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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 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned
415
On-line Patient Safety Climate Survey:
Tool Development and Lessons Learned
Lynne M. Connelly, Judy L. Powers
Abstract
Objective: A key tenet of patient safety programs is the elimination of the
“culture of blame.” The On-line P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - Return on Investment Tool
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool F.1
Return on Investment Estimation
What is the purpose of this tool? When your hospital invests in a new program, quality
improvement intervention, or technology, leaders often need to kn…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.pdf
January 01, 2013 - Return on Investment Estimation
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool F.1
Return on Investment Estimation
What is the purpose of this tool? When your hospital invests in a new program, quality
improvement intervention, or technology, leaders …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care
Minding the Gaps: Creating Resilience in Health Care
Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD;
Richard Cook, MD
Abstract
Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
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www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
January 01, 2025 - Hospital and patient
characteristics associated with death after surgery: A study of adverse
occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-5.pdf
February 02, 2012 - ● Value judgments: The committeemem-
bers took into consideration the com-
mon occurrence of coexisting … hallucinations and other
psychotic symptoms.52 Although con-
cerns have been raised about the rare
occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-5.pdf
February 02, 2012 - ● Value judgments: The committee mem
bers took into consideration the com
mon occurrence of coexisting … hallucinations and other
psychotic symptoms.52 Although con
cerns have been raised about the rare
occurrence
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www.ahrq.gov/sites/default/files/2024-11/stafford-fortmann-report.pdf
January 01, 2024 - The occurrence of these increases coincided with the release of Guide to Clinical Preventive
Services
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www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdf
January 01, 2024 - Weekday Occurrence
Complication Adjusted
wkend rate
Adjusted
wkday rate
Odds Ratio
(CI)
1 Anesthesia
-
www.ahrq.gov/ncepcr/reports/primary-care-research/results.html
January 01, 2024 - National Healthcare Quality and Disparities Report data previously revealed disparities in occurrence … CUSP was designed to reduce the occurrence of healthcare-acquired infection (HAI) and promote patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
July 01, 2004 - After the index event
was defined, the occurrence of all other events of interest was specified relative
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
January 01, 2004 - The probability of this failure-effect
combination was rated as to frequency of occurrence, potential
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
April 07, 2008 - improved teamwork and the importance of acting now,
facility-specific data (e.g., root cause analyses, occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascguide.pdf
April 01, 2015 - something happens that could harm the patient, but does not, how often is it documented in an
incident or occurrence … something happens that could harm the patient, but does not, how often is it documented
in an incident or occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-user-guide.pdf
July 01, 2018 - something happens that could harm the patient, but does not, how often is it documented in an
incident or occurrence … something happens that could harm the patient, but does not, how often is it documented
in an incident or occurrence
-
www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
May 01, 2016 - The project focused on
identifying the occurrence of clinically Avoidable Classes of Events (ACEs), … Researchers wanted to understand how a health care team could quickly (1) identify the
occurrence of
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascguide.pdf
April 01, 2015 - something happens that could harm the patient, but does not, how often is it documented in an
incident or occurrence … something happens that could harm the patient, but does not, how often is it documented
in an incident or occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - The project focused on
identifying the occurrence of clinically Avoidable Classes of Events (ACEs), … Researchers wanted to understand how a health care team could quickly (1) identify the
occurrence of
-
www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
January 01, 2024 - The occurrence of
false checking in particular poses risks to patient safety, because it provides false
-
www.ahrq.gov/sites/default/files/2024-01/burden-report.pdf
January 01, 2024 - Final Progress Report: Inpatient Provider Rounding Prioritization of Patients Ready for Discharge
Final Progress Report to Agency for Healthcare Research and Quality
Title of Project
Inpatient Provider Rounding Prioritization of Patients Ready for Discharge
Principal Investigator and Team Members
Individual Organ…