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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
March 01, 2004 - Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes
245
Surveillance of Surgery-related Adverse
Events in Missouri Using ICD-9-CM Codes
Mark Van Tuinen, Susan Elder, Carolyn Link, Susan Li,
John H. Song, Tracey Pritchett
Abstract
Objectives: This study estimated the validity of 2…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
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e
Issue Brief 8
Distributed Cognition and the Rol…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-meps-methods.pdf
December 01, 2023 - 2022 National Healthcare Quality and Disparities Report Detailed Methods for Medical Expenditure Panel Survey Tables
2023 National Healthcare Quality and
Disparities Report
Detailed Methods for Medical Expenditure Panel
Survey Tables
U.S. DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Agency for Healthcare Research…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
January 01, 2004 - Observing Nurse Interaction with Infusion Pump Technologies
349
Observing Nurse Interaction with
Infusion Pump Technologies
Pascale Carayon, Tosha B. Wetterneck, Ann Schoofs Hundt,
Mustafa Ozkaynak, Prashant Ram, Joshua DeSilvey, Brian Hicks,
Tanita L. Robert, Myra Enloe, Rupa Sheth, Sade Sobande
Abstract…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems
337
Work System Analysis: The Key to
Understanding Health Care Systems
Ben-Tzion Karsh, Samuel J. Alper
Abstract
Many articles in the medical literature state that medical errors are the result of
systems problems, require systems analyses, a…
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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-Mokkarala_103.pdf
June 16, 2008 - Development of a Comprehensive Medical Error Ontology
Development of a Comprehensive
Medical Error Ontology
Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD;
Jiajie Zhang, PhD; James P. Turley, RN, PhD
Abstract
A critical step towards reducing errors in health care …
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www.ahrq.gov/sites/default/files/2024-10/sills-report.pdf
January 01, 2024 - staff stress,
and ability to deliver on educational missions – hospitals should consider implementing
initiatives
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
March 01, 2004 - Current State
programs addressing medical errors: an analysis of
mandatory reporting and other initiatives
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
September 26, 2023
Pre-Decisional Deliberative Document
Internal VA Use Only
Advancing Toward Zero Harm and
Becoming a Learning Health System
Gerard R. Cox, MD, MHA
Assistant Under Secretary for Health for Quality & …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation
AHRQ’s Safety Program for Nursing Homes
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes:
On-Time Pressure Ulcer Healing Facilitator Training
Slide 2: On-Time Pressure Ulcer…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
October 01, 2014 - Module 3: Falls Prevention and Management
Session 2
Previous Page Next Page
Table of Contents
Module 3: Falls Prevention and Management
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Appendix. Additional Tools and Resources
Limiting Falls that Cause Inju…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Hospital Transfer Self-Assessment Worksheet
Purpose
The Hospital Transfer Self-Assessment Worksheet can help nursing home staff identify and review care that they provide that may lead to avoidable transf…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Overview of On-Time
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Overview of On-Time
Slide 2: On-Time Fall…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Facilitator Training Slide Presentation
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department V…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d7_combo_implementationmeasurement.pdf
January 01, 2016 - Implementation Measurement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.7
Implementation Measurement
What is the purpose of this tool? The purpose of the implementation measurement tool is to
provide a format in which you can determine if best practice …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2-tool2a.docx
June 02, 2025 - Primary Care Health Literacy Assessment
Please select one answer that most accurately describes your practice:
Doing Well
Our practice is doing this well
Needs Improvement
Our practice is doing this, but could do it better
Not Doing
Our practice is not doing this
Not Sure or N/A
I don’t know…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/index.html?page=2
June 13, 2025 - Practice-based Research Networks Registry
Results Displaying 101 - 150 of 204 PBRNs
Pagination
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New Jersey Primary Care Research Network Acronym: NJPCRN…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use
Antibiotic Time Out Tool
Date:
Patient Name or Identifier:
Directions: This form should be completed by frontline clinicians on a daily basis for patients receiving antibiotics.
Note: A table of commonly recommended durations of therapy can be found on the…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.pdf
March 01, 2022 - Addressing Questions Asked by Staff: Chlorhexidine for Bathing
Decolonization of
on-ICU Patients With Devices N
Section 14-1 – Addressing Questions Asked by Staff:
Chlorhexidine for Bathing
Why does the hospital use special soap for bathing and showering in patients
with medical devices?
This hospital i…