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  1. 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 …
  2. 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, MD…
  3. 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…
  4. 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…
  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/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?…
  7. 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…
  8. www.ahrq.gov/news/newsroom/case-studies/cquips1301.html
    November 01, 2012 - Newman Memorial Hospital Implements AHRQ's Patient Safety Culture Survey Search All Impact Case Studies November 2012 Newman Memorial Hospital, a 79-bed acute hospital in Oklahoma, first implemented AHRQ's "Hospital Survey on Patient Safety Culture" in 2006, when concern about the hospital's patient safety …
  9. www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/postfall-assessment.html
    January 01, 2013 - Preventing Falls in Hospitals Tool 3N: Postfall Assessment, Clinical Review Previous Page Next Page Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments Overview Icons 1. Are you ready for this change? 2. How will you manage change? 3. Which fall prevention practices…
  10. 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…
  11. www.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
  12. www.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
  13. 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…
  14. www.ahrq.gov/research/findings/studies/index.html?page=145
    January 01, 2024 - AHRQ Research Studies Sign up: AHRQ Research Studies Email updates Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers. Results 3626 to 3650 of 12214 Research Studies Displayed Pagination « first « First ‹ previous ‹‹ …
  15. 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.
  16. www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirement3.html
    February 01, 2014 - Background Report on 2013 Retirement of Measures from the Child Core Set Methods 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. A…
  17. www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/newman-toker-summit2016.pdf
    September 28, 2016 - Use of Data and Measurement in Improving Diagnostic Safety AHRQ Research Summit, September 28, 2016 Use of Data and Measurement in Improving Diagnostic Safety David E. Newman-Toker, MD PhD Associate Professor of Neurology Johns Hopkins University School of Medicine Johns Hopkins Bloomberg School of Public Heal…
  18. 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
  19. www.ahrq.gov/hai/pfp/hacrate2013-appendix.html
    October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix Previous Page Next Page Table of Contents 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix References …
  20. www.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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