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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
The Science of Safety:
Principles in Practice
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
The Science of Safety: Principles in Practice
SAY:
Welcome to this presentation on the topic of “The Science of Safety: Principles in Practice.”
As you consider esta…
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www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
January 01, 2024 - Overall, we found that the CORDS program
substantially reduced medication errors and improved teamwork … treatment involved medications, and we were curious about the
impact of training on the reduction of medication … errors. … • Medication errors were not rare even among experienced teams. … • The CORDS program substantially reduced medication errors made by teams during our
postpartum hemorrhage
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6c-opennotes.html
March 01, 2020 - Strategy 6C: OpenNotes
Contents
6.C.1. The Problem
6.C.2. The Intervention
6.C.3. Benefits
6.C.4. Implementation
6.C.5. Challenges
References
Download Strategy 6C:
OpenNotes
(PDF, 273 KB)
6.C.1. The Problem
For a long time, patients have been deliberately excluded f…
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www.ahrq.gov/sites/default/files/2024-07/morrison-report.pdf
January 01, 2024 - technologies that can impact the public’s health by creating systems that can be
used to address potential medication … errors and improve patient care.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.docx
June 02, 2025 - Information to Help Hospitals Get Started
Ways to Learn More
Information to Help Hospitals Get Started
[Type text] [Type text] [Type text]
Information to Help Hospitals Get Started
Guide to Patient and Family Engagement :: 1
Guide to Patient and Family Engagement :: 2
This document contains links to resources on t…
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/summary.html
August 01, 2022 - Planning Grants Final Evaluation Report
Executive Summary
Previous Page Next Page
Table of Contents
Planning Grants Final Evaluation Report
Executive Summary
Introduction
Methodology
Findings
Appendix A. Grantee Profiles
Appendix B. References
On September 9, 2009, Presid…
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www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
April 01, 2013 - Learn Module Alternate Text
Slide Number and Title
Slide Content
Content for Alternative Text (Illustration)
Slide 1
Cover Slide
(CUSP Toolkit logo)
The ‘Learn About CUSP’ module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to pati…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
July 25, 2018 - for a long time and probably is the most well studied, and has been shown to significantly reduce
medication … errors, as well as things like barcode technology, electronic prescribing systems, handoff tools, and
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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-Whitten_85.pdf
June 05, 2008 - Role of
computerized physician order entry systems in
facilitating medication errors. … A compendium
of suggested practices for preventing and reducing
medication errors.
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www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
January 01, 2024 - nursing facilities (NF), emergency medical services (EMS), and emergency
departments (ED) to reduce medication … errors, delays in treatment, infections, and missing or
misunderstood patient directives and consent … objective was to document and standardize critical communication pathways and information to
reduce medication … errors, delays in treatment, infections, and missing or misunderstood patient directives
and consent
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ptsafety.html
September 01, 2015 - Chartbook on Women's Health Care
Patient Safety
Previous Page Next Page
Table of Contents
Chartbook on Women's Health Care
Acknowledgments
Women's Health Care
Key Findings of the 2014 QDR
2014 Chartbooks
Access to Health Care
Affordability
Communication and Care Coordination
Effect…
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www.ahrq.gov/patient-safety/reports/engage/interventions/handoff-slides.html
May 01, 2017 - Warm Handoff
Patient and Family Engagement in Primary Care
Slide 1: Warm Handoff
AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Slide 2: Speaker
Kelly Smith, PhD
Scientific Director, Quality & Safety
Co-PI, AHRQ Guide to Improve Patient Safety in …
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www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - patient complaints to learn about safety risks. 55-58 Prior work in other areas of patient safety (e.g., medication … errors, infection control) has examined the potential of engaging patients proactively to monitor safety
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
July 01, 2018 - Slide 4: Health Care Defects
In the U.S. health care system:
7 percent of patients suffer a medication … error. 2
On average, every patient admitted to an intensive care unit suffers an adverse event. 3,
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www.ahrq.gov/patient-safety/reports/engage/appc.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Appendix C. Sample Search Strategies
Previous Page Next Page
Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introductio…
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www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
January 01, 2024 - Medication errors in the outpatient setting: classification and root cause analysis.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
January 01, 2003 - Staffing and medication error issues were identified as the top two patient safety
concerns. … one patient safety issue at your MTF (Question 20)
Issue
Number
Identified
Percent
of Total
Medication … Errors 920 15.20 %
Staffing 864 14.27 %
Facility 433 7.15 %
Inexperience/Lack of Training 362 5.98
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
June 01, 2013 - Skills
Leadership Structures and Systems
Lean Six Sigma
Medical Knowledge and Patient Safety
Medication … Error Reporting
Mock Tracers
Patient Safety Manager Certification Program
Patient Safety Standards … Pressure Ulcers 5
430 -- Venous Thrombosis and Thromboembolism 0
414 Medication Safety 126
416 -- Medication … Errors/Preventable Adverse Drug Events 96
420 ---- Administration Errors 14
419 ---- Dispensing
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www.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commenta…
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www.ahrq.gov/research/publications/search.html?page=17
October 01, 2011 - Search Publications
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