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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-Drews_15.pdf
    February 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive Care Unit Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD Abstract Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas where errors occur frequently is t…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
    September 01, 2005 - J Ambulatory Care Manage 2003 Jan/Mar;26(1):63–82. 9. McDonough JE, Solomon R, Petosa L.
  3. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
    September 24, 2015 - Title of Presentation: Putting Quality Measures to Work: Presentation for the Association of Medicaid Medical Directors Lessons from the CHIPRA Quality Demonstration Grant Program Cindy Brach, M.P.P. • Joe Zickafoose, M.D., M.S. • Francis Rushton, M.D., F.A.A.P. • David Kelley, M.D., M.P.A. September 24…
  4. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-slides.html
    January 01, 2016 - Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program Presentation for the Association of Medicaid Medical Directors Slide 1 Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program Presentation for the Association of Medicaid …
  5. www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/other-resources.html
    September 01, 2021 - Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit Other Resources Previous Page Next Page Table of Contents Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit Introduction Overview About the Measure Key Driver Diagram…
  6. www.ahrq.gov/sites/default/files/2024-01/kharrazi-report.pdf
    January 01, 2024 - outpatient-caused readmissions 8 and their ambiguity in leveraging ambulatory resources to detect and manage
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool.pdf
    November 01, 2022 - The leader should have the skills needed to manage the project and should be accountable for timely
  8. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/user-centered-quality-reports-mcgee-20120301-transcript.pdf
    June 02, 2025 - I’m Lise Rybowski from The Severyn Group and I manage the TalkingQuality project.
  9. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-2-team-leadership-facilitator-guide.pdf
    June 02, 2025 - ● Manage and allocate resources. ● Facilitate information sharing.
  10. www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
    August 01, 2017 - J Manage 2010; 20:1–41. 13. Grossman R, Salas E. The transfer of training: What really matters.
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
    January 01, 2003 - safety in the ambulatory setting.4 Outpatient medication errors are inherently difficult to study and manage
  12. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/simulation/simulation-issue-brief.pdf
    July 01, 2024 - In Situ Simulation To Reorganize Processes To Manage a Child With Airway Obstruction Presenting to
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
    April 01, 2004 - caring for the critically ill and are board certified in critical care medicine) in rural settings to manage
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
    January 01, 2004 - Selecting one clinic that uses standard algorithms for medication management and whose sole purpose is to manage
  15. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/excelling_cahps_lessons_medicaid_webinar_transcript.pdf
    January 01, 2016 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans March 2015  Webcast Speakers Stacia Cohen, RN, MBA, Vice President, Medicare Stars Center of Excellence, BCBS of Minnesota, Eagan, MN Christopher Seller…
  16. www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Commercial-Inpatient-Weighted.pdf
    September 26, 2023 - Weighted Summary Statistics: PUF Commercial Inpatient File (Version 2) 15:39 Tuesday, September 26, 2023 1 Weighted Summary Statistics: PUF Commercial Inpatient File Variable Variable Label Count of Non-missing Values (Unweighted) Count of Missing Values (Unweighted) Minimum Maximum Mean Standard Deviatio…
  17. www.ahrq.gov/sites/default/files/2024-07/grannis-report.pdf
    January 01, 2024 - Final Progress Report: Advancing Patient Identity Management in the Context of Real-World Health Information Exchange Final Progress Report Project Title: Advancing Patient Identity Management in the Context of Real-World Health Information Exchange Principal Investigator: Shaun Grannis, MD, MS, FAAFP Team Membe…
  18. www.ahrq.gov/patient-safety/settings/hospital/resource/about.html
    December 01, 2017 - for these patients to receive appropriate preparation for their return home so that they can properly manage
  19. www.ahrq.gov/research/findings/final-reports/leanprocess/leanprocess.html
    May 01, 2018 - value stream (i.e., process) mapping and 5S (an organizing tool); Kaizen events (weeklong events to manage
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem_facnotes.docx
    December 01, 2017 - What specific actions can you take to avoid or manage these issues? 4.

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