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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mottur.pdf
    June 01, 2005 - An Ambulatory Care Curriculum for Advancing Patient Safety 313 An Ambulatory Care Curriculum for Advancing Patient Safety Christel Mottur-Pilson Abstract Objectives: The objective of this project was to develop and implement a seven module ambulatory care continuing medical education (CME) curriculum and t…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keller.pdf
    January 01, 2004 - Best Practices for Medical Technology Management: A U.S. Air Force–ECRI Collaboration 45 Best Practices for Medical Technology Management: A U.S. Air Force–ECRI Collaboration James P. Keller, Jr., Stephen Walker Abstract For more than 25 years, the U.S. Air Force has contracted ECRI, an independent and n…
  3. www.ahrq.gov/sites/default/files/2024-11/sarkar-report.pdf
    January 01, 2024 - Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients FINAL PROGRESS REPORT 1. TITLE, TEAM, DATES Interactive HIT to promote ambulatory safety among vulnerable diabetes patients Urmimala Sarkar, M.D., M.P.H. Dean Schillinger, M.D. Margaret Handley, Ph.D., M.P.H. Ned…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_guide.pdf
    December 01, 2017 - Guide for Safe Transitions to New Appointments Guide for Safe Transitions to New Appointments Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be con…
  5. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
    December 27, 2021 - Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes Primary Care Practice Facilitation Curriculum Module 11: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes Agency for Healthcare Research and Quality …
  6. Tool: SSA (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-litreview.docx
    January 01, 2017 - Tool: SSA Summary Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for developing ventilator-associated pneumonia (VAP). Since the guidelines were written in 2007, a groundbreaking article by Girard in 20081 showed that SA…
  7. www.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-lit-review.html
    January 01, 2017 - Spontaneous Awakening Trials and Spontaneous Breathing Trials Literature Review AHRQ Safety Program for Mechanically Ventilated Patients Summary Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for de…
  8. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight09.html
    July 01, 2014 - How are CHIPRA quality demonstration States supporting the use of care coordinators? Evaluation Highlight No. 9 Authors: Ellen Albritton, Dana Petersen, and Margo Edmunds Contents Key Messages Background Findings Conclusion Implications Learn More Endnotes The CHIPRA Quality Demons…
  9. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship-references.html
    August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis References Previous Page   Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testing Process Diagnostic Stewards…
  10. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17906-Field-draft-1.pdf
    October 01, 2012 - Other modifications and enhancements to the EMR and institution of the patient portal may have led to
  11. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/22923-Holland-report.pdf
    April 30, 2016 - It is well known that differences in institution-specific attributes (bed size, teaching status, rural
  12. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_ig_support.pdf
    June 09, 2017 - It is important to have an agreed upon approach of delivering the Two-Challenge Rule within your institution
  13. www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
    January 01, 2024 - It is well known that differences in institution-specific attributes (bed size, teaching status, rural
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
    September 01, 2008 - Safety Toolkit and On-line Provider Training Module for VTE Prophylaxis were not customized to be institution-specific
  15. www.ahrq.gov/sites/default/files/2025-02/horwitz-report.pdf
    January 01, 2025 - including autocalculation of risk scores, audit and feedback reports, peer comparison dashboards, institution
  16. www.ahrq.gov/sites/default/files/2024-01/field-report.pdf
    January 01, 2024 - Other modifications and enhancements to the EMR and institution of the patient portal may have led to
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
    July 01, 2023 - It is important to have an agreed‐upon approach of delivering the Two‐Challenge Rule within your institution
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
    July 01, 2023 - It is important to have an agreed-upon approach of delivering the Two-Challenge Rule within your institution
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - Your institution, hospital factors, departmental factors, work environment, and team factors all contribute
  20. www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - Your institution, hospital factors, departmental factors, work environment, and team factors all contribute

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