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8661. VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
      September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System September 26, 2023 Pre-Decisional Deliberative Document Internal VA Use Only Advancing Toward Zero Harm and Becoming a Learning Health System Gerard R. Cox, MD, MHA  Assistant Under Secretary for Health for Quality & …

8662. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866847/psn-pdf
      September 25, 2024 - In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement September 25, 2024 Stockmeier CA, Mossburg S, Lee M. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Are…

8663. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73387/psn-pdf
      March 17, 2021 - COVID-19 and the Built Environment June 30, 2021 Joseph A, Scanlon MM, Fitall E, et al. COVID-19 and the Built Environment. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/covid-19-and-built-environment Introduction The “built environment” in healthcare refers to the hospital structure and any other fix…

8664. Final Progress Report: Valuation of a Simple Tool for Chest Pain Patient Risk-Stratification in North America (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/mader-poronsky-report.pdf
      January 01, 2024 - Final Progress Report: Valuation of a Simple Tool for Chest Pain Patient Risk-Stratification in North America FINAL PROGRESS REPORT 1. Valuation of a simple tool for chest pain patient risk-stratification in North America Principal Investigator and Team Members: Timothy J. Mader, MD, and Kye E. Poronsky, MA, Bay…

8665. Final Progress Report: Improving Patient Safety and Disease Management While on Contact Isolation (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/morgan-report.pdf
      January 01, 2024 - Final Progress Report: Improving Patient Safety and Disease Management While on Contact Isolation Final Progress Report Improving Patient Safety and Disease Management While on Contact Isolation Daniel Morgan (PI) Anthony Harris (Mentor) University of Maryland School of Medicine Dates of Project: 7/01/09–6/30/14…

8666. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33631/psn-pdf
      April 01, 2006 - Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety April 1, 2006 Alldredge BK, Koda-Kimble MA. Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacis…

8667. Final Report: Modeling Risk and Reducing Liability through Better Communication and Teamwork (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/baker-report.pdf
      January 01, 2024 - Final Report: Modeling Risk and Reducing Liability through Better Communication and Teamwork Agency for Healthcare Research and Quality Modeling Risk and Reducing Liability through Better Communication and Teamwork FINAL REPORT April 2012 Presented to: James Battles Agency for Healthcare Research and Quality …

8668. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33850/psn-pdf
      January 01, 2018 - EHR Copy and Paste and Patient Safety January 1, 2018 Dean SM. EHR Copy and Paste and Patient Safety. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety Perspective Although the ability to copy and paste text is a central benefit of computing in general, and electronic…

8669. SOPS Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/bibliography/index.html?page=5
      January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 251-300 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …

8670. SOPS Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/sops/bibliography/index.html?page=5
      January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 251-300 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …

8671. AHRQ Safety Program For Long-Term Care: CAUTI
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/module-2-slides.pptx
      March 01, 2017 - AHRQ Safety Program For Long-Term Care: CAUTI Module 2: Senior Leader Engagement AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules AHRQ Pub. No. 16(17)-0003-03-EF March 2017 Senior Leader Engagement | ‹#› 1 Objectives Identify characteristics of successful senior leaders List fiv…

8672. A Frontline Management System To Sustain Improvement in Safety Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/kit.html
      June 01, 2017 - A Frontline Management System To Sustain Improvement in Safety Practices Contents 1. Why a Frontline Management System? 2. Components of the Frontline Management System 3. Interactions of Components 4. Using the Model for Improvement 5. Additional Resources 1. Why a Frontline Management System? M…

8673. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33615/psn-pdf
      June 01, 2005 - In Conversation with…Peter J. Pronovost, MD, PhD June 1, 2005 In Conversation with…Peter J. Pronovost, MD, PhD. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd Editor's Note: Peter J. Pronovost, MD, PhD, is Medical Director of the Johns Hopkins Center for Innova…

8674. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49428/psn-pdf
      January 01, 2004 - To Resuscitate or Not? January 1, 2004 Wu AW, Pronovost P. To Resuscitate or Not? PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/resuscitate-or-not The Case A critically ill end-stage AIDS patient was hospitalized for end-of-life care. Given the state of his disease, his code status was Do Not Resuscitate/…

8675. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33761/psn-pdf
      February 01, 2014 - Interruptions and Distractions in Health Care: Improved Safety With Mindfulness February 1, 2014 Beyea SC. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulne…

8676. Chapter 1. Environmental Scan | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program1.html
      April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs Chapter 1. Environmental Scan Previous Page Next Page Table of Contents Environmental Scan of Patient Safety Education and Training Programs Introduction Chapter 1. Environmental Scan Chapter 2. Electronic Searchable Catalog …

8677. Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture, TeamSTEPPS® | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/956.html
      May 01, 2025 - Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture, TeamSTEPPS® Issue Number 956 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. May 6, 2025 AHRQ Stats: Proportionate Healthcare Expenditures Among High Spenders Between 2018 a…

8678. Translating Hypertension Guidelines into Practice: Development of Interoperable Clinical Decision Support | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/translating-hypertension-guidelines-practice-development-interoperable-clinical
      January 01, 2023 - Translating Hypertension Guidelines into Practice: Development of Interoperable Clinical Decision Support Project Final Report ( PDF , 1.31 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and…

8679. Computerized Provider Order Entry and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
      January 01, 2014 - Annual Perspective Computerized Provider Order Entry and Patient Safety Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2015  View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Computerized Provider Order Entry and Patien…

8680. Feedback of Intensifying Treatment (FIT) Data to Reduce Cardiovascular Disease (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017031-selby-final-report-2010.pdf
      January 01, 2010 - Feedback of Intensifying Treatment (FIT) Data to Reduce Cardiovascular Disease Grant Final Report Grant ID: R18HS17031 Feedback of Intensifying Treatment (FIT) Data to Reduce Cardiovascular…