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Total Results: 7,192 records

Showing results for "practice".

6641. Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
      January 01, 2024 - implications and without formal evaluation of the ‘hidden’ system-based risks associated with this practice

6642. The Role of Patient Safety in the Device Purchasing Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
      January 01, 2004 - the means by which they addressed safety issues that may have surfaced after the pumps were put into practice

6643. TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
      June 02, 2025 - TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane Slide 1 TeamSTEPPS® for Diagnosis Improvement The Diagnostic Journey of Mr. Kane Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diag…

6644. Journey of Mr. Kane
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
      June 02, 2025 - Journey of Mr. Kane The Diagnostic Journey of Mr. Kane TeamSTEPPS® for Diagnosis Improvement Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…

6645. Patient and Family Engagement | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
      September 01, 2013 - Patient and Family Engagement Facilitator Notes The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed at improving patient safety. …

6646. Understand the Science of Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
      July 01, 2018 - Understand the Science of Safety Facilitator Notes The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will pr…

6647. Facilitator Guide: Tools for Sustainability: Premortem and Scorecard (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
      January 01, 2017 - Facilitator Guide: Tools for Sustainability: Premortem and Scorecard Slide Title and Commentary Slide Number and Slide Tools for Sustainability: Premortem and Scorecard SAY: This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, this module is designed to…

6648. Final Progress Report: Building the Evidence Base for Vomit Clean-Up Procedures in Long-Term Care Facilities (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/fraser-report.pdf
      January 01, 2024 - Final Progress Report: Building the Evidence Base for Vomit Clean-Up Procedures in Long-Term Care Facilities PROJECT TITLE: Building the Evidence Base for Vomit Clean-Up Procedures in Long-term Care Facilities PRINCIPAL INVESTIGATOR AND TEAM MEMBERS: Angela M. Fraser, Ph.D. (PI)1 Xiuping Jiang, Ph.D.1 (coPI) Jan…

6649. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/hacrate2013.html
      January 01, 2018 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Next Page Table of Contents 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix References Summary …

6650. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
      January 01, 2016 - AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 June 2018 AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016 Summary New patient safety data for 2014 through 2016 continue to show a do…

6651. Final Progress Report: ESDP in Community Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
      January 01, 2024 - Some limitations to their use in practice exist due to exclusion in their development of certain types

6652. Final Progress Report: Encoding and Processing Patient Allergy Information in EHRs (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
      January 01, 2024 - Adverse events from medications are part of clinical practice, but the ability to identify a patient's

6653. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
      December 01, 2017 - Instead of relying on first-order problem solving, practice second-order problem solving.

6654. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
      April 04, 2008 - and Quality (AHRQ) and revised by the University of California-Stanford University Evidence-based Practice

6655. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
      April 07, 2008 - Results of the Harvard Medical Practice Study I. N Engl J Med 1991; 324: 370-376. 17.

6656. Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
      January 01, 2024 - Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi FINAL PROGRESS REPORT Title of Project: Addressing Preventable Medication Use Variance in Mississippi Principal Investigator: Brown, CA, MD, MPH Team Members: William Rudman, PhD, Calvin Hewitt, MBA, Honey Holman, MD, Kent Kirchn…

6657. Presentation: Science of Improving Patient Safety and Identifying Defects
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
      December 01, 2017 - Presentation: Science of Improving Patient Safety and Identifying Defects The Science of Improving Patient Safety and Identifying Defects AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 Science of Improving Patient Safety ‹#› AHRQ Safety Program for Surgery – …

6658. Módulo 5: Participación de los residentes y familiares
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/rf-engagement-slides-spanish.pptx
      June 02, 2025 - Módulo 5: Participación de los residentes y familiares Módulo 5: Participación de los residentes y familiares Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI Kit de herramientas de seguridad para cuidados a largo plazo AHRQ Pub. No. 16(17)-0003-03-EF Marzo de 2017 Participación de los reside…

6659. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/next-steps.html
      December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…

6660. Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
      January 01, 2025 - Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED A. Title Page Project Title: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED Principal Investigator Information: PRASHANT MAHAJAN, MBA, MD, MPH …