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3601. PowerPoint Presentation: Learn From Defects for Sustainability
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
      December 01, 2017 - PowerPoint Presentation: Learn From Defects for Sustainability Sustainability: Learning From Defects AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Sustainability SAY: This module will review some concepts from Learning From Defects Th…

3602. SOPS™ ASC Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-ad.pdf
      February 01, 2019 - SOPS™ ASC Webcast Transcript February 2019 https://www.ahrq.gov/sops/index.html 1 Ambulatory Surgery Center SOPS: What You Need to Know January 10, 2019 – Webcast Transcript Speakers: Joann Sorra, Ph.D. Associate Director and SOPS Project Director User Network for the AHRQ S…

3603. SOPS™ ASC Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-non-ad.pdf
      February 01, 2019 - SOPS™ ASC Webcast Transcript February 2019 https://www.ahrq.gov/sops/index.html 1 Ambulatory Surgery Center SOPS: What You Need to Know January 10, 2019 – Webcast Transcript Speakers: Joann Sorra, Ph.D. Associate Director and SOPS Project Director User Network for the AHRQ S…

3604. 4. Overlap and Coordination of Federal Agency Research Portfolios in HSR and PCR | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
      June 01, 2020 - 4. Overlap and Coordination of Federal Agency Research Portfolios in HSR and PCR Health Services and Primary Care Research Study: Comprehensive Report The previous chapter described the breadth, scope, and focus of the HSR and PCR portfolios of different federal agencies. That discussion indicated that agenci…

3605. Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/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 Commentary Reforming t…

3606. Cost Effectiveness of a Multifaceted Program for Safe Patient Handling (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
      January 10, 2005 - Cost Effectiveness of a Multifaceted Program for Safe Patient Handling 347 Cost Effectiveness of a Multifaceted Program for Safe Patient Handling Kris Siddharthan, Audrey Nelson, Hope Tiesman, FangFei Chen Abstract Objective: The Patient Safety Center in the Veterans Health Administration (VHA) introduced …

3607. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
      September 01, 2005 - Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative 105 Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative David R. West, John M. Westfall, Rodrigo Araya-G…

3608. Identifying Barriers to the Success of a Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
      March 01, 2004 - Identifying Barriers to the Success of a Reporting System 167 Identifying Barriers to the Success of a Reporting System Michelle L. Harper, Robert L. Helmreich Abstract Spurred by a controversial report from the Institute of Medicine on the prevalence of medical error, To Err Is Human, the medical profe…

3609. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
      January 01, 2004 - Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology 323 Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology Jiajie Zhang, Vimla L. Patel, Todd R. Johnson, Philip Chung, James P. Turley Abstract Human errors in med…

3610. Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
      April 14, 2004 - Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies 453 Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies Deborah G. Graham, Wilson Pace, Jennifer Kappus, Sherry Holcomb, James M. Galliher, Christine W. Duclos, Aaron J. B…

3611. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
      January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned 415 On-line Patient Safety Climate Survey: Tool Development and Lessons Learned Lynne M. Connelly, Judy L. Powers Abstract Objective: A key tenet of patient safety programs is the elimination of the “culture of blame.” The On-line P…

3612. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
      April 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety 269 The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski, Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell…

3613. The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
      March 03, 2008 - The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems Gregg S. Meyer, MD, MSc; David F. Torchiana, MD; Deborah Colton; James Mountford, MB, BCh; Elizabeth Mort, MD; Sarah Lenz; Nancy Gagliano, MD; Elizabet…

3614. Final Progress Report: Society for Pediatric Sedation Consensus Meeting: Great Expectations— Defining Quality in Pediatric Sedation (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/connors-report.pdf
      January 01, 2025 - the same time as national standards for patient assessment were developed, sedation monitoring and recommended

3615. Final Progress Report: Health Journalism 2010, national conference on healthcare journalism (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/bruzzese2-report.pdf
      January 01, 2024 - Health Policy for Journalists Reporting on Health Barbara Feder Ostrov More tobacco control efforts recommended

3616. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
      January 01, 2024 - We were able to achieve the suggested grounded theory study sample size (e.g., Morse, 1994, who recommended

3617. Appendix B. Detailed Research Domain Framework Definitions and Classification Rules | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
      June 01, 2020 - include timely provision of preventive services, accurate diagnosis of health conditions, provision of recommended

3618. 5. Improving Data Collection across the Health Care System | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5.html
      May 01, 2018 - First, all acute care hospitals are required to collect these data, and a recommended data collection

3619. Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
      April 19, 2008 - Learning manual skills in anesthesiology: Is there a recommended number of cases for anesthetic procedures

3620. Minding the Gaps: Creating Resilience in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
      April 27, 2008 - Those patients received only 55 percent of recommended steps for top-quality care among 439 measures