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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-Maddox_111.pdf
June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period
Continuous Respiratory Monitoring and a “Smart”
Infusion System Improve Safety of Patient-Controlled
Analgesia in the Postoperative Period
Ray R. Maddox, PharmD; Harold Oglesby…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
February 01, 2019 - EvidenceNow Key Drivers and
Change Strategies
EvidenceNow Key Drivers and
Change Strategies
Tools & Resources
Change Strategy:
Develop a process to search for
new evidence and other changes
related to Key Driver 1
Change Strategy:
Develop an inter-professional QI
team and other changes related to
Key Driver…
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www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
January 01, 2024 - Final Progress Report: Developing Best Practices for Patient Safety
Developing Best Practices for Patient Safety
Laurence Baker, PI
Sara Singer, Co-PI
Jeff Geppert, Co-Investigator
Bruce Spurlock, Consultant
David Classen, Consultant
Stanford University Center for Health Policy
August 2000 - August 2004
Federal P…
-
www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
January 01, 2024 - Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment
Final Progress Report
1.0 TITLE PAGE
Oral Chemotherapy Safety in Ambulatory Oncology:
A Proactive Risk Assessment
Principal Investigator
Saul N. Weingart, MD, PhD
Co-Investigators
Maureen Connor, RN, MPH
Syl…
-
www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign
1P20HS017118-01 Meghan M. Dierks, MD Beth Israel Deaconess Medical Center
Title of Project:
Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and
Redesign
Principal Investigator and Team …
-
www.ahrq.gov/evidencenow/tools/keydrivers/description.html
October 01, 2020 - EvidenceNow Key Drivers and Change Strategies
Below are descriptions of each key driver and change strategy in the EvidenceNOW Key Driver Diagram.
Key Driver 1: Seek, select, and customize the best evidence for use by the practice
The practice of medicine evolves in response to new knowledge about what care…
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report
Potentially Preventable Readmissions:
Conceptual Framework To Rethink
the Role of Primary Care
Final Report
This page is intentionally blank.
Potentially Preventable Readmissions:
Conceptual Framewo…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/impacts.html
June 01, 2020 - 5. Impacts of Federally Funded HSR and PCR
Health Services and Primary Care Research Study: Comprehensive Report
Health services and primary care in the United States are complex, multilevel, and layered systems in which the process of change is not always well understood, and effecting positive change often …
-
www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
January 01, 2025 - Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events
Application of Machine Learning to Enhance e-Triggers to Detect
and Learn from Diagnostic Safety Events
Principal Investigator: Hardeep Singh
Team Members: Andrew J. Zimolzak, MD, MMSc1, D…
-
www.ahrq.gov/patient-safety/reports/liability/mincer.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Reforming t…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
November 29, 2004 - Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care
369
Identification, Classification, and Frequency
of Medical Errors in Outpatient Diabetes Care
Patrick J. O’Connor, JoAnn M. Sperl-Hillen,
Paul E. Johnson, William A. Rush
Abstract
Objectives: Diabetes-related medic…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
January 01, 2002 - Organizational Climate, Stress, and Error in Primary Care: The MEMO Study
65
Organizational Climate, Stress, and Error
in Primary Care: The MEMO Study*
Mark Linzer, Linda Baier Manwell, Marlon Mundt, Eric Williams,
Ann Maguire, Julia McMurray, Mary Beth Plane*
Abstract
Background: The impact of organizatio…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
January 01, 2004 - The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data
195
The Impact of a Web-based Reporting
System on the Collection of Medication
Error Occurrence Data
William J. Rudman, Jessica H. Bailey, Carol Hope,
Paula Garrett, C. Andrew Brown
Abstract
This paper examin…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
June 15, 2003 - Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative
153
Shared Learning and the Drive to Improve
Patient Safety: Lessons Learned from the
Pittsburgh Regional Healthcare Initiative
Carl A. Sirio, Donna J. Keyser, Heidi Norman,
Robert J. We…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
February 01, 2005 - Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments
469
Behind the Scenes: Patient Safety in
the Operating Room and Central
Materiel Service During Deployments
Elizabeth A. P. Vane, Edward Drost, Daryl Elder, Yvonne Heib
Abstract
The United States Army per…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
January 01, 2025 - Envisioning Patient Safety in the Year 2025: Eight Perspectives
Envisioning Patient Safety in the Year 2025:
Eight Perspectives
Kerm Henriksen, PhD; Caitlin Oppenheimer, MPH; Lucian L. Leape, MD; Kirk Hamilton,
FAIA, FACHA, MS; David W. Bates, MD, MSc; Susan Sheridan, MBA; Mark E. Bruley, CCE;
David M. Gaba, MD;…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization
Using an Anonymous Web-Based
Incident Reporting Tool to Embed the
Principles of a High-Reliability Organization
Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA;
Christine P…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
March 03, 2008 - The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems
The Use of Modest Incentives to Boost Adoption of
Safety Practices and Systems
Gregg S. Meyer, MD, MSc; David F. Torchiana, MD; Deborah Colton;
James Mountford, MB, BCh; Elizabeth Mort, MD; Sarah Lenz;
Nancy Gagliano, MD; Elizabet…
-
www.ahrq.gov/sites/default/files/publications/files/chipra-final-report_0.pdf
February 21, 2016 - Additional details regarding each of these projects are also available in special innovation
features9 … As Federal and State
policymakers develop new efforts to stimulate innovation in service delivery systems
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdf
May 01, 2024 - Pennsylvania Associate Professor, Social
Policy & Practice; Associate
Director, Penn Center for
Cancer Care Innovation … (PC3I)
& Director, Program in
Community Engagement
Innovation, PC3I
Research/Academia
Beverly