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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
    December 01, 2017 - Learn From Defects Tool AHRQ Safety Program for Surgery Learn From Defects Tool – Perioperative Setting What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statem…
  2. www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
    December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Sustainability: Learning From Defects Say: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
    May 30, 2013 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate AHRQ Safety Program for Perinatal Care Safe Medication Administration Magnesium Sulfate Safe Medication Administration—Magnesium Sulfate Purpose of the tool: This tool describes the key perinatal safety elements with examples for…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
    March 13, 2013 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) Key Takeaways Hospital leaders have a critical role in creating and sustaining a supportive environment for patient and family engagement. Leaders make a commitment to patient and family engagement by: Modeling partnerships with patie…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
    January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting 307 The Impact of a Patient Safety Program on Medical Error Reporting Donald R. Woolever Abstract Background: In response to the occurrence of a sentinel event—a medical error with serious consequences—Eglin U.S. Air Force (USAF) Regional Hos…
  6. www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
    January 01, 2024 - Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard TITLE PAGE Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard Princip…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/final-impact-synthesis-report.pdf
    July 22, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report thInsert Cover Here AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants A Synthesis Report July 2015 AHRQ Infrastructure for Maintaining Primary …
  8. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
    January 01, 2020 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript January 2020 https://www.ahrq.gov/sops/index.html 1 Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Sa…
  9. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/compare/CAHPS-Database-2012-CG-Chartbook.pdf
    January 01, 2012 - 2012 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2012 CAHPS Clinician & Group Survey Database 2012 Chartbook: What Patients Say About Their Health Care Providers and Clinics AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shaller Janice…
  10. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2012_cg_cahps_chartbook.pdf
    January 01, 2012 - 2012 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2012 CAHPS Clinician & Group Survey Database 2012 Chartbook: What Patients Say About Their Health Care Providers and Clinics AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shaller Janice…
  11. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/colorectal-booklet.pdf
    November 01, 2023 - Preparing for and Recovering After Colorectal Surgery Preparing for and Recovering After Colorectal Surgery e Colorectal Surgery Patient Education Guide 1 Preparing for and Recovering After Colorectal Surgery Patient Name ___________________________________________________________________ Surgeon Name __…
  12. www.ahrq.gov/sites/default/files/publications/files/final-impact-synthesis-report.pdf
    July 22, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report thInsert Cover Here AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants A Synthesis Report July 2015 AHRQ Infrastructure for Maintaining Primary …
  13. www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
    August 01, 2022 - Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.
  14. www.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - Adverse Events in Labor and Delivery Patient Safety Culture and Medical Liability—Recommendations for Measurement
  15. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
    February 09, 2005 - selecting the unit of allocation and analysis (i.e., patient vs. group or cluster), meaningful outcomes measurement
  17. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
    January 01, 2024 - NAA National Webinar October 2024 Workforce Safety and Well-being Webinar Series (Session 1) Leadership Strategies that Improve Workforce Safety and Well-being NATIONAL WEBINAR SERIES October 8, 2024 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA website • Pleas…
  18. www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_hca.pdf
    April 01, 2019 - HCA: How a Large Healthcare System Is Looking Beyond the Electronic Health Record HCA: How a Large Healthcare System Is Looking Beyond the Electronic Health Record The Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies to help health system chief executive officers and oth…
  19. www.ahrq.gov/research/findings/factsheets/it/hitportfolio/index.html
    January 01, 2020 - AHRQ's Digital Healthcare Research Program: Federal Partnerships in Improving Health Care Quality AHRQ's digital healthcare initiative is part of the Nation's strategy to put information technology (IT) to work in healthcare. Since 2004, the Agency for Healthcare Research and Quality (AHRQ) has fund…
  20. www.ahrq.gov/es/sops/bibliography/index.html
    January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 1-50 of 505 Bibliography Items displayed Pagination 1 2 3 4 5 6 7 8 9 next …

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