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3901. Presentation: Building Your SSI Prevention Bundle
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
      December 01, 2017 - A quality outcomes representative, an administrative representative, or a frontline staff member in your

3902. Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/mincer.html
      August 01, 2017 - and Implementing the Patient Advocacy Reporting System in the Sanford Health System Patient, Family Member

3903. Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cotayo.pdf
      April 22, 2004 - Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program 291 Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program Rosa M. Cotayo, Holly A. Grems, Elizabeth Sloan Abstract Patient safety is a critical dimension of program …

3904. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
      January 01, 2003 - consultation), with subtasks (e.g., computer data entry, or consultation with physician or family member

3905. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
      March 01, 2020 - protocols with supplemental interventions, correct information being shared by the patient or family member

3906. Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/recruitment-and-retention-toolkit.pdf
      January 01, 2019 - Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit Effectively engaging practices in a primary care quality improvement (QI) initiative, including both the initi…

3907. Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
      February 01, 2005 - Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments 469 Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments Elizabeth A. P. Vane, Edward Drost, Daryl Elder, Yvonne Heib Abstract The United States Army per…

3908. VHA’s National Falls Collaborative and Prevention Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
      March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs VHA’s National Falls Collaborative and Prevention Programs Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN; Julia Neily, MS, MPH; James P. Bagian, MD, PE Abstract Falls are a high-volume, high-cost problem in he…

3909. Envisioning Patient Safety in the Year 2025: Eight Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
      January 01, 2025 - Envisioning Patient Safety in the Year 2025: Eight Perspectives Envisioning Patient Safety in the Year 2025: Eight Perspectives Kerm Henriksen, PhD; Caitlin Oppenheimer, MPH; Lucian L. Leape, MD; Kirk Hamilton, FAIA, FACHA, MS; David W. Bates, MD, MSc; Susan Sheridan, MBA; Mark E. Bruley, CCE; David M. Gaba, MD;…

3910. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
      April 08, 2004 - assume patient safety duties, such as serving as a patient safety officer or a patient safety committee member

3911. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
      May 06, 2008 - The tool was designed to gather input from any staff member with access to a computer within a Trinity

3912. Creating a Curriculum for Training Health Profession Faculty Leaders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
      March 31, 2004 - Creating a Curriculum for Training Health Profession Faculty Leaders 299 Creating a Curriculum for Training Health Profession Faculty Leaders Pamela H. Mitchell, Lynne S. Robins, Douglas Schaad Abstract Objectives: An interprofessional, collaborative group of educators, patient safety officers, and Federal …

3913. Final Progress Report: Helping Elders Include Quality in Health Plan Choice (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/uhrig-report.pdf
      January 01, 2024 - Final Progress Report: Helping Elders Include Quality in Health Plan Choice September 2004 Helping Elders Include Quality in Health Plan Choice Final Report Prepared for Agency for Healthcare Research and Quality Denise Burgess, Project Officer 540 Gaither Road Rockville, MD 20850 Prepared by Jennifer D. …

3914. Final Progress Report: Cardio-HIT Phase II (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/kmetik-otoole-report.pdf
      January 01, 2024 - has developed over 250 performance measures and is comprised of representatives from more than 170 member … medical societies, the Council of Medical Specialty Societies, American Board of Medical Specialties and Member

3915. Using the Opportunity Estimator (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/estimator.html
      April 01, 2013 - And as we saw before, the data can be easily and quickly generated for a single new team member or when

3916. Conflict Resolution (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict.html
      April 01, 2013 - You’re seeking advice from an outside team member, and then this is one of those opportunities where … So, effective for both me, the other team member, and my patient.

3917. Final Report: Embracing the PBRN Model To Improve the Medication Use Process (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lipowski-report.pdf
      January 01, 2024 - Panel members included a clinical pharmacist faculty member who is conducting practice research (Kelly

3918. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
      January 01, 2024 - Thanks to a Minority Supplement (from AHRQ), we were able to add another team member, Linda Scott PhD

3919. Final Progress Report: Rural Trial of Clinic Order Entry With Decision Support (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/samore-report.pdf
      January 01, 2024 - A research staff member facilitated the focus groups. … The research staff member observed the provider execute each scenario task and, using a structured data

3920. Eliminating CAUTI: A National Patient Safety Imperative (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/cauti-interim.pdf
      September 01, 2013 - Eliminating CAUTI: A National Patient Safety Imperative Eliminating CAUTI: A National Patient Safety Imperative Interim Data Report on the National On the CUSP: Stop CAUTI Project A Project of: Health Research & Educational Trust Michigan Health & Hospital Association Keystone Center for Patient Safety & Qua…