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www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
January 01, 2024 - Final Progress Report: Health Journalism 2011, national conference on healthcare journalism
Final Grant Report for
Agency for Healthcare Research and Quality
Title: Health Journalism 2011, national conference
on healthcare journalism
Principal Investigator: Leonard J. Bruzzese
Organization: Center…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
July 01, 2023 - Situation Monitoring: Severe Hypertension - PowerPoint Presentation
Situation Monitoring
Severe Hypertension
Module 4 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 4 of the SPPC-II Teamwork Toolkit. In this module, we will talk about situation monito…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
December 01, 2014 - Improving the Emergency Department Discharge Process: Environmental Scan Report
Improving the Emergency
Department Discharge Process:
Environmental Scan Report
The authors of this report are responsible for its content. Statements in the report
should not be construed as endorsement by the Agency for Healthcare…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-mepsmethods.pdf
December 23, 2020 - 2019 National Healthcare Quality and Disparities Report: Detailed Methods for the Medical Expenditure Panel Survey
2019 NATIONAL HEALTHCARE
QUALITY AND DISPARITIES REPORT
Detailed Methods for the Medical Expenditure
Panel Survey
U.S. DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Agency for Healthcare …
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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-Sehgal_64.pdf
April 02, 2008 - Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet)
Development of a Web-Based Patient Safety
Resource: AHRQ Patient Safety Network (PSNet)
Niraj L. Sehgal, MD, MPH; Sumant R. Ranji, MD; Kaveh G. Shojania, MD;
Russ J. Cucina, MD, MS; Erin E. Hartman, MS; Lorri Zipperer, MA; Rob…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - A System to Describe and Reduce Medical Errors in Primary Care
A System to Describe and Reduce Medical Errors in
Primary Care
Victoria Kaprielian, MD; Truls Østbye, MD, PhD; Samuel Warburton, MD;
Devdutta Sangvai, MD, MBA; Lloyd Michener, MD
Abstract
Although much attention has been focused on finding wa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - Taxonomic Guidance for Remedial Actions
75
Taxonomic Guidance for Remedial Actions
Bruce Thomadsen, Shi-Woei Lin
Abstract
Objectives: This project developed a taxonomy to provide guidance in selecting
remedial actions to address problems uncovered during root cause analyses of
events in a medical setting. M…
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www.ahrq.gov/sites/default/files/2024-09/segall-report.pdf
January 01, 2024 - Final Progress Report: Workload effects on response time to life-threatening arrhythmias
Workload effects on response time to life-threatening arrhythmias
Principal investigator: Noa Segall, PhD
Team members: Christopher Granger, MD
Melanie Wright, PhD
Gene Hobbs, CHT
Alberto Bonifacio, RN, BSN, MHA, CEN
Jeffr…
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www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
January 01, 2024 - Final Progress Report: Validation of an Innovative Approach to Error Reduction
Final Progress Report
Validation of an Innovative Approach To Error Reduction
Principal Investigator: David Blumenthal, MD, MPP
Team Members:
Carlos A. Camargo, Jr., MD, DrPH (Massachusetts General Hospital)
Paul D. Cleary, PhD (Yale…
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www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients
FINAL REPORT
Agency for Healthcare Research and Quality
Title of Project:
Enhancing The Disclosure Of Medical Errors To Patients
Principal Investigator and Team Members:
Thomas H. Gallagher, MD
Carolyn Prouty, DVM
Mary Lucas
Organizati…
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www.ahrq.gov/hai/pfp/interimhacrate2013.html
November 01, 2015 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Next Page
Table of Contents
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Appendix
References
Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Co…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-references.pdf
October 23, 2013 - References
References
1. Berry JG, Toomey SL, Zaslavsky AM, Jha AK, Nakamura MM, Klein DJ, Feng JY,
Shulman S, Chiang VK, Kaplan W, Hall M, Schuster MA. Pediatric readmission
prevalence and variability across hospitals. JAMA. 2013;309(4):372–380.
2. Pelletier AJ, Mansbach JM, …
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www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
November 01, 2017 - For example, AHRQ is developing and implementing a
successor system to MPSMS: the Quality and Safety
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
November 01, 2017 - For example, AHRQ is developing and implementing a
successor system to MPSMS: the Quality and Safety
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
July 01, 2023 - Situation Monitoring: Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II
Situation Monitoring
Severe Hypertension
Module 4 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 4 of the SPPC‐II Teamwork Toolkit. In this module, we will talk about
situation monitoring: what it is, how to do it, and what tools a…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
April 23, 2004 - Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office
101
Best Practices in Medication Safety:
Areas for Improvement in the Primary
Care Physician’s Office
Kimberly A. Galt, Ann M. Rule, Bartholomew E. Clark,
James D. Bramble, Wendy Taylor, Kevin G. Moores
Abst…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-070814.pptx
January 01, 2015 - nurse-driven removal protocol
Limiting reinsertion—post-removal protocol with bladder scanning
Implementing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide.pdf
March 22, 2014 - Nursing homes implementing On-Time should
check the completeness of the nursing assistant documentation
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www.ahrq.gov/sites/default/files/2024-11/becker-bix-report.pdf
January 01, 2024 - performed a series of experiments focused
on improving attention to critical information on OTC labels by implementing
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www.ahrq.gov/sites/default/files/2024-09/halpern-report.pdf
January 01, 2024 - Final Progress Report: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity
Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity
Principal Investigator: Scott D. Halpern, M.D., Ph.D.
Perelman School of Medicine, University of Pennsylvania
Other key team …