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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
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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
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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
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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
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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
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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
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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…
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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…
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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…
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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…
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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…
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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-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 …
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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-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…
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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
…
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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…
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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…
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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.…
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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
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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 …
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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…