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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
    January 01, 2003 - Reason JT. Human error. New York: Cambridge University Press; 1990. 41. Hatch D.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
    January 29, 2008 - For this reason, it can be said that consequences motivate behavior,17 since we tend to act in response
  3. www.ahrq.gov/sites/default/files/2024-11/kizer-report.pdf
    January 01, 2024 - The primary reason to improve care should not be for payment.
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
    April 01, 2025 - The most common reason for non-adherence: inappropriate vancomycin use.
  5. www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
    January 01, 2024 - For this reason, an important aspect of the current proposal is to assess short-term costs associated … For this reason, we are planning more analyses that will evaluate occurrence of errors of commission
  6. www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/interim-pcortf-snac-report.pdf
    October 01, 2022 - For this reason, many views that were expressed across the four meetings in connection with various … For this reason, many views that were expressed across the four meetings are summarized by theme in
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
    December 01, 2013 - ■ Usually begins suddenly and for no clear reason. ■ Difficult to comfort. … – Information card with details on brand, size, and length of tube; catheter insertion depth; reason
  8. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
    December 01, 2013 - ■ Usually begins suddenly and for no clear reason. ■ Diffcult to comfort. … – Information card with details on brand, size, and length of tube; catheter insertion depth; reason
  9. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/Case_Study_Specialty_Practice_Updated.pdf
    October 01, 2011 - Improving Customer Service and Access in a Surgical Practice WORKING P A P E R Improving Customer Service and Access in a Surgical Practice A Case Study of a Successful Quality Improvement Intervention Denise D. Quigley, Shelley H. Wiseman, and Donna O. Farley WR-848-AHRQ August 2011 Prepared for th…
  10. www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
    January 01, 2024 - using the “Networks” functions in the software to identify co- occurring codes (e.g., factor coded with reason
  11. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
    February 04, 2022 - , Cosby, et al., 2019 TeamSTEPPS® for Diagnosis Improvement 29 and evaluating beliefs based on reason
  12. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Medical-Office-Users-Guide-2021.pdf
    January 01, 2021 - AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide USER’S GUIDE MEDICAL OFFICE SURVEY ON PATIENT SAFETY CULTURE PATIENT SAFETY AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human …
  13. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-081-fullreport.pdf
    April 01, 2019 - CHIPRA 81: Pediatric Global Health-7 Measure Report 1 Pediatric Global Health-7 Measure Section 1. Basic Measure Information 1.A. Measure Name Pediatric Global Health-7 (PGH-7) Measure 1.B. Measure Number 0081 1.C. Measure Description Please provide a non-technical description of the measure that convey…
  14. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-27-ehr-and-pcmh.pdf
    January 15, 2025 - Primary Care Practice Facilitation Curriculum Module 27: Helping Practices Optimize EHRs for Patient-Centered Medical Home Transformation and Quality Improvement Primary Care Practice Facilitation Curriculum Module 27: Helping Practices Optimize EHRs for Patient-Centered Medical Home Transformation and Qu…
  15. www.ahrq.gov/research/shuttered/acfselection/chapter4.html
    July 01, 2018 - Disaster Alternate Care Facilities: Report and Interactive Tools Chapter 4. Results Previous Page Next Page Table of Contents Disaster Alternate Care Facilities: Report and Interactive Tools Executive Summary Chapter 1. Objectives Chapter 2. Background Chapter 3. Methods Chapter 4. Results…
  16. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
    March 01, 2020 - Change in workflow was suspected to be the reason for the increase.
  17. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
    October 01, 2017 - Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed Training Guide Module Aim The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training. Module Goals The goals of this introductory module are to identify the overall objectives…
  18. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
    October 01, 2017 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices Training Guide Module Aim The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices. Module Goals The goals of Module 5 are to have the Implementation T…
  19. 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 …
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
    October 01, 2014 - Module 1: Detecting Change in a Resident's Condition Session 2 Previous Page Next Page Table of Contents Module 1: Detecting Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources Changes That Matte…

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