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digital.ahrq.gov/sites/default/files/docs/page/2006Estrin_Trk4_051311comp.pdf
March 08, 2006 - Creating an Environment of Consensus –The challenges of implementing a governance structure to run an HIE
Creating an Environment of
Consensus – The challenges
of implementing a
governance structure to run
an HIE
Funding: AHRQ Contract 290-04-0006; State of Tennessee; Vanderbilt University.
This presentation…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
September 01, 2009 - Hospital Survey on Patient Safety Culture: Background and Information for Translators
Agency for Healthcare Research and Quality (AHRQ)
Hospital Survey on Patient Safety Culture
Background and Information for Translators
September 2009
Purpose and Use of This Document
In this document, w…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/involving-patients-families-in-safety-slides.pdf
July 25, 2023 - Involving Patients and Families in Safety: Slide Presentation
The National Action Alliance to Advance Patient
Safety Summer Webinar Series
Involving Patients and Families in Safety
July 25, 2023
2:00-3:00 PM ET
Special Guest Speakers
Sue Sheridan,
MIM, MBA, DHL
Founding Member,
Patients For Patient
Safety U…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued)
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/module-5-slides.pptx
March 01, 2017 - PowerPoint Presentation
Module 5: Resident and Family Engagement
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Modules
AHRQ Pub. No. 16(17)-0003-03-EF
March 2017
Resident and Family Engagement | ‹#›
1
Objectives
Define resident- and family-centered care
Describe the key concepts of res…
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - A Mistaken Dose of Naloxone
Citation Text:
Cutler E, Gunawardena D. A Mistaken Dose of Naloxone . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote …
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 5
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter 3. Description of Metho…
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psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - Harm From Alarm Fatigue
December 1, 2015
Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/harm-alarm-fatigue
Case Objectives
Define alarm fatigue and describe potential errors that can occur due to alarm fatigue.
Identify federal and national agencies focusing on …
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued)
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will …
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/RyyuauSH7K-HPXD6tgx2xu
July 01, 2008 - Screening for Asymptomatic Bacteriuria in Adults: U.S. Preventive Services Task Force Reaffirmation Recommendation Statement
Screening for Asymptomatic Bacteriuria in Adults: U.S. Preventive
Services Task Force Reaffirmation Recommendation Statement
U.S. Preventive Services Task Force*
Description: Reaffirmation of …
-
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/dhhs-2008-issue-brief.pdf
January 01, 2008 - America's Health Literacy: Why We Need Accessible Health Information
MAN SERVICES . U
U S
H
T
O
F
H
E
A
L
T
H
&
NE
America’s Health Literacy:
Why We Need Accessible
Health Information
Health literacy—the ability to obtain, process, and understand basic health
information and se…
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psnet.ahrq.gov/node/33605/psn-pdf
March 12, 2021 - Medication Administration Errors
March 12, 2021
MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/medication-administration-errors
Updated in March 2021. Originally published in January 2018 by researchers at the University of California,
San Fra…
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digital.ahrq.gov/ahrq-funded-projects/meaningful-drug-interaction-alerts
February 28, 2023 - Meaningful Drug Interaction Alerts
Project Final Report ( PDF , 323.31 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this…
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psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - January 22, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/health-share-of-oregon-case-study.pdf
September 01, 2016 - Case Study: Improving Customer Service at Health Share of Oregon
Case Study
1
Improving Customer Service at Health Share of Oregon
Introduction
There are many ways to evaluate the delivery of
customer service in a health plan. Chief among
these strategies is the assessment of enrollees’
experiences with cust…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-anemia_executive.pdf
May 01, 2006 - Layout 1
Background
Anemia (deficiency of red blood cells)
occurs in 13-78 percent of patients
undergoing treatment for solid tumors and
30-40 percent of patients treated for
lymphoma. Tumor type, treatment
regimen, and history of prior cancer
therapy influence the risk and severity of
anemia. For example, among pa…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/blood-clots-hip-knee-surgery_surveillance.pdf
December 01, 2012 - VTE Surveillance Assessment_49_low_SPI
CER # 49:
Comparative effectiveness review of Venous Thromboembolism Prophylaxis in
Orthopedic Surgery
Original release date:
March 2012
Surveillance Report:
December 2012
Key Findings:
• Key questions (KQs) 1-4,7-11 are uptodate …
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-2.pdf
January 01, 2016 - Medical Office SOPS: 2016 User Comparative Database Report, Part II
PATIENT
SAFETY
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
MEDICAL
OFFICE
SURVEY
ON PATIENT
SAFETY
CULTURE
2016 USER COMPARATIVE DATABASE REPORT
Medical Office Survey on Patient Safety Cult…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/kidney-disease-medicine_surveillance.pdf
October 01, 2012 - CER # 37:
Chronic Kidney Disease Stages 1–3: Screening, Monitoring, and
Treatment
Original release date:
January 2012
Surveillance Report:
October 2012
Key Findings:
- The conclusions for KQ2 (harms of screening) and KQ4
(harms of monitoring), KQ6 (harms of treatment) are still
considered valid
- T…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016160-sakuda-final-report-2009.pdf
January 01, 2009 - Title Page
Grant Final Report
Grant ID: UC1HS016160
The Holomua Project: Improving
Transitional Care in Hawaii
Inclusive dates: 09/30/05 - 09/29/09
Principal Investigator:
Christine Mai`i Sakuda, MBA
Team member:
Alice Tse, PhD, APRN
Performing Organization:
Hawaii Prima…