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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - Facilitator Guide: Overview of the Improvement Model
Program Overview – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
Project Overview
SAY:
You have embarked on a unique journey.
Slide 1
Mead Quotation
SAY:
Margaret Mead was a popular and sometimes controversial cultural an…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - Program Overview: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Program Overview
Say:
You have embarked on a unique journey.
Slide 2: Mead Quotation
Say:
Margaret Mead was a popular and sometimes controversial cultural anthropologist in the ’60s and ’70s. This statement still resona…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-refs.html
August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
References
Previous Page
Table of Contents
Pediatric Diagnostic Safety: State of the Science and Future Directions
Introduction
Challenges in Approaching Diagnostic Safety Unique to Children
Pediatric Diagnostic Safety R…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2014cahpshealthplanchartbook.pdf
October 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook
THE CAHPS DATABASE
2014 CAHPS Health Plan
Survey Database
2014 Chartbook: What Consumers Say About Their
Experiences with Their Health Plans and Medical Care
AHRQ Contract No.: HHSA290201300003C
Managed and prepared by:
Westat, Rockville, MD
Dale Shalle…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 3. Description of Methods
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 Design
Chapter…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_hp-chartbook.pdf
January 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook
THE CAHPS DATABASE
2014 CAHPS Health Plan
Survey Database
2014 Chartbook: What Consumers Say About Their
Experiences with Their Health Plans and Medical Care
AHRQ Contract No.: HHSA290201300003C
Managed and prepared by:
Westat, Rockville, MD
Dale Shalle…
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www.ahrq.gov/cahps/faq/index.html
January 01, 2019 - Frequently Asked Questions About the CAHPS® Program and Surveys Search or browse for answers to questions about the CAHPS program, patient experience surveys, and the CAHPS Database. Please send additional questions to cahps1@westat.com.
Jump to Category
Select Category
The CAHPS Program
Survey Q…
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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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
January 01, 2004 - Financial and Demographic Influences on Medicare Patient Safety Events
437
Financial and Demographic Influences on
Medicare Patient Safety Events
Didem Bernard, William E. Encinosa
Abstract
Background: The hospital market is stratified between the “have” and the “have
not” hospitals. Whether financial dis…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors?
53
Do Transient Working Conditions
Trigger Medical Errors?
Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf,
Clay Dunagan, Gary Sorock, Bradley Evanoff
Abstract
Objective: Organizational factors affecting working conditions for health …
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - Making Health Care Safer II, Executive Summary
Evidence-Based
Practice
Evidence-based Practice
Program
The Agency for Healthcare Research and
Quality (AHRQ), through its Evidence-
based Practice Centers (EPCs), sponsors
the development of evidence reports and
technology assessments to assist public-
and priv…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
January 01, 2004 - Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System
207
Ten Considerations for Easing
the Transition to a Web-based
Patient Safety Reporting System
Sharon K. Ulep, Sheryl L. Moran
Abstract
Moving to a Web-based system for tracking patient safety events is a goal o…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
January 01, 2004 - Observing Nurse Interaction with Infusion Pump Technologies
349
Observing Nurse Interaction with
Infusion Pump Technologies
Pascale Carayon, Tosha B. Wetterneck, Ann Schoofs Hundt,
Mustafa Ozkaynak, Prashant Ram, Joshua DeSilvey, Brian Hicks,
Tanita L. Robert, Myra Enloe, Rupa Sheth, Sade Sobande
Abstract…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study
35
Decision Support System Design and
Implementation for Outpatient Prescribing:
The Safety in Prescribing Study
Adrianne C. Feldstein, David H. Smith, Nan R. Robertson,
Christine A. Kovach, Stephen B…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator
395
From Insight to Implementation:
Lessons from a Multi-site Trial of
a PDA-based Warfarin Dose Calculator
Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth,
Debora A. Paterniti, William Dager, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense
361
Standardizing Medication Error Event
Reporting in the U.S. Department of Defense
Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake
Abstract
Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
June 16, 2008 - Development of a Comprehensive Medical Error Ontology
Development of a Comprehensive
Medical Error Ontology
Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD;
Jiajie Zhang, PhD; James P. Turley, RN, PhD
Abstract
A critical step towards reducing errors in health care …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
September 01, 2008 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety
Venous Thromboembolism Safety Toolkit:
A Systems Approach to Patient Safety
Brenda K. Zierler, PhD; Ann Wittkowsky, PharmD; Gene Peterson, MD, PhD;
Jung-Ah Lee, MN; Courtney Jacobson, BA; Robb Glenny, MD; Fred Wolf, PhD;
Lynne Robin…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_ha.pdf
February 05, 2015 - module, and would like to
acknowledge key project team members:
• Rebecca Roper, MS, MPH, Project Officer
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www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
January 01, 2025 - University of Wisconsin – Madison
Project Period: September 30, 2018 – July 31, 2023
Federal Project Officer