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www.ahrq.gov/research/findings/final-reports/ssi/ssiapv.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix V. JAMIA Draft Manuscript
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administ…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA
Prevention: Targeting SSI
Antimicrobial Prophylaxis: Part 2 Beyond the Basics
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Antimicrobial Prophylaxis: Part 2, Beyond the Basics
SAY:
This pr…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations
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Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How …
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www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Error Disclosure Training and Organizational Culture
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Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Reforming the Medical Liability System in M…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
January 01, 2004 - Methodological Challenges in Describing Medication Dosing Errors in Children
213
Methodological Challenges in Describing
Medication Dosing Errors in Children
Heather McPhillips, Christopher Stille, David Smith, John Pearson,
John Stull, Julia Hecht, Susan Andrade, Marlene Miller, Robert Davis
Abstract
Alth…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
January 01, 2003 - Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting
173
Development of a Computerized
Adverse Drug Event (ADE) Monitor
in the Outpatient Setting
Andrew C. Seger, Tejal K. Gandhi, Carol Hope,
J. Marc Overhage, Michael D. Murray, David Weber,
Julie Fiskio, Evgenia Teal,…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
May 01, 2004 - Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors
333
Establishing a Culture of Patient
Safety Through a Low-tech Approach
to Reducing Medication Errors
Steven H. Shaha, Linda Brodsky, Michael S. Leonard, Michael A. Cimino,
Sandra A. McDougal, Joann M. Pilliod…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
January 01, 2004 - Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies
507
Suicide Risk Response: Enhancing
Patient Safety Through Development
of Effective Institutional Policies
Laura Bonner, Bradford Felker, Edmund Chaney, Karen Vollen,
Karen Berry, Barbara Revay, Barbara Sim…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
January 01, 2004 - Voluntary Hospital Coalitions to Promote Patient Safety
493
Voluntary Hospital Coalitions
to Promote Patient Safety
Kimberly J. Rask, Dorothy “Vi” Naylor, Linda Schuessler
Abstract
Translating research or care innovation into broader clinical practice requires
more than simply the publication of new findin…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors
483
A Conceptual Model for
Disclosure of Medical Errors
Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus,
Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger
Abstract
Objective: Patient safety is fundamental to high-quality patient…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
May 08, 2008 - Hospital Language Services: Quality Improvement and Performance Measures
Hospital Language Services: Quality
Improvement and Performance Measures
Marsha Regenstein, PhD, MCP; Jennifer Huang, MS; Catherine West, MS, RN;
Holly Mead, PhD; Jennifer Trott, MPH; Melissa Stegun, MA
Abstract
For a growing segment…
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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-Singh-R_68.pdf
April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management
Building Self-Empowered Teams for Improving Safety
in Postoperative Pain Management
Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD;
Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD
Abstrac…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
January 01, 2001 - Development of a Screening Tool for Safe Wheelchair Seating
127
Development of a Screening Tool
for Safe Wheelchair Seating
Deborah Gavin-Dreschnack, Lawrence Schonfeld,
Audrey Nelson, Stephen Luther
Abstract
Objectives: Most elderly nursing home residents who need wheelchairs are not
being assessed i…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS)
325
Developing a Taxonomy of Anesthetists’
Nontechnical Skills (ANTS)
Rona Patey, Rhona Flin, Georgina Fletcher,
Nicola Maran, Ronnie Glavin
Abstract
Safety research in high-reliability industries, such as aviation, has clearly shown
that t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
June 19, 2008 - The Rural Physician Peer Review Model©: A Virtual Solution
The Rural Physician Peer Review Model©:
A Virtual Solution
Josie R. Williams, MD; Kathy K Mechler, MS, RN, CPHQ; R.B. Akins; John R. Holcomb, MD;
Laura K. Gelderd, RN, BSN; R. Kim Clay; Tracy L. Adams; Janine C. Edwards, PhD
Abstract
Evaluating …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Goeschel_24.pdf
January 01, 2008 - Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project
Harnessing the Potential of Health Care
Collaboratives: Lessons from the Keystone ICU
Project
Christine A Goeschel, RN, MPA, MPS; Peter J. Pronovost, MD, PhD
Abstract
In October 2003, the Quality and Safety Research…
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www.ahrq.gov/sites/default/files/publications/files/pharmlit.pdf
October 01, 2007 - Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide
Is Our Pharmacy Meeting
Patients’ Needs? A Pharmacy
Health Literacy Assessment Tool
User’s Guide
This user’s guide was produced under contract to the Agency for Healthcare Research
and Quality (AHRQ) under Contract No.…
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www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
January 01, 2025 - Final Progress Report: Disseminating a Web-Enabled Safety Risk Assessment (SRA) Toolkit for Designing Safer Healthcare Facilities
Final Report
1. Title Page
Principal Investigator: Ellen Taylor
Project Title: Disseminating a web-enabled Safety Risk Assessment (SRA) toolkit for designing safer
healthcare facilitie…
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www.ahrq.gov/sites/default/files/2024-05/wendel-hummell-report.pdf
January 01, 2024 - Final Progress Report: Care and Safety Practices During the COVID-19 Pandemic in Home-Based Long-Term Services and Supports
Title: Care and Safety Practices during the COVID-19 Pandemic in Home-Based Long-Term Services
and Supports
Principle Investigator and Team Members:
Carrie Wendel-Hummell, PhD; PI1
Tracey LaP…
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www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
January 01, 2024 - Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine
Principal Investigator/Program Director (Last, First, Middle): Fairbanks, Rollin Jonathan
1. title page
The ED Pharmacist as a Safety Measure in Emergency Medicine
Supported by: Agency for Healthcare Research and Quality
Grant N…