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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - United Kingdom determine a fair and consistent course of action
toward staff involved in patient safety incidents … Tree supports the aim of creating an
open culture, where employees feel able to report patient safety incidents
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
January 01, 2024 - Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids
FINAL PROGRESS REPORT
Risk of Acute Asthma Associated with the Pediatric Use of Opioids
Principal Investigator: Hua Chen, MD, PhD1
Co-Investigator: Harold J. Farber, MD, MSPH2,3
Organization
…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
January 01, 2024 - Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS
Project Title: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS
(Tailoring Interventions for Patient Safety)
Principal Investigator and Team Members.
Patricia C. Dykes, An…
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ce.effectivehealthcare.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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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - United Kingdom determine a fair and consistent course of action
toward staff involved in patient safety incidents … Tree supports the aim of creating an
open culture, where employees feel able to report patient safety incidents … cause analysis to:
• Identify causes and contributing factors of a sentinel event or a cluster of incidents … Implement risk reduction strategies that decrease the likelihood of a recurrence of
the event or incidents
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
March 01, 2004 - This new system
permits pilots to report incidents to their own companies with the same
limited immunity … Errors,
incidents and accidents in anaesthetic practice.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
March 10, 2008 - depressants and anesthetics,
numerator inclusion
Y70.0 Anesthesiology devices associated with adverse incidents … , diagnostic and monitoring devices
Y70.1 Anesthesiology devices associated with adverse incidents … therapeutic (nonsurgical) and rehabilitative devices
Y70.2 Anesthesiology devices associated with adverse incidents … other implants, materials, and accessory devices
Y70.3 Anesthesiology devices associated with adverse incidents … instruments, materials and devices (including sutures)
Y70.8 Anesthesiology devices associated with adverse incidents
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ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
August 01, 2022 - will analyze trends and conduct aggregate causal analysis, but may also evaluate selected individual incidents … development of any public reporting program will include decisions regarding reporting of individuals incidents
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
June 06, 2018 - Such prevention
includes reducing mistakes, errors, incidents, events, or problems that lead to patient
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
May 01, 2013 - Responding to patient safety incidents: the ‘seven pillars.’ Qual Saf Health Care 2010;19:e11.
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/cdom0803.html
October 01, 2014 - Skip to main content
An official website of the Department of Health and Human Services
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_slides_fallprev.pptx
December 03, 2012 - Make sure it is coupled with a culture of trust to encourage reporting fall incidents.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool0a.docx
January 01, 2011 - ØA: Introduction and Overview for Stakeholders
Background: This template can serve as a letter to key players in the hospital to introduce them to the goals and purpose of a fall prevention program.
Reference: Developed by Falls Toolkit Research Team.
How to use this tool: Adapt this letter as needed and present it t…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
January 01, 2024 - Final Progress Report: Using Barcode Technology to Improve Medication Safety
FINAL REPORT: April 16, 2007
Using Barcode Technology to Improve Medication Safety
Principal Investigator: Tejal Gandhi, tgandhi@partners.org
Brigham and Women’s Hospital
Tejal Gandhi MD, MPH, Principle Investigator
Eric Poon, MD, MPH, …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4k
Selected Best Practices and Suggestions for Improvement
PSI 14: Postoperative Wound Dehiscence
Why Focus on Postoperative Wound Dehiscence?
• Postop…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/maynard-report.pdf
January 01, 2024 - Final Progress Report: Optimal Prevention of Hospital-Acquired Venous Thromboembolism
Optimal Prevention
Of
Hospital-Acquired Venous
Thromboembolism
Greg Maynard, M.D., M.Sc. - Principal Investigator
Tim Morris, M.D.
Ian Jenkins, M.D.
Sarah Stone, M.D.
Joshua Lee, M.D.
Marian Renvall, M.Sc.
Ed Fink …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf
December 01, 2020 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan
Workforce
Safety
Patricia McGaffigan, RN, MS, CPPS
pmcgaffigan@ihi.org; @Pmcgaffigan_IHI
mailto:pmcgaffigan@ihi.org
Why Workforce Safety Matters
Workforce safety is
essential for safe, high-
quality care and is
preconditional to …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
January 01, 2024 - Final progress Report: Anticholinergics and Cognitive Decline in the Elderly with Depression
FINAL PROGRESS REPORT
ANTICHOLINERGICS AND COGNITIVE DECLINE IN THE ELDERLY WITH DEPRESSION
TITLE: Anticholinergics and Cognitive Decline in the Elderly with Depression
PRINICIPAL INVESTIGATOR: Aparasu, Rajender R.1
TEAM…
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraaparef.html
September 01, 2018 - Skip to main content
An official website of the Department of Health and Human Services
Careers
Contact Us
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - the method used to analyze the error reports.16–18 It is a method
for organizing reports of critical incidents … The physician reports provided the incidents for analysis.