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401. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
     January 01, 2004 - Post-fielding Surveillance of a Guideline-based Decision Support System 331 Post-fielding Surveillance of a Guideline- based Decision Support System Albert S. Chan, Susana B. Martins, Robert W. Coleman, Hayden B. Bosworth, Eugene Z. Oddone, Michael G. Shlipak, Samson W. Tu, Mark A. Musen, Brian B. Hoffman, …

402. 170-Cusp-Science-Safety-Notes (doc file)
     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…

403. Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety (pdf file)
     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

404. Strategy 6C: OpenNotes | Agency for Healthcare Research and Quality
     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…

405. Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
     January 01, 2004 - Medication errors: the nursing experience. Albany, NY: Delmar Publishers, Inc.; 1994. 10.

406. Executive Summary | Agency for Healthcare Research and Quality
     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…

407. Final Progress Report: Electronic Communications Across Provider Settings (pdf file)
     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.

408. Information to Help Hospitals Get Started (doc file)
     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…

409. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
     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

410. Learn Module Alternate Text | Agency for Healthcare Research and Quality
     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…

411. Patient Safety | Agency for Healthcare Research and Quality
     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…

412. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)
     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

413. Warm Handoff | Agency for Healthcare Research and Quality
     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 …

414. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
     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.

415. Special Considerations for Measurement of Diagnostic Safety (continued) | Agency for Healthcare Research and Quality
     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

416. Aurora Health Care Embraces AHRQ’s CUSP Method to Protect Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201524.html
     August 01, 2015 - Aurora Health Care Embraces AHRQ’s CUSP Method to Protect Patient Safety Search All Impact Case Studies August 2015 Fourteen hospitals operated by Aurora Health Care in eastern Wisconsin reduced central line-associated bloodstream infections (CLABSI) in intensive care units by 65 percent after adopting pat…

417. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality
     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…

418. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
     June 30, 2025 - • Hierarchy • Retribution • Excessive courtesy When team doesn’t speak up: • Diagnostic errors • Medication … errors • Delays in treatment Advocacy: Not who is right, what is right (for the patient) Provide

419. Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network (pdf file)
     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.

420. Understand the Science of Safety | Agency for Healthcare Research and Quality
     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,