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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-Davis_60.pdf
    April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/addexercises.pdf
    July 07, 2025 - On-Time Pressure Ulcer Prevention: Facilitator Training—Additional Exercises AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Additional Exercises Nutrition Risk Reports Information Exercises ........................................................................…
  3. 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…
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment-guide.pdf
    April 01, 2022 - ICU Assessment Response Guide AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI ICU Assessment Response Guide This guide is intended to be used to respond to and evaluate the intensive care unit (ICU) team’s responses to the ICU assessment. The guide offers an explanation of the…
  5. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-mental-health-data-spotlight.pdf
    July 01, 2024 - The Prevalence of Mental Health Conditions Was on the Rise Before the COVID-19 Pandemic and the Pandemic Had a Negative Effect on Mental Health The Prevalence of Mental Health Conditions Was on the Rise Before the COVID-19 Pandemic and the Pandemic Had a Negative Effect on Mental Health 1 Mental health issues…
  6. www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
    June 01, 2020 - 2. Study Methods Health Services and Primary Care Research Study: Comprehensive Report In this chapter, we describe the research methods used in this study. We first present the definitions of HSR and PCR that were used to identify relevant federally supported research projects and to develop a research domai…
  7. www.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Transitional Care Medication Safety: Stakeholders' Perspectives Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability …
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
    January 01, 2004 - Barriers Associated with Medication Information Handoffs 87 Barriers Associated with Medication Information Handoffs K. Bruce Bayley, Lucy A. Savitz, Glenn Rodriguez, William Gillanders, Steve Stoner Abstract Objectives: The transfer of medication information across patient care settings is an important …
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
    July 17, 2008 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data Katherine J. Jones, PT, PhD; Gary L. Cochran, PharmD, SM; Liyan Xu, MS; Anne …
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
    January 24, 2008 - The Mobile Mock Operating Room: Bringing Team Training to the Point of Care The Mobile Mock Operating Room: Bringing Team Training to the Point of Care John T. Paige, MD; Valeriy Kozmenko, MD; Tong Yang, MD, MS; Ramnarayan Paragi Gururaja, MD; Isidore Cohn, Jr., MD; Charles Hilton, MD; Sheila Chauvin, MEd, PhD …
  11. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
    February 04, 2022 - TeamSTEPPS for Improving Diagnosis Facilitator's Guide TeamSTEPPS® for Diagnosis Improvement Facilitator’s Guide This page is intentionally blank. Contents Introduction: TeamSTEPPS for Diagnosis Improvement ........................................................1 TeamSTEPPS for Diagnosis Improvement Course …
  12. www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Outpatient-Weighted.pdf
    September 26, 2023 - Weighted Summary Statistics: PUF Medicare Outpatient File (Version 2) 15:39 Tuesday, September 26, 2023 1 Weighted Summary Statistics: PUF Medicare Outpatient File Variable Variable Label Count of Non-missing Values (Unweighted) Count of Missing Values (Unweighted) Minimum Maximum Mean Standard Deviation …
  13. www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Feasibility-Report.pdf
    February 01, 2024 - Physician and Physician Practice Research Database Feasibility Report Physician and Physician Practice Research Database Feasibility Report AHRQ Physician and Physician Practice Research Database Feasibility Report Prepared for: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and …
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
    July 01, 2023 - Severe Hypertension Scenarios: PowerPoint Presentation Severe Hypertension Scenarios Safety Program for Perinatal Care II Teamwork Toolkit SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Frontline SPPC-II SCRIPT In this handout we have compiled all of the case scenarios presented in the SPPC-II Teamwork Toolkit f…
  15. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyref.html
    April 01, 2020 - Guide to Patient and Family Engagement References Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key Informant…
  16. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-test-result-communication-apb.pdf
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act - Appendix B. Included Studies AHRQ Publication No. 24-0010-4-EF July 2024 Electronic Test Result Communication in the Era of the 21st Century Cures Act Appendix B. Included Studies Type of Data Collection First Author Last Name…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
    November 01, 2004 - Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries 305 Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries Pascale Carayon, Ann Schoofs Hundt, Carla J. Alvarado, Scott Springman, Amanda Borgsdorf, Lynn Jenkins Abstract This…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
    October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Paul Hougland, MD; Jonathan Nebeker, MS, MD; Steve Pickard, MBA; Mark Van Tuinen, PhD; Carol Masheter, PhD; Su…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gururaja_7.pdf
    January 24, 2008 - Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training Ramnarayan Paragi Gururaja, MD, MPH; Tong Yang, MD, MS; John T. Paige, MD; Sheila W. C…
  20. www.ahrq.gov/sites/default/files/publications/files/crctoolkit.pdf
    December 01, 2010 - The challenge of measuring quality of care from the electronic health record.

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