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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm7.jsp
July 01, 2016 - Adapting a National Curriculum to Better Collect Race and Ethnicity Data in New Mexico Hospitals
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Caree…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
January 01, 2003 - Making a Case for Organizational Change in Patient Safety Initiatives
455
Making a Case for Organizational
Change in Patient Safety Initiatives
Rangaraj Ramanujam, Donna J. Keyser, Carl A. Sirio
Abstract
Objectives: Widespread organizational change is indispensable for significantly
improved patient safety…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
July 01, 2023 - Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation
SPPC-II
Toolkit
Introduction
to the SPPC-II Teamwork Toolkit
for Obstetric Hemorrhage
Module 1 of 8
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Thank you for participating in …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
January 01, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Health Information Technology
and Health Information Exchange
Overview
Resear…
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - Perspective
African Partnerships for Patient Safety: Lessons Learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - Ambulatory Surgery Center Survey on Patient Safety Pilot Study Results
Results From the 2014 AHRQ
Ambulatory Surgery Center
Survey on Patient Safety Culture
Pilot Study
Prepared for:
Agency for Healthcare Research and Quality (AHRQ)
U.S. Department of Health and Human Services (HHS)
540 Gaithe…
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cdsic.ahrq.gov/sites/default/files/2024-07/SRF_Taxonomy%20of%20PC%20CDS%20Override%20Recommendations_508_0.pdf
January 01, 2024 - Currently, analysis of overrides is inefficient, and lessons learned from studies
of CDS performance … suited to facilitating comparison of overrides of PC CDS across different
institutions to share lessons learned … Currently, analysis of overrides is inefficient, and lessons learned from
studies of CDS performance … suited to facilitating comparison of
overrides of PC CDS across different institutions to share lessons learned
-
digital.ahrq.gov/sites/default/files/SRF_Taxonomy%20of%20PC%20CDS%20Override%20Recommendations_508_0.pdf
July 01, 2024 - Currently, analysis of overrides is inefficient, and lessons learned from studies
of CDS performance … suited to facilitating comparison of overrides of PC CDS across different
institutions to share lessons learned … Currently, analysis of overrides is inefficient, and lessons learned from
studies of CDS performance … suited to facilitating comparison of
overrides of PC CDS across different institutions to share lessons learned
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-health-information-technology-portfolio-2012-annual-report.pdf
January 01, 2012 - presented an
overview of the Active Aging Research Center
and described its progress to date, lessons
learned … TECHNOLOGY PORTFOLIO 2012 ANNUAL REPORT
SUCCESSES FROM 2012
disseminate project results, share lessons learned … Our findings and lessons learned are shared through
the AHRQ Health IT Web site. … Synthesizing Lessons Learned Using Health Information
Technology PAR-HS-08-268
Exploratory and Developmental
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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-Simmons_66.pdf
April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System
26,000 Close Call Reports: Lessons from the
University of Texas Close Call Reporting System
Debora Simmons, RN, MSN, CCRN, CCNS; JoAnn Mick, PhD, RN, MBA, AOCN, CNAA,
BC; Krisanne Graves, RN, BSN, CPHQ; Sharon K. Martin, ME…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
January 01, 2013 - Slide 1
Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change
*
Sanjay Saint, MD, MPH
M. Todd Greene, MPH, PhD
University of Michigan Medical School
Ann Arbor VA Medical Center
Learning Objectives
Describe the methods to engage clinicians in CAUTI prevention
Describe methods to engage l…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023701-ratwani-final-report-2021.pdf
January 01, 2021 - Developing Evidence- based User Centered Design and Implementation Guidelines to Improve Health Information - Final Report
Developing Evidence- based User Centered Design and Implementation Guidelines to Improve
Health Info…
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psnet.ahrq.gov/node/74136/psn-pdf
December 01, 2021 - Development and expression of a high-reliability
organization.
December 1, 2021
Phillips RA, Schwartz RL, Sostman HD, et al. Development and expression of a high-reliability
organization. NEJM Catal Innov Care Deliv. 2021;2(12). doi:10.1056/cat.21.0314.
https://psnet.ahrq.gov/issue/development-and-expression-high-…
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psnet.ahrq.gov/node/45476/psn-pdf
September 21, 2016 - Use of a surgical safety checklist to improve team
communication.
September 21, 2016
Cabral RA, Eggenberger T, Keller K, et al. Use of a surgical safety checklist to improve team
communication. AORN J. 2016;104(3):206-216. doi:10.1016/j.aorn.2016.06.019.
https://psnet.ahrq.gov/issue/use-surgical-safety-checklist-i…
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www.ahrq.gov/patients-consumers/patient-involvement/patients-risk-of-falls.html
September 01, 2015 - New Tools Help Health Providers Reduce Patients' Risk of Falls
For older adults, falls are serious, no matter the setting. These falls can cause bone fractures, disability, and even death. Among people 75 and older, falls are far more likely to cause admissions into a long term care facility than for adults 10…
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psnet.ahrq.gov/node/47791/psn-pdf
March 20, 2019 - Essential activities for electronic health record safety: a
qualitative study.
March 20, 2019
Ash JS, Singh H, Wright A, et al. Essential activities for electronic health record safety: A qualitative study.
Health Informatics J. 2019:1460458219833109. doi:10.1177/1460458219833109.
https://psnet.ahrq.gov/issue/esse…
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psnet.ahrq.gov/node/46316/psn-pdf
August 02, 2017 - Defending a "never event."
August 2, 2017
Shepperd JR. Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22.
doi:10.1002/jhrm.21277.
https://psnet.ahrq.gov/issue/defending-never-event
Surgical fires are considered a never event. This commentary provides an overview of surgical fires,
explains element…
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www.ahrq.gov/nursing-home/resources/module-11b-environmental-cleaning.html
May 01, 2022 - Module 11B—Environmental Cleaning and Disinfection—Nursing Home Infection Preventionist Training Course
Resource: Module 11B—Environmental Cleaning and Disinfection—Nursing Home Infection Preventionist Training Course
This module describes the role that environmental surfaces play in pathogen transmission an…
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www.ahrq.gov/nursing-home/resources/module-11c-water-management-program.html
May 01, 2022 - Module 11C—Water Management Program—Nursing Home Infection Preventionist Training Course
Resource: Module 11C—Water Management Program—Nursing Home Infection Preventionist Training Course
This module discusses the importance of a water management program in the prevention of the transmission of waterborne pa…
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www.ahrq.gov/nursing-home/resources/module-15-infection-prevention.html
April 01, 2022 - Module 15—Infection Prevention and Antibiotic Stewardship Considerations During Care Transitions—Nursing Home Infection Preventionist Training Course
Resource: Module 15—Infection Prevention and Antibiotic Stewardship Considerations During Care Transitions—Nursing Home Infection Preventionist Training Course …