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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
January 01, 2003 - What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare
423
What Happens After a Patient Safety Event?
Medical Expenditures and Outcomes
in Medicare
William E. Encinosa, Fred J. Hellinger
Abstract
Objective: To estimate the impact of potentially preventable adverse event…
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www.ahrq.gov/faqs/index.html?page=9
September 01, 2016 - system, a patient's record would be immediately available in an emergency, no matter where the emergency occurs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
July 01, 2003 - Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors
185
Preparing for Ambulatory Computerized
Prescriber Order Entry by Evaluating
Preimplementation Medication Errors
Emily Beth Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless,
Thomas K. Hazlet, R…
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www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
January 01, 2024 - teams, because the intent is to
respond to acute patient deterioration before a cardiopulmonary arrest occurs
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
September 01, 2022 - However, the greatest risk occurs with clindamycin, third-generation cephalosporins, and fluoroquinolones
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - Wasserman, Lynne Uhring
Abstract
Background: Approximately 70 percent of pediatric care occurs in
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/133-translating-research-into-practice-fg.docx
April 01, 2025 - There are also many complexities with implementation because care occurs along a continuum and there
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
August 01, 2022 - Disclosure Checklist
AHRQ Communication and Optimal Resolution Toolkit
Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations, including key disclosure communication skills.
Who should use this tool? Disclosure Lead and any staff who will be engaged in …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
April 01, 2016 - Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations,
including key disclosure communication skills.
Who should use this tool? Disclosure Lead and any staff who will be engaged in disclosure conversations.
How to use this tool: Use Part I of the checklist to pre…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
February 01, 2017 - by asking if that contributing factor was major or minor and how frequently the contributing factor occurs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4c_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - the surgeon performs a methodical wound check prior to count.2,3
• Use a “timeout” when final count occurs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - the surgeon performs a methodical wound check prior to count.2,3
• Use a “timeout” when final count occurs
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - the surgeon performs a methodical wound check prior to count.2,3
• Use a time-out when final count occurs
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/introduction.html
June 01, 2020 - What is the overlap among federal agency research portfolios and the coordination that occurs between
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
June 02, 2025 - It also
asks which staff members are invited, who leads the
meeting, and how often it occurs. … plans;
• Discuss care changes that are needed; and
• Investigate root causes when an adverse event occurs
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www.ahrq.gov/data/infographics/hac-scorecard-2014-16.html
November 01, 2019 - HAC National Scorecard 2014-16
Between 2014-2016, 350,000 fewer hospital-acquired conditions (HACs) occurred, an 8% decrease that saved $2.9 billion and averted 8,000 inpatient deaths. Learn more in the AHRQ report, " National Scorecard on Rates of Hospital-Acquired Conditions ."
HAC National Scorecard 2014…
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www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System
Pediatric Medication Safety:
Analyses from the MEDMARX
Medication Error Reporting System
Principal Investigator:
David G. Bundy, MD, MPH
Team Members:
Marlene R. Miller, MD, MSc
Michael L. Rinke, M…
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www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet3.html
October 01, 2014 - Hispanic Diabetes Disparities Learning Network in Community Health Centers
Chapter 3. Structure of Learning Network
Previous Page Next Page
Table of Contents
Hispanic Diabetes Disparities Learning Network in Community Health Centers
Chapter 1. Introduction
Chapter 2. Project Description
Chapte…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 6. Discussion and Policy Implications
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Desi…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/reports/2024-annual-report/ncepcr-grant-summaries-table.pdf
January 01, 2024 - for clinician burnout, which could inform practice
improvement efforts to prevent burnout before it occurs