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  1. 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…
  2. 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
  3. 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…
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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 …
  9. 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…
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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

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