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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
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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/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Antimicrobial Perioperative Prophylaxis: Part 2
Beyond the Basics
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Pro…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors?
53
Do Transient Working Conditions
Trigger Medical Errors?
Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf,
Clay Dunagan, Gary Sorock, Bradley Evanoff
Abstract
Objective: Organizational factors affecting working conditions for health …
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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 …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative
133
Mixed Methods Analysis of Medical
Error Event Reports: A Report from
the ASIPS Collaborative
Daniel M. Harris, John M. Westfall, Douglas H. Fernald,
Christine W. Duclos, David R. West, Linda Niebauer,
Linda Ma…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study
35
Decision Support System Design and
Implementation for Outpatient Prescribing:
The Safety in Prescribing Study
Adrianne C. Feldstein, David H. Smith, Nan R. Robertson,
Christine A. Kovach, Stephen B…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator
395
From Insight to Implementation:
Lessons from a Multi-site Trial of
a PDA-based Warfarin Dose Calculator
Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth,
Debora A. Paterniti, William Dager, …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2024-virtual-research-meeting-summary-prems-proms.pdf
January 01, 2024 - CAHPS 2024 Research Meeting Summary
Consumer Assessment of Healthcare Providers and Systems
(CAHPS®)
2024 Research Meeting Summary
Patient-Reported Experience and Outcome
Measures (PREMs and PROMs) in
Research and Clinical Practice
November 2024
2
Table of Contents
Introduction ......................…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
January 01, 2020 - Medications and Treatments From Other Doctors
Children are at risk for medication errors for various reasons … .29
Children are at risk for medication errors, including those due to polypharmacy, for several reasons
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - difficile infections are often associated with the use of antibiotics prescribed for other reasons
that … • Changes in the number of providers within each type occur for several reasons, including
listing
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www.ahrq.gov/sites/default/files/publications2/files/diagnostic-safety-issue-brief-test-result-communication.pdf
July 01, 2024 - Diagnostic Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act
PATIENT
SAFETY
e
Issue Brief 19
Electronic Test Result Communication
in the Era of the 21st Century Cures Act
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e
Issue Brief 19
Electronic Test Result Communication …
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www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Confidential Physician
Feedback Reports:
Designing for Optimal
Impact on Performance
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
This guide is a practical resource designe…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-fullreport.pdf
January 01, 2019 - Availability of Outpatient Maternal Fetal Medicine and Specialty Care for Women with High-Risk Pregnancies
1
Availability of Outpatient Maternal Fetal Medicine and
Specialty Care for Women with High-Risk Pregnancies
Section 1. Basic Measure Information
1.A. Measure Name
HROB V: Availability of Outpatient Matern…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-fullreport.pdf
January 01, 2020 - Children With Disabilities Algorithm
Children with Disabilities Algorithm
Section 1. Basic Measure Information
1.A. Measure Name
Children with Disabilities Algorithm (CWDA)
1.B. Measure Number
0144
1.C. Measure Description
Please provide a non-technical description of the measure that conveys what it measur…
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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…
-
www.ahrq.gov/sites/default/files/2024-05/gore-report.pdf
January 01, 2024 - Final Progress Report: AUA 2022 Quality Improvement Summit: Opportunities to Improve Care in Urology
American Urological Association’s 2022 Quality Improvement Summit
Opportunities to Improve Palliative Care in Urology
May 15 and 22, 2021 | Virtual Meetings
May 15, 2022 | New Orleans, LA
Team Members.
Faculty
Jo…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 16. Venous Thromboembolism
Venous Thromboembolism 16-1
16. Venous Thromboembolism
Eleanor Fitall, M.P.H., and Kendall K. Hall, M.D., M.S.
Introduction
Background
Venous thromboembolism (VTE) is a disorder that includes deep vein thrombosis (DVT) and pulmonary
embolism (PE). …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/reaching-adolescents-full.pdf
April 01, 2024 - need for services that reach youth who do not have regular encounters to primary care for a
range of reasons
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www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
October 27, 2014 - The reasons for this progress are not fully understood.