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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study
35
Decision Support System Design and
Implementation for Outpatient Prescribing:
The Safety in Prescribing Study
Adrianne C. Feldstein, David H. Smith, Nan R. Robertson,
Christine A. Kovach, Stephen B…
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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/vol2/Comden.pdf
January 01, 2003 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities
395
Using Probabilistic Risk Assessment
to Model Medication System Failures
in Long-term Care Facilities
Sharon Conrow Comden, David Marx, Margaret Murphy-Carley, Misti Hale
Abstract
Objectives: State agenc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense
361
Standardizing Medication Error Event
Reporting in the U.S. Department of Defense
Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake
Abstract
Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
January 01, 2021 - Further integration in NIH is
expected in future years that differentiates AHRQ’s focus on systems-based
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/functspecs.pdf
March 22, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications
1
AHRQ’s Safety Program for Nursing Homes: On-Time
Pressure Ulcer Prevention
Functional Specifications
1. General Information
1.1. Background
The Agency for Health Care Research and Quality (AHRQ) developed…
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www.ahrq.gov/data/apcd/envscan/findings.html
July 01, 2022 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence
Findings
Previous Page Next Page
Table of Contents
All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence
E…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp3.pdf
March 01, 2009 - Nutrition Research Series: Volume 3: Reporting of Systematic Reviews of Micronutrients and Health: A Critical Appraisa
Technical Review #17
Nutrition Research Series
Volume 3: Reporting of Systematic Reviews of Micronutrients …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
April 05, 2017 - Pediatric Lower Respiratory Infection Readmission Measure
Pediatric Lower Respiratory Infection Readmission
Measure
Section 1. Basic Measure Information
1.A. Measure Name
Pediatric Lower Respiratory Infection Readmission Measure
1.B. Measure Number
0131
1.C. Measure Description
Please provide a non-technic…
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www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Confidential Physician
Feedback Reports:
Designing for Optimal
Impact on Performance
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
This guide is a practical resource designe…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
References
Previous Page Next Page
Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3. Results
4. Discussion
References
Appe…
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www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
January 01, 2024 - related to the technology environment, including successful prior
experiences with technology and its integration
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
June 02, 2025 - On-Time Falls Prevention: Electronic Reports
On-Time Falls Prevention: Electronic Reports
Four types of reports are described here. Each section presents a sample report followed by
purpose, description, and users and potential uses. The types of reports are:
• On-Time Falls High-Risk Report.
• Quarterly Summar…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
June 01, 2020 - SOPS™ 101 Webcast Transcript
November 2018 https://www.ahrq.gov/sops/index.html 1
Understanding SOPS Surveys: A Primer for New Users
October 23, 2018 – Webcast Transcript
Speakers:
Laura Gray, M.P.H.
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety C…
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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/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facnotes-spanish.docx
June 02, 2025 - Notas para el facilitador
DIGA:
El módulo Participación de los directivos de este kit de herramientas se centra en los roles y las responsabilidades de los directivos dentro del equipo de seguridad del centro. Impulsar la participación de los directivos disminuye la distancia entre los directivos administrativos y l…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/046-evidence-behind-decolonization-strategies-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
The Evidence Behind Decolonization Strategies for MRSA
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
The Evidence Behind Decolonization
1
Educational Objectives
Discuss the imp…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
March 01, 2008 - Vascular Access Device (VAD) Policy, Adult
Version 3.0
Policy Number IFC035
Effective Date 03/01/2008
The Johns Hopkins Hospital
Interdisciplinary Clinical Practice Manual
Infection Control
Approval Date N/A
Page 1of 16Subject
Vascular Access Device (VAD) Policy, Adult
Supercedes 08/01/2007
Keywords: Vascula…
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www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
January 01, 2024 - Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use
Title Page
EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use
Principal Investigator: Danielle M. McCarthy, MD, MS
Co-Investigators: Mike S. Wolf, PhD, MPH, Kenzie A. Cameron, PhD, MP…
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www.ahrq.gov/sites/default/files/2025-04/marin-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization
Title of Project: Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize
Utilizati…