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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Suydam.pdf
    January 01, 2001 - Patient Safety Data Sharing and Protection from Legal Discovery 361 Patient Safety Data Sharing and Protection from Legal Discovery Steven Suydam, Bryan A. Liang, Storm Anderson, Matthew B. Weinger Abstract The Institute of Medicine report, To Err Is Human, recommended that collaborative networks of heal…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
    January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program 223 Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner Abstract The U.S. Food and…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
    April 01, 2004 - Patient Safety Executive Walkarounds 223 Patient Safety Executive Walkarounds Suzanne Graham, John Brookey, Catherine Steadman Abstract Since the release of the IOM report To Err Is Human in 1999, significant progress has been made in patient safety. One of the remaining challenges is the need to continually…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
    January 01, 2015 - Slide 1 CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles 1 Diane Byrum, RN, MSN, CCRN, CCNS, FCCM Manager, Quality Implementation Programs Society of Critical Care Medicine William S. Miles, MD, FACS, FCCM, FAPWCA Director of Surgical Critical Care and the …
  5. www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-4.html
    July 01, 2019 - Case Example #4: Foresight Family Physicians This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville,…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
    October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #1: Stanford Coordinated Care New Models of Primary Care Workforce and Financing Case Example Stanford Coordinated Care1 New Models of Primary Care Workforce and Financing Case Example #1: Stanford Coordinated Care Prepared for: Agen…
  7. www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-1.html
    July 01, 2019 - Case Example #1: Stanford Coordinated Care This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, M…
  8. Healthteamworks (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/healthteamworks.pdf
    August 01, 2014 - c Case Studies of EXEMPLARY PRIMARY CARE PRACTICE FACILITATION TRAINING PROGRAMS Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov The PCM Portfolio graphic element is intended to be closely aligned with AHRQ's overall brand, …
  9. Cerner-Q-A-Session (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-session.pdf
    December 14, 2022 - 1 EHR Q&A Sessions Introduction Prior to each EHR Q&A event, participants were asked to submit questions related to the implementation of automatic referral in Meditech, Epic, and Cerner. Most questions concerned diagnostic codes, embedding automatic referral into order sets, getting buy-in from physicians regar…
  10. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - System-Focused Event Investigation and Analysis Guide AHRQ Communication and Optimal Resolution Toolkit Purpose : To help teams adopt a system-focused approached to event investigation and analysis. Who should use this tool? Event Reporting, Investigation, and Analysis Team. How to use this tool : Review…
  11. www.ahrq.gov/sites/default/files/2024-01/lannon1-report.pdf
    January 01, 2024 - Final Progress Report: Pursuing Perfection in Pediatric Therapeutics FINAL PROGRESS REPORT Title of Project: Pursuing Perfection in Pediatric Therapeutics Principal Investigator: Carole Lannon, MD, MPH Team Members: Research Director: Michael Seid, PhD Education Liaison: Peter Margolis, MD, PhD Program Manage…
  12. www.ahrq.gov/sites/default/files/2024-12/pace-report.pdf
    January 01, 2024 - Final Progress Report: Multi-Method Proactive Risk Assessment Title: Multi-Method Proactive Risk Assessment PI and Team: Wilson D. Pace, MD – Principal Investigator David R. West, PhD – Co-investigator Stephen Ringel, MD – Co-investigator Susan West, RN – Co-investigator Doug Fernald, MS – Project Manager Caroline …
  13. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
    June 03, 2021 - Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 PATIENT SAFETY e Issue Brief 5 Leadership To Improve Diagnosis: A Call to Action e Issue Brief 5 Leadership To Improve Diagnosis: A Call to Action Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, M…
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/042-vap-prevention-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU VAP & NV-HAP Prevention 1 Educational Objectives Discuss the causes and ri…
  15. www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article18.html
    August 01, 2018 - Nephrostomy tubes are placed by surgical physicians or interventional radiologists, most often in operating
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-workplace-safety-report-ptI.pdf
    January 01, 2024 - Number Percent Surgical Services Anesthesiology 411 1% Endoscopy, Colonoscopy 308 1% Pre Op, Operating
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-225-fullreport.pdf
    June 01, 2019 - Anticipatory Guidance for Prevention of Stroke in Children with Sickle Cell Disease 1 Anticipatory Guidance for Prevention of Stroke in Children with Sickle Cell Disease Section 1. Basic Measure Information 1.A. Measure Name Anticipatory Guidance for Prevention of Stroke in Children with Sickle Cell Disease …
  18. www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
    January 01, 2024 - Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement Improving the Safety of Primary Care by Measuring Adverse Events and Improvement Principal Investigator: Donald A. Kennerly, MD, PhD Study Team: Kenneth Bruce Bayley, PhD Ashley Collinsworth, MPH Teri Cowlin…
  19. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
    June 01, 2024 - AHRQ-Funded Patient Safety Project Highlights PATIENT SAFETY AHRQ-Funded Patient Safety Project Highlights Improving Patient Safety by Enhancing Care Coordination Overview Care coordination is defined as the process of organizing patient care activities and sharing information among all individuals concerned w…
  20. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
    October 01, 2018 - National Healthcare Quality And Disparities Report Patient Safety Chartbook CHARTBOOK ON PATIENT SAFETY Updated October 2018 National Healthcare Quality and Disparities Report This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggest…

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