-
www.ahrq.gov/sites/default/files/2024-02/gandhi-report.pdf
January 01, 2024 - Final Progress Report: Improving Safety and Quality with Outpatient Order Entry
Grant Final Report
Grant ID: 5R01HS015226-03
Improving Safety and Quality with Outpatient Order
Entry
Inclusive dates: 09/03/04 - 08/31/08
Principal Investigator:
Tejal K. Gandhi, MD, MPH
Team members:
Eric G. Poon, MD, MPH
Thomas D.…
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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 - Guideline for the Prevention of Falls in Older Persons.
J Am Geriatr Soc 2001; 49: 664-672. 16.
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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-Hagg_80.pdf
January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption
Implementation of Systems Redesign:
Approaches to Spread and Sustain Adoption
Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD;
Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS;
Bradley N. Do…
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www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
January 01, 2024 - reported in a survey of ambulatory Medicare beneficiaries an incidence
rate of 50.1 ADEs per 1,000 person-years
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www.ahrq.gov/sites/default/files/2025-02/lofland-report.pdf
January 01, 2025 - manuscript, the item characteristic refers to how hard the USC
characteristic is to obtain, and the person … Access to medical care and health-related quality of life for low-income persons
with symptomatic human
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/2022-HSOPS-WPS-database-report-appendix-508.pdf
January 01, 2022 - Surveys on Patient Safety Culture (SOPS) Hospital Workplace Safety: 2022 Updated Results, Appendix C
2022 Updated Results for the AHRQ
Surveys on Patient Safety Culture® (SOPS®)
Workplace Safety Supplemental Item Set for
Hospitals
Appendix C: Results by Additional Respondent
Characteristics
Prepared for:
A…
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www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
January 01, 2024 - The in-person analytical team meetings were supplemented with considerable online
discussion. … Incidence and preventability of adverse drug events among older
persons in the ambulatory setting.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
December 01, 2015 - 66
Learn from Defects
Have own tool but process of what happened and focus on process not the person … S63-219
and shall not be disclosed to unauthorized persons.
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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-Jones_29.pdf
February 23, 2008 - are held
against them. 59 44 84 9 59 39 79 9
2.c When an event is reported, it feels like the
person
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
January 01, 2016 - When an event is reported, it feels like the person is being
written up, not the problem. … When an event is reported, it feels like the
person is being written up, not the
problem.
48% 8.79% … When an event is reported, it feels like
the person is being written up, not the
problem.
50% 49%
-
www.ahrq.gov/sites/default/files/2024-10/stone-report.pdf
January 01, 2024 - light system does not allow for
easily distinguishing between calls that can be answered by a desk person
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
July 25, 2018 - I notify the
appropriate person of these errors."
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - Universal Protocol for Preventing
Wrong Site, Wrong Procedure, Wrong Person
Surgery.™ December 2003
-
www.ahrq.gov/sites/default/files/2024-02/schnipper2-report.pdf
January 01, 2024 - made based on the lessons learned from MARQUIS1.[12] These included the addition of
four regional in-person
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt4.html
March 01, 2020 - California, Arizona, and New Mexico are weak in person-centered care.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-core-measures-quality.pdf
January 01, 2019 - Hospital Measures
Among the core Person-Centered Care measures, only one speaks to inpatient quality
-
www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
January 01, 2025 - CAntibiotic prescriptions written without a corresponding in-person visit.
11
List of Publications
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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-Rivard_97.pdf
April 28, 2008 - Person SD, Allison JJ, Kiefe CI, et al.
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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-Adams-Pizarro_109.pdf
January 08, 2008 - He discusses the debate between a person and system approach, noting that high-reliability
organizations
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pptx
June 16, 2016 - Patient Safety, Person-Centered Care, and Healthy Living measures have improved overall, but many disparities … Quality Strategy
Making care safer by reducing harm caused in the delivery of care
Ensuring that each person