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2001. Selected Best Practices and Suggestions for Improvement (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
      May 20, 2016 - associated with drug reaction ∗ Death associated with adverse drug reaction ∗ Death associated with medication … error ∗ Death associated with medical device ∗ Healthcare-associated infection ∗ Fall during hospitalization

2002. 2018 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
      October 01, 2019 - 2018 National Healthcare Quality and Disparities Report Data Sources 2018 National Healthcare Quality and Disparities Report Data Sources U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov …

2003. What Exactly Is Patient Safety? (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
      July 02, 2008 - subsequent demonstration with Bates and colleagues6 of the utility of systems analysis in understanding medication … error later that year, provided that new type of thinking.

2004. Seamless Care: Safe Patient Transitions from Hospital to Home (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
      April 18, 2004 - Seamless Care: Safe Patient Transitions from Hospital to Home 79 Seamless Care: Safe Patient Transitions from Hospital to Home Andrea M. Spehar, Robert R. Campbell, Carron Cherrie, Polly Palacios, Donna Scott, Jacquelyn L. Baker, Brad Bjornstad, Jay Wolfson Abstract Background: “Seamless care” is a smooth a…

2005. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
      December 01, 2020 - 2019 National Healthcare Quality and Disparities Report Data Sources 2019 National Healthcare Quality and Disparities Report Data Sources U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov …

2006. Pediatric Health Care Quality Measures: Considerations for Pharmacotherapy (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/LomotanDougherty2013.pdf
      April 01, 2013 - Tenfold medication errors: 5 years’ cators for children with sickle cell disease.

2007. Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
      February 01, 2017 - It could be a patient fall, a venous thromboembolism, a medication error, ventilator associated pneumonia

2008. An Employee Questionnaire for Assessing Patient Safety in Outpatient Surgery (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carayon.pdf
      February 01, 2005 - An Employee Questionnaire for Assessing Patient Safety in Outpatient Surgery 461 An Employee Questionnaire for Assessing Patient Safety in Outpatient Surgery Pascale Carayon, Carla J. Alvarado, Ann Schoofs Hundt, Scott Springman, Amanda Borgsdorf, Peter L.T. Hoonakker Abstract This paper provides informa…

2009. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/pfp/2015-interim.html
      December 01, 2016 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2010. Continuity of Insurance: Duration of Newborns' First Observed Enrollment (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-fullreport.pdf
      August 01, 2018 - Continuity of Insurance: Duration of Newborns' First Observed Enrollment 1 Continuity of Insurance: Duration of Newborns’ First Observed Enrollment Section 1. Basic Measure Information 1.A. Measure Name Continuity of Insurance: Duration of Newborns’ First Observed Enrollment 1.B. Measure Number 0157 1.…

2011. How to Report Results of the CAHPS Clinician & Group Survey (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/cgkit/HowtoReportResultsofCGCAHPS080610FINAL.pdf
      August 01, 2010 - How to Report Results of the CAHPS Clinician & Group Survey How to Report Results of the CAHPS Clinician & Group Survey How to Report Results of the CAHPS Clinician & Group Survey Preface The guidance offered in this document brings together and builds on the work of several organizations. The Ameri…

2012. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Monitoring Ventilator-Associated Events SAY: Today, we will discuss monitoring ventilator-associated events. Slide 1 Learning Objectives SAY: After this session, you will be able to describe the …

2013. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhacrate2014.html
      January 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2014. A Model for Sustaining and Spreading Safety Interventions | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
      October 01, 2015 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2015. Monitoring Ventilator-Associated Events: Facilitator Guide | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/vae/monitoring-fac-guide.html
      February 01, 2017 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2016. III. Hotline Implementation and Refinement | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/implement3.html
      May 01, 2016 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2017. Improving Communication and Teamwork Around Antibiotic Decision Making (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-facilitator-guide.pdf
      November 01, 2019 - Improving Communication and Teamwork Around Antibiotic Decision Making AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Improving Communication and Teamwork Around Antibiotic Decision Making Acute Care Slide Title and Commentary Slide Numb…

2018. Module 4: Leadership
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module4-leadership.pptx
      January 05, 2022 - Module 4: Leadership Module 4 Leadership To Improve Diagnosis TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement course. This presentation will cover Module 4, Leadership To Improve Diagnosis, that you will review as the course facilitator.    Individuals who plan to take the…

2019. PowerPoint Presentation
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
      January 01, 2014 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation Presenter: Timothy B. McDonald, MD, JD This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond…

2020. Improving Your Laboratory Testing Process Toolkit (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
      December 01, 2017 - Improving Your Laboratory Testing Process Toolkit c IMPROVING YOUR LABORATORY TESTING PROCESS A Step-by-Step Guide for Rapid- Cycle Patient Safety and Quality Improvement Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov PATIENT SAFETY IMPROVING YOUR …