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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…
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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 ........................................................................…
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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/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…
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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…
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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…
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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 …
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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 …
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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-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 …
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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 …
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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 …
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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
…
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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 …
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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…
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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…
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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…
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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…
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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-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…
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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…
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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.