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3921. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
      February 01, 2015 - Health Care Simulation to Advance Safety: AHRQ Issue Brief Foreword Simulation has long been recognized for the integral role it plays in high- risk industries. Our aerospace, transportation, and power-generation industries have become steadily safer over the years with the aid of simulation. As the Ebola virus di…

3922. Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program (pdf file)
      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…

3923. 053-Dec-Guide-Readiness (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/053-dec-guide-readiness.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Decolonization Decision-Making and Readiness for Implementation ICU & Non-ICU For more in-depth information on the implementation of decolonization, please refer to the presentation “Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization,” available on t…

3924. Mod5-Comm-Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
      April 01, 2016 - Purpose: To help you identify members of your organization who are effective at delivering disclosure communications. Who should use this tool? Communication and Optimal Resolution (CANDOR) Implementation Team, Disclosure Lead(s), Disclosure Communicators. How to use this tool: Use the Communication Assessment Guid…

3925. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication-references.html
      July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act References Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. Da…

3926. Final Progress Report: Putting a Face on Hospital Medical Errors: Communication (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
      January 01, 2024 - Final Progress Report: Putting a Face on Hospital Medical Errors: Communication FINAL REPORT Putting a Face on Hospital Medical Errors: Communication Project funded by: Agency for Healthcare Research and Quality Grant No. 1R03HS016122-01 September 29, 2005-September 30, 2006 Federal Project Officer: Elizabeth D…

3927. Presentation: Engaging Senior Executives
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
      December 01, 2017 - Presentation: Engaging Senior Executives Engaging Senior Executives AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 SAY: In this module we will discuss the importance of senior engagement on your safety program team. 1 Why Do We Need an Executive? We discussed our PSSA data …

3928. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
      May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes Slide 1: Patient and Family Engagement in the Surgical Environment Module Say: The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Pati…

3929. Archived Announcements About CAHPS Surveys | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/news-and-events/news/archive/index.html
      June 01, 2024 - Archived Announcements About CAHPS Surveys AHRQ Post Webcast Materials for "Learning from Patient Narratives Through Innovative Feedback Reporting Methods" (May 2023) This webcast provided an overview of AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS®) surveys and patient narratives and d…

3930. Appendix V. JAMIA Draft Manuscript | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiapv.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix V. JAMIA Draft Manuscript Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administ…

3931. 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 …

3932. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/crane.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commenta…

3933. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Error Disclosure Training and Organizational Culture Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability System in M…

3934. Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
      January 01, 2003 - Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting 173 Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting Andrew C. Seger, Tejal K. Gandhi, Carol Hope, J. Marc Overhage, Michael D. Murray, David Weber, Julie Fiskio, Evgenia Teal,…

3935. A Conceptual Model for Disclosure of Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
      January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors 483 A Conceptual Model for Disclosure of Medical Errors Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus, Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger Abstract Objective: Patient safety is fundamental to high-quality patient…

3936. Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
      April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD; Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD Abstrac…

3937. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
      April 04, 2008 - A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care Ranjit Singh, MA, MB, BChir (Cantab.), MBA; Wilson Pace, MD; Ashok Singh, MA, MB, BChir (Cantab); Chester Fox, MD; Gurdev Singh, MSc…

3938. Measuring Safety Climate in Primary Care Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-SinghG_67.pdf
      April 14, 2008 - Measuring Safety Climate in Primary Care Offices Measuring Safety Climate in Primary Care Offices Gurdev Singh, MscEng, PhD; Ranjit Singh, MA, MB, BChir (Cantab), MBA; Eric J. Thomas, MD, MPH; Reva Fish, PhD; Renee Kee, MS; Elizabeth McLean-Plunkett, MA; Angela Wisniewski, Pharm D; Saburo Okazaki, MD; Diana Anders…

3939. Patient Monitors in Critical Care: Lessons for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
      January 01, 2003 - Patient Monitors in Critical Care: Lessons for Improvement Patient Monitors in Critical Care: Lessons for Improvement Frank A. Drews, PhD Abstract Unexpected incidents are common in intensive care medicine. One means of detecting, diagnosing, and treating these events is use of physiologic displays that sho…

3940. Final Progress Report: A National Report of Nursing Home Quality Measures and Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
      January 01, 2024 - Final Progress Report: A National Report of Nursing Home Quality Measures and Information Technology 1 Project Title: A National Report of Nursing Home Quality Measures and Information Technology Principal Investigator Gregory L. Alexander, PhD, RN, FAAN Professor University of Missouri Sinclair School of N…