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  1. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool3a.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 3 Continued Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…
  2. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
    June 03, 2021 - Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 PATIENT SAFETY e Issue Brief 5 Leadership To Improve Diagnosis: A Call to Action e Issue Brief 5 Leadership To Improve Diagnosis: A Call to Action Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, …
  3. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
    March 27, 2025 - Healthcare Safety Competencies Affinity Group Environmental Scan Page 1 of 15 Healthcare Safety Competencies Affinity Group Environmental Scan, Resources, and Strategies version 4.7.2025 Table of Contents Background ...............................................................................................…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
    January 24, 2004 - Improving Patient Safety with the Military Electronic Health Record 23 Improving Patient Safety with the Military Electronic Health Record Marie-Jocelyne Charles, Bart J. Harmon, Pamela S. Jordan Abstract The United States Department of Defense (DoD) has transformed health care delivery in its use of infor…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
    July 01, 2003 - Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis 265 Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis John A. Savino, Jane Smeland, Ellen L. Flink, Angelo Ruperto, Amanda Hines, Thomas Sullivan, Kerri Galvin, Donald A. Risucci Abstract Objective:…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
    January 25, 2008 - Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy John R. Clarke, MD; Janet Johnston, MSN, JD; Monica Davis, MSN, MBA; Arthur J. Augustine, BS; Matthew Grissinger, RPh; Michael J. Gaunt, PharmD; …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
    January 01, 2007 - Voluntary Adverse Event Reporting in Rural Hospitals Voluntary Adverse Event Reporting in Rural Hospitals Charles P. Schade, MD, MPH; Patricia Ruddick, MSN, APRN-BC; David R. Lomely, BS; Gail Bellamy, PhD Abstract Since 2004, we have managed a voluntary Web-based medical adverse event (AE) reporting system …
  8. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3.html
    July 01, 2018 - Guide to Patient and Family Engagement Findings Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key Informant I…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
    June 02, 2025 - AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training 1 On-Time Falls Prevention: Reports AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training Slide 1: Introduction to Falls Pr…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-final508.pdf
    April 01, 2018 - The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov The Guide wa…
  11. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
    September 01, 2022 - mortality.9,10 To address concerns about inappropriate antibiotic use and its consequences, the CDC has recommended
  12. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-hp-chartbook.pdf
    January 01, 2023 - In the last 6 months, how often was medication recommended or discussed by a doctor or health provider
  13. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Appendix A. Grantee Profiles Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned Fro…
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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 …
  19. www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/qi-strategies.html
    July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit Quality Improvement Strategies Previous Page   Table of Contents Pediatric Asthma Emergency Department Use Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies This section of the…
  20. 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…

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