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www.ahrq.gov/teamstepps-program/evidence-base/teams.html
June 01, 2023 - Learning from safety incidents in high-reliability organizations: A systematic review of learning tools
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/gardner_r21grant.pdf
September 01, 2013 - Multiple Chronic Conditions in VLBW Infants: Epidemiology, NICU Care, and Outcome
Comparative Effectiveness Research to Optimize Prevention and
Healthcare Management for the Complex Patient – R21 Grants
Multiple Chronic Conditions in VLBW Infants:
Epidemiology, NICU Care, and Outcome
Principal Invest…
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www.ahrq.gov/news/newsletters/e-newsletter/889.html
November 01, 2023 - include:
Validation of a reduced set of high-performance triggers for identifying patient safety incidents
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
October 01, 2024 - This could include incidents that you believe caused patient harm or put patients at risk for significant
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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article13.html
June 01, 2014 - Advances in the Prevention and Control of HAIs
Using Claims Data to Perform Surveillance for Surgical Site Infection: The Devil Is in the Details
Previous Page Next Page
Table of Contents
Advances in the Prevention and Control of HAIs
Preface
Advances in the Prevention and Cont…
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www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article13.html
June 01, 2014 - Advances in the Prevention and Control of HAIs
Using Claims Data to Perform Surveillance for Surgical Site Infection: The Devil Is in the Details
Previous Page Next Page
Table of Contents
Advances in the Prevention and Control of HAIs
Preface
Advances in the Prevention and Control of HAIs: Setti…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - Feedback and Communication About Incidents ....................................... 3
Composite Measures … Feedback and Communication About Incidents
1. … Feedback and Communication About Incidents, #2, Safety Briefings
and Safety Huddles
SOPS Nursing Home … Tree supports the aim of creating an
open culture, where employees feel able to report patient safety incidents … Feedback and Communication About Incidents
1. Provide Feedback to Frontline Staff
2.
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www.ahrq.gov/news/newsletters/e-newsletter/658.html
April 01, 2019 - The association between complications, incidents, and patient experience: retrospective linkage of routine
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www.ahrq.gov/news/newsletters/e-newsletter/699.html
February 01, 2020 - percent—to “overall perceptions of nursing home resident safety” and staff “feedback and communication about incidents
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www.ahrq.gov/news/newsletters/e-newsletter/797.html
January 01, 2022 - Articles featured this week include:
Potentially severe incidents during interhospital transport
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www.ahrq.gov/news/newsletters/e-newsletter/758.html
April 01, 2021 - Articles featured this week include:
Learning from safety incidents in high reliability organizations
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Engage Patients and Families for Perinatal Safety
Engage Patients and Families for Perinatal Safety
SAY:
The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand what is happening during the patient’s hospi…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-5a.pdf
December 01, 2013 - Section 5.A, Table 4
Q‐METRIC Sickle Cell Disease Measure 3: Appropriate Antibiotic Prophylaxis for Children with Sickle
Cell Disease
Graphics for Section V. …
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www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
January 01, 2025 - Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases
Title of Project: An expert-guided machine-learning
approach to estimate the incidence, risk, and harms
associated with diagnostic delays for infect…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - Patient and Family Engagement for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Patient and Family Engagement for Perinatal Safety
Say:
The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand w…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
January 01, 2004 - After 1 year of use, HFHS executives
saw a 200 percent sustained increase in reported incidents across … management
education for management-level staff who will be reviewing and investigating
reported incidents
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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 - In 1998, Bhasale, et
al.,9 found that of 805 incidents reported in general practice settings in Australia … In practice, many incidents included aspects of both, and the
distinction was difficult to make based
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www.ahrq.gov/hai/tools/mvp/modules/technical/head-bed-elevation-lit-review.html
January 01, 2017 - Head of Bed Elevation or Semirecumbent Positioning Literature Review
AHRQ Safety Program for Mechanically Ventilated Patients
Summary
The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-ass…
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www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
January 01, 2025 - Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting
Project Title: Factors that Enhance Diagnostic Imaging Safety in the Ambulatory Setting
Principal Investigator: Ronilda Lacson, MD, PHD
Team Members:
Ramin Khorasani, MD, MPH
Ivan Ip, MD, MPH
Sonali Desai, MD
Allen Ka…
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www.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