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www.ahrq.gov/sites/default/files/2025-04/elder-report.pdf
January 01, 2025 - Final Progress Report: Patient Safety and the Primary Care Testing Process
Final Report
1. Title page
Patient Safety and the Primary Care Testing Process
PI: Nancy C. Elder, MD, MSPH
Department of Family and Community Medicine
University of Cincinnati
PO Box 670582
3235 Eden Ave, 142 HPB
Cincinnati, OH 45267…
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www.ahrq.gov/patient-safety/reports/liability/pichert.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Ref…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
March 01, 2020 - agents.4 The review’s key findings
are located in the box to the right.
16.1.2 Methods
To answer the question
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1
On-Time
Preventable Hospital
and ED Visits:
Implementation
On-Time Preventable Hospital and ED Visits
Self-Assessment Scripted Exercise
Team consists of:
Facilitator [Tom]
Program Champion (Quality Assessment and…
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www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
January 01, 2024 - Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology
Improving Medication Management Practices and
Care Transitions through Technology
Penny H. Feldman, Ph.D. – Principal Investigator
Liliana E. Pezzin, Ph.D. – Co-Investigator
Timothy R. Peng, Ph.D. – Co-Inv…
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www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
January 01, 2024 - Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly
Title:
Proactive Risk Assessment of Primary Care of the Elderly
Principal Investigator and Team Members:
Ben-Tzion Karsh, PhD (PI)
Brian Arndt, MD
John Beasley, MD
Vicki Bier, PhD
Roger Brown, PhD
Pascale Carayon, PhD
Sue Dovey, P…
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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 - Slide 1
CAUTI Sustainability:
Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles
1
Diane Byrum, RN, MSN, CCRN, CCNS, FCCM
Manager, Quality Implementation Programs
Society of Critical Care Medicine
William S. Miles, MD, FACS, FCCM, FAPWCA
Director of Surgical Critical Care and the …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/NH-WPS-Pilot-Study-Overall-Results-2023.pdf
January 01, 2023 - In addition,
each survey item has some missing data from respondents who simply did not answer the
question
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - This led some interviewees to question the motivations of leadership.
Other projects.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-145-fullreport.pdf
July 01, 2016 - A question arose regarding the inclusion of psychiatric codes in the E&M code list specified in
the
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www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
May 01, 2016 - new system improved on the previous system,
two-thirds of respondents were unsure or indicated the question
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www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - be said about
PDSA in the next section.
10
Data to Information
Measurement usually begins with a question
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - new system improved on the previous system,
two-thirds of respondents were unsure or indicated the question
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-MOSOPS-Database-Report-Part-II-508.pdf
January 01, 2022 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report Part II
Surveys on Patient Safety CultureTM (SOPS®)
Medical Office Survey:
2022 User Database Report
Part II: Appendix A – Results by Medical Office
Characteristics
Appendix B – Results by Respondent Characteristics
Pre…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-appendix.pdf
January 01, 2024 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part II
Surveys on Patient Safety Culture® (SOPS®)
Medical Office Survey:
2024 User Database Report
Part II: Appendix A – Results by Medical Office Characteristics
Appendix B – Results by Respondent Characteristics
Prepa…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-5.pdf
February 02, 2012 - DOI: 10.1542/peds.2011-2654
; originally published online October 16, 2011; 2011;128;1007Pediatrics
Quality Improvement and Management
Subcommittee on Attention-Deficit/Hyperactivity Disorder, Steering Committee on
of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents
ADHD: Clinical Practice Guideli…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-5.pdf
February 02, 2012 - ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of ADHD in Children and Adolescents
ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment
of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents
Subcommittee on Attention-Deficit/Hy…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
December 01, 2013 - Transitioning Newborns from NICU to Home: Family Information Packet
13
Transitioning Newborns
from NICU to Home
Family Information Packet
Your Health Coach has prepared this information packet for your family to help explain the medical
needs of your newborn as you prep…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
December 01, 2013 - Transitioning Newborns from NICU to Home: Family Information Packet
13
Transitioning Newborns
from NICU to Home
Family Information Packet
Your Health Coach has prepared this information packet for your family to help explain the medical
needs of your newborn as you prepare to leave the hospital. A Health Coach h…