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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Technical Interventions To Prevent CAUTI
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Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Ove…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - Improving Workplace Safety in Hospitals: A Resource List for Users of the AHRQ Workplace Safety Supplemental Item Set
SOPS Workplace Safety for Hospitals Supplemental Item Set Resource List 1
Improving Workplace Safety in Hospitals:
A Resource List for Users of the AHRQ Workplace
Safety Supplemental Item Set
I…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
June 15, 2003 - Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative
153
Shared Learning and the Drive to Improve
Patient Safety: Lessons Learned from the
Pittsburgh Regional Healthcare Initiative
Carl A. Sirio, Donna J. Keyser, Heidi Norman,
Robert J. We…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
January 01, 2004 - Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation?
291
Can an Academic Health Care
System Overcome Barriers to
Clinical Guideline Implementation?
Debra Quinn, Mary Cooper, Lynn Chevalier,
Jerry Balentine, Lawrence Kadish, Steven Walerstein,
Fredric Weinbaum, Mark Ca…
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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-Stalhandske2_70.pdf
March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs
VHA’s National Falls Collaborative and
Prevention Programs
Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN;
Julia Neily, MS, MPH; James P. Bagian, MD, PE
Abstract
Falls are a high-volume, high-cost problem in he…
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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-Aydin_2.pdf
January 01, 2021 - Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard
rds
Beyond Nursing Quality Measurement:
The Nation’s First Regional Nursing Virtual Dashboard
Carolyn E. Aydin, PhD; Linda Burnes Bolton, DrPH, RN, FAAN;
Nancy Donaldson, DNSc, RN, FAAN; Diane Storer Brown, PhD, RN, FN…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Snow.pdf
January 01, 2010 - A Clinical Assessment Program to Evaluate the Safety of Patient Care
57
A Clinical Assessment Program to
Evaluate the Safety of Patient Care
Richard J. Snow, Martin S. Levine, Dwain L. Harper,
Sharon L. McGill, George Thomas, Joseph P. McNerney
Abstract
The American Osteopathic Association’s Clinical Asses…
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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-Browne_5.pdf
January 20, 2008 - Common Cause Analysis: Focus on Institutional Change
Common Cause Analysis:
Focus on Institutional Change
Anne Marie Browne, MSN, RN; Robert Mullen, PharmD; Jeanette Teets, MSN, CRNP, RN;
Annette Bollig, MSN, RN; James Steven, MD, SM
Abstract
The Children’s Hospital of Philadelphia has created a mechanism …
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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-Baker_107.pdf
March 30, 2008 - Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems
Analysis of Patient Safety: Converting Complex
Pediatric Chemotherapy Ordering Processes
from Paper to Electronic Systems
Donald K. Baker, PharmD; James M. Hoffman, PharmD; Gregory A. Hal…
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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-Meyer_41.pdf
March 03, 2008 - The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems
The Use of Modest Incentives to Boost Adoption of
Safety Practices and Systems
Gregg S. Meyer, MD, MSc; David F. Torchiana, MD; Deborah Colton;
James Mountford, MB, BCh; Elizabeth Mort, MD; Sarah Lenz;
Nancy Gagliano, MD; Elizabet…
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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-Nemeth_116.pdf
April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care
Minding the Gaps: Creating Resilience in Health Care
Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD;
Richard Cook, MD
Abstract
Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-compendium-techdoc.pdf
January 01, 2023 - Compendium of U.S. Health Systems, 2023, Technical Documentation
Comparative Health System Performance Initiative:
Compendium of U.S. Health Systems, 2023, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Rockvill…
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www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
January 01, 2024 - Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation
Final Report:
Risk-Informed Interventions in Community Pharmacy:
Implementation and Evaluation
Principal Investigator:
Michael R. Cohen, RPh, MS, ScD (hon), DPS (hon)
Team Members:
Judy L. Smetzer, RN, BSN,…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Case 2. Central Hospital
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Case 3.…
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www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
January 01, 2024 - Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics
1. Title: Surveillance for Adverse Drug Events in Ambulatory Pediatrics
Principal Investigator(s): Thomas C. Bailey (07/15/09—02/28/11)
Peter M. Kilbridge (09/01/07—07/14/09)
Team Members: Laura A. Noirot
Richard M. Reichley
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care Summary Report
AHRQ Safety Program for Perinatal Care
Summary Report
Prepared for:
Agency for Healthcare Research and
Quality, U.S. Department of Health and Human Services
5600 Fishers Lane
Rockville, MD 20850
www.ahrq.gov
Contract No. HHSA290201000024I
…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
June 01, 2013 - Environmental Scan of Patient Safety Education and Training Programs
Contract Final Report
Environmental Scan of Patient Safety
Education and Training Programs
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, M…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 12. Infusion Pumps
Infusion Pumps 12-1
12. Infusion Pumps
Authors: Lynn Hoffman, M.A., M.P.H., and Olivia Bacon
Introduction
In this chapter, we discuss two system-level patient safety practices that aim to reduce medication
errors associated with infusion pumps, including sma…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 15. Care Transitions
Care Transitions 15-1
15. Care Transitions
Authors: Tara Earl, Ph.D., M.S.W., Nicole Katapodis, M.P.H., and Stephanie Schneiderman, M.P.P.
Reviewers: Susan Edgman-Levitan, B.H.S., Maulik Joshi, Dr.PH., and Katharine Witgert, M.P.H.
Introduction
Importance…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops-wps-study-report.pdf
January 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental Items for Hospitals
2022 Updated Results for the AHRQ
Surveys on Patient Safety CultureTM (SOPS®)
Workplace Safety Supplemental Item Set for
Hospitals
Prepared for:
Agency for Healthcare Research and Qua…