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www.ahrq.gov/news/events/nac/2018-11-nac/nacmtg1118-minutes.htmlApril 01, 2019 - Meeting Minutes, November 2018 National Advisory Council Minutes from the November 15, 2018, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 18, 2018, Meeting Summary Director's Welcome and Update Update on AH…
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www.ahrq.gov/patient-safety/reports/liability/neumiller.htmlAugust 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-StJacques_105.pdfMarch 29, 2008 - Improving Perioperative Patient Safety Through the Use of Information Technology 1 Improving Perioperative Patient Safety Through the Use of Information Technology Paul J. St. Jacques, MD; Michael N. Minear Abstract The perioperative care process is a unique and challenging environment. Perioperative …
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.htmlMarch 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptII.pdfJanuary 01, 2025 - SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part II Surveys on Patient Safety Culture® (SOPS®) Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part II: Appendix A—Results by Nursing Home Characteristics Appendix B—Results by Respondent Characteri…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdfJune 01, 2015 - System Redesign Responses to Challenges in Safety-Net Systems System Redesign Responses to Challenges in Safety-Net Systems: Summary of Field Study Research Submitted to: Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 www.ahrq.gov AHRQ ACTION II Contract No. H…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-workplace-safety-report-appendixes.pdfJanuary 01, 2025 - SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part II Surveys on Patient Safety Culture® (SOPS®) Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part II: Appendix A—Results by Nursing Home Characteristics Appendix B—Results by Respondent Characteri…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdfJanuary 01, 2003 - Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians 15 Implementing Safety Cultures in Medicine: What We Learn by Watching Physicians Timothy J. Hoff, Henry Pohl, Joel Bartfield Abstract This study explores the workplace dynamics associated with physicians and medical mistakes. …
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdfNovember 11, 2019 - Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults Reducing Adverse Drug Events in Older Adults 9-1 9. Reducing Adverse Drug Events in Older Adults Authors: Tara R. Earl, Ph.D., M.S.W., Nicole D. Katapodis, M.P.H., and Stephanie R. Schneiderman, M.P.P. Reviewers: Scott Winiecki, M.…
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Chapter-8 - Diabetes (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdfMarch 01, 2020 - Chapter-8 - Diabetes Harms Due to Diabetic Agents 8-1 8. Harms Due to Diabetic Agents Authors: Lisa LeRoy Ph.D., M.B.A., and Sonja Richard, M.P.H. Reviewer: Shelia Roman, M.D. Introduction In this chapter, two different kinds of diabetes patient safety practices are addressed—both intended to improve diabete… -
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/Final_Using_the_CAHPS_Database_Webcast_Transcript.pdfJanuary 01, 2014 - Using the CAHPS Database to Compare, Report, and Improve Organizational Performance Using the CAHPS Database to Compare, Report, and Improve Organizational Performance January 2014 Webcast Speakers Janice Ricketts, Senior Study Director, CAHPS Database, Westat, Rockville, MD Deborah Kilstein, BSN, MBA, Vice…
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www.ahrq.gov/patient-safety/reports/engage/references.htmlMay 01, 2023 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families References Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Env…
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/measures-rapid-scan-report.pdfApril 10, 2025 - Measures of Implementation of Person-Centered Care Planning for People with Multiple Chronic Conditions Patient-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P) Task Order: 75Q80124F32002 Task #2b: Rapid Scan 1 AHRQ Action IV Task Order #16 Patient-Centered Care Planning for Peo…
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www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdfJanuary 01, 2024 - Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine Principal Investigator/Program Director (Last, First, Middle): Fairbanks, Rollin Jonathan 1. title page The ED Pharmacist as a Safety Measure in Emergency Medicine Supported by: Agency for Healthcare Research and Quality Grant N…
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www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdfJanuary 01, 2024 - Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System Evaluate the Effects of the Massachusetts Reporting System Principal Investigator: Nancy Ridley, M.S. Associate Commissioner, Massachusetts Department of Public Health Co-Investigators (alphabetically): Paul Dreyer, Ph.D. Massachuset…
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Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdfSeptember 01, 2015 - Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators Pri… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdfJanuary 10, 2005 - Cost Effectiveness of a Multifaceted Program for Safe Patient Handling 347 Cost Effectiveness of a Multifaceted Program for Safe Patient Handling Kris Siddharthan, Audrey Nelson, Hope Tiesman, FangFei Chen Abstract Objective: The Patient Safety Center in the Veterans Health Administration (VHA) introduced …
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The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdfApril 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety 269 The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski, Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdfFebruary 19, 2008 - Creating Safety in the Testing Process in Primary Care Offices Creating Safety in the Testing Process in Primary Care Offices Nancy C. Elder, MD, MSPH; Timothy R. McEwen; John M. Flach, PhD; Jennie J. Gallimore, PhD Abstract Background: The testing process in primary care is complex, and it varies from o…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdfMarch 21, 2008 - Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study John Lynch, MPH; Jonathan Rosen, MD; H. Andrew Selinger, MD; John Hickner, MD, MSc Abstract Objective: The objective of this study wa…
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