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www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging
Agency for Healthcare Quality and Research
Research Grant Final Report
December 5, 2024
Watchful Waiting as a Strategy for Reducing Low-valu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
January 01, 2003 - Outpatient Surgery and Patient Safety—The Patient’s Voice
445
Outpatient Surgery and Patient Safety—
The Patient’s Voice
Ann Schoofs Hundt, Pascale Carayon, Scott Springman,
Maureen Smith, Kelly Florek, Rupa Sheth, Margaret Dorshorst
Abstract
Four outpatient surgery centers from a large Midwestern communit…
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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-Seagull_98.pdf
April 07, 2008 - Pillars of a Smart, Safe Operating Room
Pillars of a Smart, Safe Operating Room
F. Jacob Seagull, MD; Gerald R. Moses, PhD; Adrian E. Park, MD
Abstract
Major gains in patient safety can be achieved through development of innovative approaches to
the care of surgical patients. Investigators and clinicians have…
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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/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
March 15, 2004 - A Study of Adverse Occurrences and Major Functional Impairment Following Surgery
275
A Study of Adverse Occurrences and Major
Functional Impairment Following Surgery
Mary Rojas, Alan Silver, Christine Llewellyn, Lenora Rances
Abstract
Objective: The authors sought to ascertain whether adverse occurrences (AOs…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
March 01, 2004 - Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes
245
Surveillance of Surgery-related Adverse
Events in Missouri Using ICD-9-CM Codes
Mark Van Tuinen, Susan Elder, Carolyn Link, Susan Li,
John H. Song, Tracey Pritchett
Abstract
Objectives: This study estimated the validity of 2…
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www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home
Project Title: Enhancing the Safety of Warfarin in the Nursing Home
Principal Investigator: Jerry H. Gurwitz, MD
Principal Team Members: Jerry Gurwitz, MD; Terry S. Field, DSc; Jennifer Tjia, MD,
MSCE; Kathleen M. Mazor, EdD; Leslie R. Ha…
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www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
January 01, 2024 - Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care
Title: Medication Reconciliation: Bridging Communications Across the Continuum of
Care
Principal Investigator and Team Members: Melinda Muller, MD, Lynn Belcher, RPh,
Melissa Blanchard, MP, Amy Caster-Winegeart, …
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www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
January 01, 2024 - Final Progress Report: EMR Planning To Improve North Iowa Healthcare
AHRQ Grant Final Progress Report
Title of Project: EMR Planning to Improve North Iowa Healthcare
Principal Investigator and Team (Steering Committee) Members:
• Toni Ebeling (Principal Investigator), RN, MSN, formerly, Chief Executive Officer, …
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Learning From Defects Through Sensemaking: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Learning From Defects Through Sensemaking
Say:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 2: Learning Objectives
Say:
At the end of this module, you w…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - Program Overview: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Program Overview
Say:
You have embarked on a unique journey.
Slide 2: Mead Quotation
Say:
Margaret Mead was a popular and sometimes controversial cultural anthropologist in the ’60s and ’70s. This statement still resona…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - Facilitator Guide: Overview of the Improvement Model
Program Overview – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
Project Overview
SAY:
You have embarked on a unique journey.
Slide 1
Mead Quotation
SAY:
Margaret Mead was a popular and sometimes controversial cultural an…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Facilitator Guide: Learning From Defects Through Sensemaking
Slide Title and Commentary
Slide Number and Slide
Learning From Defects Through Sensemaking
SAY:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 1
Learning Objectives
SAY:
At the end of this module, you will …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
May 01, 2017 - Assemble the Team and Engage Leadership for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Assemble the Team and Engage Leadership for Perinatal Safety
AHRQ Publication No. 17-0003-2-EF
May 2017
SAY:
The Assemble the Team and Engage
Leadership module of the AHRQ Safety
Program for Perinatal Care a…
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
December 31, 2022 - Building, Implementing, and Troubleshooting an Automatic Referral for Cardiac Rehabilitation
Building, Implementing & Troubleshooting an Automatic Referral for Cardiac Rehabilitation
1
This presentation is designed to help you understand the steps required for designing, testing, implementing, and troubleshootin…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 4, Emerging Trends in Care Coordination Measurement
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
July 01, 2023 - Mutual Support: Severe Hypertension - PowerPoint Presentation
Mutual Support
Severe Hypertension
Module 5 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 5 of the SPPC-II Teamwork Toolkit. In this module, we will discuss the different facets of mutual …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
July 01, 2023 - Mutual Support: Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II
Mutual Support
Severe Hypertension
Module 5 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 5 of the SPPC‐II Teamwork Toolkit. In this module, we will discuss the
different facets of mutual support and strategies for supporting each.
1 …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facnotes-spanish.docx
April 21, 2014 - Notas para el facilitador
DIGA:
El módulo Participación de los directivos de este kit de herramientas se centra en los roles y las responsabilidades de los directivos dentro del equipo de seguridad del centro. Impulsar la participación de los directivos disminuye la distancia entre los directivos administrativos y l…
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www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
November 01, 2016 - Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities
July 21, 2016
Download accessible version of slides (PDF, 1 MB)
The National Quality Strategy and The Public Sector [Slide 1]
Operator: Ladies and gentlemen, thank you for stand…