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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/Patey.pdf
    January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) 325 Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) Rona Patey, Rhona Flin, Georgina Fletcher, Nicola Maran, Ronnie Glavin Abstract Safety research in high-reliability industries, such as aviation, has clearly shown that t…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
    March 14, 2008 - Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial Peter M. Layde, MD, MSc; Linda N. Meurer…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
    June 04, 2008 - Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks Donna Engleman, BSN; Suzanne Rich, RN, MA, CT; Tina Powell, BA; Marilyn Flack, M.A. …
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-fairbanks_20.pdf
    February 21, 2008 - Clinical Pharmacists in Emergency Medicine Clinical Pharmacists in Emergency Medicine Rollin J. Fairbanks, MD, MS; Erik A. Rueckmann, MD; Karen E. Kolstee, MPA, RN; Daniel P. Hays, PharmD; Daniel J. Cobaugh, PharmD; Robert L. Wears, MD, MS; Karen H. Dewar, RN; Heather A. Martin, MS, RN; Colleen O. Davis, MD, MPH…
  5. www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf
    January 01, 2024 - Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program Principal Investigator: David J. Taber, PharmD, MS, BCPS Professor Medical University of South Carolina Department of Surgery 96 J…
  6. www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-3.html
    July 01, 2019 - Case Example #3: Fairview Health Services This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD…
  7. www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
    January 01, 2024 - Final Progress Report: Blood Product Transfusion & Safe Practices Blood Product Transfusion & Safe Practices Final Progress Report Principal Investigator: Loreen A. Herwaldt, MD Team Members: Lee Carmen, BS Linda K. Chase, RN, MA, CNAA Comried, Lynn A., BSN, MA Susan K. Dane, BA Deborah Green Charles M. Hel…
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/001-clabsi-prevention-webinar-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention Prevention of Central Line-Associated Bloodstream Infections ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Prevention of CLABSI 1 Educational Objectives Define a central line-…
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
    October 01, 2024 - Optimizing Environmental Cleaning AHRQ Safety Program for MRSA Prevention Optimizing Environmental Cleaning ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Optimizing Environmental Cleaning SAY: Welcome to this presentation on optimizing environmental cleaning and incorporating effective environme…
  10. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 5. Heights Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case 3.…
  11. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
    April 28, 2023 - Hybrid Cardiac Rehabilitationi (HYCR) Tools and Resources Guide AHRO's Initiative To Increase Use of Cardiac Rehabilitation .. = H Agency for Healthcare Research and Quality …
  12. www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2018/NIRSQ.pdf
    January 01, 2018 - National Institute for Research on Safety and Quality (NIRSQ) FY 2018 Budget Justification NIRSQ-1 DEPARTMENT OF HEALTH AND HUMAN SERVICES NATIONAL INSTITUTES OF HEALTH National Institute for Research on Safety and Quality (NIRSQ) FY 2018 Budget Page No. Organization Chart .................................…
  13. Putoolssect7 (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
    February 16, 2011 - Section 7. Tools and Resources 0A: Introductory Executive Summary for Stakeholders 1A: Clinical Staff Attitudes Towards Pressure Ulcer Prevention 1B: Stakeholder Analysis 1C: Leadership Support Assessment 1D: Business Case Form 1E: Resource Needs Assessment 2A: Multidisciplinary Team 2B: Quality Improvement Process 2C…
  14. www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
    August 01, 2024 - Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis PATIENT SAFETY e This page intentionally left blank. e Issue Brief 21 Diagnostic Stewardshi…
  15. www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
    January 01, 2024 - Final Progress Report: Improving Medication Safety Across Clinical Settings FINAL REPORT: November 29, 2007 Improving Medication Safety Across Clinical Settings Principal Investigator: David W. Bates; dbates@…
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report.pdf
    January 01, 2022 - results in this chapter, note that survey scores might change, or not change, over time for a number of reasons … or changes in the types of staff asked to complete the survey make it difficult to understand the reasons
  17. 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
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
    June 01, 2023 - room if feasible) unless bladder drainage is needed for hemodynamic monitoring or procedure-specific reasons
  19. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
    November 01, 2014 - Interviewees indicated that team member selection and composition were barriers for the following reasons
  20. www.ahrq.gov/patient-safety/resources/liability/mincer.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commen…

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