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www.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
April 01, 2022 - Engineering High Reliability Learning Lab (EHRLL)
Principal Investigator: Sara Singer, Ph.D., Harvard University, Cambridge, MA
AHRQ Grant No.: HS24453
Project Period: 09/30/15–09/29/21
Description: The goal of this learning lab was to enhance capacity for innovation and develop highly reliable system…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hsops1-database-report-part-I.pdf
March 01, 2021 - (Item A8*) 55% 8.32% 32% 45% 49% 55% 60% 65% 95%
When an event is reported, it feels like the person … (Item A8*) 56% 55% 1% 14% -21% 5% -5%
When an event is reported, it feels like the person is being
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www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
January 01, 2024 - Elderly persons aged 65 years or older are usually
covered by Medicare. … through Part B.42,43 Part A coverage for Medicare beneficiaries is automatic for eligible elderly
persons … In 2010, Medicare provided coverage for 39 million elderly persons aged 65 years or older.44,45 About … A fall is a major event in the life of an older person. … The anticholinergic risk scale and anticholinergic adverse effects
in older persons.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
March 01, 2020 - Prevention of hospital-acquired adverse drug
reactions in older people using screening tool of older persons … Long-term outcomes of medication intervention using
the screening tool of older persons potentially … Japanese
patients: effects of pharmacists' assessment and intervention based on Screening Tool of Older
Persons … Japanese
patients: effects of pharmacists' assessment and intervention based on Screening Tool of Older
Persons
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
March 01, 2016 - Exclusion Errors
The fact that with exclusion errors the patient is
not in the report means that the person
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
June 30, 2025 - Hospitals received in-person training on the intervention. … Minneapolis,
Minnesota
R13 HS16371
[Grant]
Using Clinical
Guidelines to Improve
the Care of Older
Persons … restricted activity were strongly
associated with development of a new functional impairment in older persons
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www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.pdf
March 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale - Executive Summary
Executive Summary
Spreading Lean: Taking Efficiency
Interventions in Health Services Delivery to
Scale
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide-brochure.pdf
March 01, 2016 - Resources for Advanced Practices
Resources
for Advanced
Practices
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
Introduction ......................................................................1
Shared Decisionmaking .................…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
The Science of Safety:
Principles in Practice
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
The Science of Safety: Principles in Practice
SAY:
Welcome to this presentation on the topic of “The Science of Safety: Principles in Practice.”
As you consider esta…
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www.ahrq.gov/sites/default/files/2024-12/reeves-report.pdf
January 01, 2024 - Final Progress Report: Developing a Rational Clinical Approach to the Disposition of TIA Cases in the ED
1
1. TITLE PAGE
April 10th, 2012
Final Report Grant No: 1R03HS017740-01
Project Period: 07/01/2009 – 06/30/2010 (with 1-year no cost extension)
Title: Developing a Rational Clinical Approach to the Dispositio…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter3.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 3. Care Coordination Measurement Framework
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapter …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
The Science of Safety:
Principles in Practice
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
The Science of Safety: Principles in Practice
SAY:
Welcome to this prese…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/nh/nursing-home-family-span-1652b.pdf
September 01, 2011 - CAHPS Nursing Home Survey: Family Member Instrument - Spanish
CAHPS® Nursing Home Survey
Version: Family Member Survey
Language: Spanish
Response Scale: 4 points
For assistance with this survey, please contact the CAHPS Help Line at 800-492-9261 or
cahps1@westat.com.
File name: nursing-home-family-span-16…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
January 01, 2002 - Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense
425
Systemwide Deployment of Medical
Team Training: Lessons Learned
in the Department of Defense
Heidi B. King, Beth Kohsin, Mary Salisbury
Abstract
Advancing to a culture of safety requires a systems change. Teamw…
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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-Simmons_66.pdf
April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System
26,000 Close Call Reports: Lessons from the
University of Texas Close Call Reporting System
Debora Simmons, RN, MSN, CCRN, CCNS; JoAnn Mick, PhD, RN, MBA, AOCN, CNAA,
BC; Krisanne Graves, RN, BSN, CPHQ; Sharon K. Martin, ME…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians
353
Physician Event Reporting: Training
the Next Generation of Physicians
Quang-Tuyen Nguyen, Joanna Weinberg, Lee H. Hilborne
Abstract
Physician reporting of adverse events and unsafe situations remains extremely
low, despite the increa…
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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-Stock_72.pdf
January 01, 2007 - The PeaceHealth Ambulatory Medication Safety Culture Survey
The PeaceHealth Ambulatory Medication
Safety Culture Survey
Ronald Stock, MD; Eldon R. Mahoney, PhD
Abstract
Objective: The objective of this project was to construct a measure of medication safety culture
in ambulatory settings. Methods: A 16-it…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-7.pdf
January 01, 2023 - multidimensional and essential to preventing adverse events,
ensuring efficiency, and making care person … requires well-defined multidisciplinary teamwork based on the principle that
all who interact with a person
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www.ahrq.gov/sites/default/files/2024-07/robins-report.pdf
January 01, 2024 - study physician
were screened to generate a list of eligible individuals whom we could approach in person
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
January 01, 2011 - the changes that the team
is testing, all the Plan-Do-Study-Act (PDSA)
cycles for each change, the person … understand the importance of
collecting accurate data on race, ethnicity, and
primary language of persons