar design as the New York State trial,92 but differed in implementation
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es.pdf
January 01, 2023 - 2023 National Healthcare Quality and Disparities Report
2023
National Healthcare Quality
and Disparities Report
Executive Summary
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 Qual…
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www.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
January 01, 2024 - Final Progress Report: Improving Patient Safety in Orthopedic Trauma Surgical Training
Title: Improving Patient Safety in Orthopedic Trauma Surgical Training
Principal Investigator: Donald D. Anderson, PhD
Team Members: Geb W. Thomas, PhD
J. Lawrence Marsh, MD
Matthew D. Karam, MD
Clarence Kreiter, PhD
Organiza…
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www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/richardson-et-al-2020.pdf
January 01, 2020 - Health and economic outcomes of newborn screening for infantile-onset Pompe disease
ARTICLE
Health and economic outcomes of newborn screening
for infantile-onset Pompe disease
John S. Richardson, PhD1,2, Alex R. Kemper, MD, MPH3, Scott D. Grosse, PhD4, Wendy K. K. Lam, PhD5, Angela M. Rose, MPH 6,
Ayesha Ahmad, MD7,…