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2101. Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
      January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety Title: VTE Safety Toolkit: A Systems Approach to Patient Safety Principal Investigator: Brenda K. Zierler, PhD1 Team Members: Ann Wittkowsky, PharmD2 Robb Glenny, MD3 Seth Wolpin, PhD1 Jung-Ah Lee, MN1 Gene Peterson, MD, PhD3 Fre…

2102. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/baker.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Comme…

2103. Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
      March 01, 2004 - Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes 245 Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes Mark Van Tuinen, Susan Elder, Carolyn Link, Susan Li, John H. Song, Tracey Pritchett Abstract Objectives: This study estimated the validity of 2…

2104. A Study of Adverse Occurrences and Major Functional Impairment Following Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
      March 15, 2004 - A Study of Adverse Occurrences and Major Functional Impairment Following Surgery 275 A Study of Adverse Occurrences and Major Functional Impairment Following Surgery Mary Rojas, Alan Silver, Christine Llewellyn, Lenora Rances Abstract Objective: The authors sought to ascertain whether adverse occurrences (AOs…

2105. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
      August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…

2106. Presentation: Optimize Your Briefings and Debriefings
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
      December 01, 2017 - Presentation: Optimize Your Briefings and Debriefings Optimize Briefings and Debriefings AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Implementation SAY: This module is the first of two parts discussing briefings and debriefings. Te…

2107. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
      January 01, 2020 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part II Surveys on Patient Safety CultureTM (SOPSTM) Ambulatory Surgery Center Survey: 2020 User Database Report Part II Appendix A—Overall Results by Facility Characteristics Appendix B—Overall Results by R…

2108. Health System Participation in Accountable Care Organizations (ACOs), 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/aco-participation.pdf
      January 01, 2019 - Health System Participation in Accountable Care Organizations (ACOs), 2016 1 Comparative Health System Performance Initiative Health System Participation in Accountable Care Organizations (ACOs), 2016 Data Highlight, No. 4 January 2019 Hospital participation in ACO contracts, by system membership System hos…

2109. The Use of Surgical Simulators to Reduce Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
      January 01, 2003 - compact disc (CD), with interactive audio and video information demonstrating successful and erroneous operations

2110. Improving Communication and Teamwork in the Surgical Environment
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
      May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Improving Communication and Teamwork in the Surgical Environment Module AHRQ Safety Program for Ambulatory Surgery AHRQ Pub. No. 16(17)-0019-2-EF May 2017 Communication and Teamwork | ‹#› AHRQ Safety Program for Ambulatory Surgery 1 Objectives …

2111. Table 1. Key features of ideal consumer reporting systems from focus groups | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table1.html
      August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Table 1. Key features of ideal consumer reporting systems from focus groups Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2.…

2112. 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive in a Single Hospital? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
      January 01, 2006 - Conclusion: The BSC consolidates strategic initiatives; Six Sigma facilitates focused improvement within operations

2113. Surgical Skin Preparation Audit Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/surgical-skin-prep-audit-tool.docx
      December 01, 2017 - Surgical Skin Preparation Audit Tool Surgical Skin Preparation Audit Tool Introduction Problem Statement Surgical skin preparation is an important strategy to prevent surgical site infection. Adequate surgical skin preparation reduces the burden of skin microorganisms prior to incision. Though it seems straightforwar…

2114. Appendix Q. Surgeon Focus Group Content Analysis | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiapq.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix Q. Surgeon Focus Group Content Analysis Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapt…

2115. Health System Participation in Medicare Bundled Payment Models, 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/bundled-payments.pdf
      January 01, 2019 - Health System Participation in Medicare Bundled Payment Models, 2016 1 Comparative Health System Performance Initiative Health System Participation in Medicare Bundled Payment Models, 2016 Data Highlight, No. 6 January 2019 Hospital participation in Medicare bundled payment models, by system membership Sys…

2116. Health System Participation in Medicare Bundled Payment Models, 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/bundled-payments_0.pdf
      January 01, 2019 - Health System Participation in Medicare Bundled Payment Models, 2016 1 Comparative Health System Performance Initiative Health System Participation in Medicare Bundled Payment Models, 2016 Data Highlight, No. 6 January 2019 Hospital participation in Medicare bundled payment models, by system membership Sy…

2117. Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/ma-plans.pdf
      March 01, 2019 - Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016 1 Comparative Health System Performance Initiative Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016 Data Highlight, No. 7 March 2019 Systems offering a Medicare Advantage (MA) plan About 12% of systems offer …

2118. Provider-Offered Insurance Products Among U.S. Health Systems, 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/insurance-products.pdf
      January 01, 2019 - Provider-Offered Insurance Products Among U.S. Health Systems, 2016 1 Comparative Health System Performance Initiative Provider-Offered Insurance Products Among U.S. Health Systems, 2016 Data Highlight, No. 5 January 2019 Systems offering an insurance product Nearly 4 in 10 systems offer an insurance produ…

2119. Health System Participation in Accountable Care Organizations, 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief4-aco-participation.pdf
      January 01, 2019 - Health System Participation in Accountable Care Organizations, 2016 1 Comparative Health System Performance Initiative Health System Participation in Accountable Care Organizations (ACOs), 2016 Rachel M. Machta, Ph.D., David J. Jones, Ph.D., Michael F. Furukawa, Ph.D., Daniel Miller, M.S., and Eugene C. Rich…

2120. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4l_combo_psi15-accidentalpuncturelaceration-bestpractices.pdf
      May 31, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4l Selected Best Practices and Suggestions for Improvement PSI 15: Accidental Puncture or Laceration Why Focus on Accidental Puncture and Laceration? • A…