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5301. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
      April 20, 2004 - Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation 437 Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation Mary V. Wideman, Michael E. Whittler, Timothy M. Anderson Abstract An electronic barcode medication administration sy…

5302. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
      January 01, 2004 - Observing Nurse Interaction with Infusion Pump Technologies 349 Observing Nurse Interaction with Infusion Pump Technologies Pascale Carayon, Tosha B. Wetterneck, Ann Schoofs Hundt, Mustafa Ozkaynak, Prashant Ram, Joshua DeSilvey, Brian Hicks, Tanita L. Robert, Myra Enloe, Rupa Sheth, Sade Sobande Abstract…

5303. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
      April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…

5304. Compendium of U.S. Health Systems, 2016, Hospital Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp_linkage_file_tech_doc.pdf
      October 01, 2018 - Compendium of U.S. Health Systems, 2016, Hospital Linkage File, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Hospital Linkage File, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Department of …

5305. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/neumiller.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …

5306. Puh-Electronic-Reports (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-electronic-reports.pdf
      February 10, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Electronic Reports On-Time Existing Pressure Ulcers Report Table 1: Sample On-Time Existing Pressure Ulcers Report On-Time Existing Pressure Ulcers Report Unit: A Date: 02/10/14 Resident Name (last, first) Room Number Days …

5307. Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
      January 01, 2024 - Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids in Primary Care Final Progress Report Reducing Adverse Drug Events from Anticoagulants, Diabetes Agents and Opioids in Primary Care Principal Investigator: Andrea M. Wessell, PharmD Team Members: Steven M. Orns…

5308. Final Progress Report: Validation of an Innovative Approach to Error Reduction (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
      January 01, 2024 - Final Progress Report: Validation of an Innovative Approach to Error Reduction Final Progress Report Validation of an Innovative Approach To Error Reduction Principal Investigator: David Blumenthal, MD, MPP Team Members: Carlos A. Camargo, Jr., MD, DrPH (Massachusetts General Hospital) Paul D. Cleary, PhD (Yale…

5309. Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
      January 01, 2025 - Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience 28 November 2009 Title of Project Creating Safe Ambulatory Care: The Path to Resilience Principal Investigator Christopher Nemeth, PhD Team Members James Walter, MD Robert Wears, MD, MS Richard Cook, MD Organization The University of Ch…

5310. Section 4: Ways To Approach the Quality Improvement Process (Page 1 of 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
      January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 1 of 2) Contents On Page 1 of 2: 4.A. Focusing on Microsystems 4.B. Understanding and Implementing the Improvement Cycle On Page 2 of 2: 4.C. An Overview of Improvement Models 4.D. Tools To Enhance Quality Improvement Initiatives Re…

5311. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
      March 27, 2008 - The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures 1 The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures Lawrence L. Faltz, MD, FACP; John N. Morley, MD, FACP…

5312. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/planningtool_0.pdf
      January 01, 2016 - Action Planning Tool for the AHRQ Surveys on Patient Safety Culture Action Planning Tool for the AHRQ Surveys on Patient Safety Culture PATIENT SAFETY Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov The authors of this guide are responsible for its content. State…

5313. Final Progress Report: Improving Quality With Outpatient Decision Support (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/bates2-report.pdf
      January 01, 2024 - Final Progress Report: Improving Quality With Outpatient Decision Support Title: Improving Quality With Outpatient Decision Support Principal Investigator: David W. Bates, MD Organization: Brigham and Women's Hospital, Boston, Massachusetts Federal Project Officer: Stanley Edinger Grant Number: 5 U18 HS011046 Grant S…

5314. Final Progress Report: Rural Healthcare Quality Network (RHQN) – AHRQ Grant Pre-Intervention Study Results (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/huck-report.pdf
      January 01, 2024 - Final Progress Report: Rural Healthcare Quality Network (RHQN) – AHRQ Grant Pre-Intervention Study Results Rural Healthcare Quality Network (RHQN) – Agency for Healthcare Research and Quality Grant FINAL REPORT BACKGROUND Purpose of the Study The purpose of the study was to examine clinician’s attitudes and p…

5315. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb2.html
      January 01, 2020 - Preventing Hospital-Associated Venous Thromboembolism Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement C…

5316. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/156-what-are-4es.pptx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention What Are the 4 Es? ICU/Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU What Are The Four Es 1 Educational Objectives Define the 4 Es framework—Engage, Educate, Execute, Evaluate—and ex…

5317. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
      January 01, 2020 - Preventing Hospital-Associated Venous Thromboembolism Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement C…

5318. Central Venous Catheter Insertion Bundle Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
      April 01, 2022 - Central Venous Catheter Insertion Bundle Facilitator Notes CLABSI Module: Central Venous Catheter Insertion Facilitator Guide Slide Number and Image This module, titled Central Venous Catheter Insertion, is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Units (ICUs) t…

5319. Building Your SSI Prevention Bundle: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
      December 01, 2017 - Building Your SSI Prevention Bundle: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Building Your SSI Prevention Bundle Say: In this module, you’ll learn about using building a local bundle to reduce surgical site infections. Slide 2: Learning Objectives Say: After reviewing this mod…

5320. Facilitator Guide: Building Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
      December 01, 2017 - Facilitator Guide: Building Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Building Your Surgical Site Infection Prevention Bundle SAY: In this module, you’ll learn about using building a local bundle to reduce surgical site infections. Slide 1 Learning Objectives SA…