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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
    April 19, 2008 - Non-anesthesiology pediatric practitioners who are credentialed in tracheal intubation in our institution
  2. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
    June 01, 2014 - on an ad hoc basis at the point of care as specific patient transitions occurred within a single institution
  3. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5.html
    May 01, 2018 - focused their efforts on these goals, they were able to bring together key stakeholders within each institution
  4. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
    January 01, 2013 - randomized 749 Jack BW, Chetty VK, Anthony D, controlled trial hospitalized patients at a single institution
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - precipitate errors or make errors more likely to occur when combined with the latent factors existing at an institution
  6. www.ahrq.gov/sites/default/files/publications2/files/diagnostic-safety-issue-brief-test-result-communication.pdf
    July 01, 2024 - One study compiled problems and adverse events from a single institution using patient complaints, staff … And more specifically, the concern was that people would use the block function and then the institution
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
    January 01, 2005 - The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care 247 The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care Kimberly A. Galt, Ann M. Rule, Wendy Taylor, Mark Siracuse, J.D. Bramble, Eugene C. Rich, Wayne Young, Bartholomew Clark, Bruce Hough…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
    February 06, 2008 - Improving Patient Safety Through Provider Communication Strategy Enhancements Improving Patient Safety Through Provider Communication Strategy Enhancements Catherine Dingley RN, PhD, FNP; Kay Daugherty RN, PhD; Mary K. Derieg RN, DNP; Rebecca Persing, RN, DNP Abstract The purpose of this study was to devel…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
    February 21, 2008 - Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program Brian Jack, MD; Jeffrey Greenwald, MD; Shaula Forsythe; Julie O'Donnell; A…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
    March 28, 2008 - Using Data Mining to Predict Errors in Chronic Disease Care Using Data Mining to Predict Errors in Chronic Disease Care Ryan M. McCabe; Gediminas Adomavicius, PhD; Paul E. Johnson, PhD; Gregory Ramsey; Emily Rund; William A. Rush, PhD; Patrick J. O’Connor, MD, MPH; JoAnn Sperl-Hillen, MD Abstract Develop…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
    January 01, 2003 - Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities 193 Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities George Blike, Joseph Cravero, Steve Andeweg, Jens Jensen, Klaus Christoffersen Abstract Background: Human er…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
    July 17, 2008 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data Katherine J. Jones, PT, PhD; Gary L. Cochran, PharmD, SM; Liyan Xu, MS; Anne …
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
    June 15, 2005 - Developing a Community-Wide Electronic Shared Medication List Developing a Community-Wide Electronic Shared Medication List Ron Stock, MD; Eldon R. Mahoney, PhD; Dawn Gauthier, MIS; Linda Center; Mary Minniti, CPHQ; James Scott, MD; Marc Pierson, MD; Lori Nichols Abstract This study demonstrates the feasib…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
    August 01, 2010 - Strategy 3: Nurse Bedside Shift Report Implementation Handbook Nurse Bedside Shift Report Implementation Handbook Strategy 3: Bedside Shift Report (Implementation Handbook) [Type text] [Type text] [Type text] Strategy 3: Nurse Bedside Shift Report (Implementation Handbook) Guide to Patient and Family Engagement …
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
    July 25, 2018 - SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript July 2018 https://www.ahrq.gov/sops/index.html 1 New AHRQ SOPS Health IT Patient Safety Supplemental Items for Hospitals July 25, 2018 – Webcast Transcript Speakers: Joann Sorr…
  16. www.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
    April 29, 2021 - SDOH Environmental Scan - Updated April 29, 2021 Overview Scan Overview: AHRQ conducted an environmental scan of social determinants of health (SDOH) data sources to inform the development of AHRQ’s SDOH beta data files publicly released in December 2020. AHRQ is publicly releasing the environmental scan as a resour…
  17. www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
    January 01, 2024 - Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention TITLE PAGE Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention Principal Investigator: Leigh V. Evans, MD Team Members: Ambrose H.…
  18. www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
    April 01, 2013 - with engagement from the boardroom to the bedside to narrow the gap between common practice in that institution
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/pstools/patient-safety-tools-flyer.pdf
    March 01, 2019 - AHRQ Patient Safety Tools and Resources AHRQ Patient Safety Tools and Resources The Agency for Healthcare Research and Quality (AHRQ) offers practical, research-based tools and resources to help a variety of health care organizations, providers, and others make care safer in all health care settings. These tools …
  20. www.ahrq.gov/workingforquality/reports/2015-annual-report-part2.html
    November 01, 2016 - 2015 Annual Progress Report to Congress: National Strategy for Quality Improvement in Health Care (continued) Effective Communication and Care Coordination     The National Quality Strategy calls on all stakeholders to promote effective communication and coordination of care across the health care system. Eff…

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