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  1. www.ahrq.gov/hai/cusp/modules/patient-family-engagement/alt-text-tab.html
    September 01, 2013 - Responding to patient safety incidents: the ‘seven pillars.’ Qual Saf Health Care 2010;19:e11.
  2. www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-slides.html
    March 01, 2017 - Image: Bar graph highlighting how companies with highly engaged employees have 48 percent fewer safety incidents
  3. www.ahrq.gov/patient-safety/reports/engage/summary.html
    March 01, 2017 - Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative
  4. www.ahrq.gov/hai/cusp/modules/patient-family-engagement/sl-pat-fam.html
    September 01, 2013 - Responding to patient safety incidents: the ‘seven pillars.’ Qual SafHealth Care 2010;19:e11.
  5. www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia 5R01HS018413-02 REVISED Tanner CM I FINAL PROGRESS REPORT Project Title: Principal Investigator: Team Members: Project Dates: Federal Project Officer: Acknowledgment of Agency Support and Grant Number: DIAGNOSTIC ERROR IN DYSTONIA Tanner, Caroline M., MD, …
  6. www.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.
  7. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 6. Track Performance with Metrics Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery …
  8. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 6. Track Performance with Metrics Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery …
  9. www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix A, Pt. 3 Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA Developm…
  10. www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirementapd.html
    July 01, 2018 - Background Report on 2013 Retirement of Measures from the Child Core Set Appendix D. Previous Page Next Page Table of Contents Background Report on 2013 Retirement of Measures from the Child Core Set Abstract Background Methods Results Conclusions References Appendix A. Appendix B.…
  11. www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf
    January 01, 2024 - Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program Principal Investigator: David J. Taber, PharmD, MS, BCPS Professor Medical University of South Carolina Department of Surgery 96 J…
  12. www.ahrq.gov/sites/default/files/2024-04/eskandari-raval-report.pdf
    January 01, 2024 - Final Progress Report: Illinois Surgical Quality Improvement Collaboration Conference: Venous Thromboembolism FINAL PROGRESS REPORT Title of Project: Illinois Surgical Quality Improvement Collaboration Conference: Venous Thromboembolism Principal Investigator and Team Members: Mark Eskandari, MD Mehul Raval, M…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
    May 17, 2016 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4i Selected Best Practices and Suggestions for Improvement PDI 11: Postoperative Wound Dehiscence Why focus on postoperative wound dehiscence in…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
    May 17, 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.4w Selected Best Practices and Suggestions for Improvement PDI 11: Postoperative Wound Dehiscence Why focus on postoperative wound dehiscence in children?…
  15. www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
    January 01, 2024 - employed methods that we had developed and tested in previous investigations relating to drug-related incidents … Trial Outcomes: The clinical pharmacist investigators identified a total of 192 possible drug-related incidents
  16. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
    March 01, 2020 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae Carbapenem-Resistant Enterobacteriaceae 6-1 6. Carbapenem-Resistant Enterobacteriaceae Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H. Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D. Introduction Background Carbapenem-resistant Enterobacteria…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
    March 01, 2004 - loss of credibility has made these same professionals reluctant to report or discuss error-related incidents … introduced to facilitate the creation of a voluntary system for reporting medical errors and near- miss incidents … Safety Center Registry by quarter from October 2001 through September 2003 Of all medication-related incidents
  18. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp6.pdf
    May 01, 2013 - Volume 6. Concordance Between the Findings of Epidemiological Studies and Randomized Trials in Nutrition: An Empirical Evaluation and Citation Analysis Technical Review 17 Nutritional Research Series Volume 6: Concordance Between the Findings of Epidemiological Studies and Randomized Trials in Nutrition: An…
  19. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-6.pdf
    December 14, 2010 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-6 Completed by: Page 1 12/14/2010 MEASURE SUMMARY CHIPRA Core Set Candidate Measures A. Control #: PHP-6 B. Measure Name: Adolescent Immunization C. Measure Definition a. Numerator: Number of adolescents 13 years of age who had one…
  20. www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
    January 01, 2024 - o Aviation does not use the same model for after incidents. … at the personal factors of the healthcare leaders and what contributes to handling/failing to handle incidents

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