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Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdfNovember 29, 2004 - Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care 369 Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush Abstract Objectives: Diabetes-related medic… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdfDecember 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…
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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.pdfApril 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… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdfApril 27, 2008 - Minding the Gaps: Creating Resilience in Health Care Minding the Gaps: Creating Resilience in Health Care Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD; Richard Cook, MD Abstract Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdfFebruary 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive Care Unit Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD Abstract Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas where errors occur frequently is t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdfMarch 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs VHA’s National Falls Collaborative and Prevention Programs Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN; Julia Neily, MS, MPH; James P. Bagian, MD, PE Abstract Falls are a high-volume, high-cost problem in he…
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www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdfJanuary 01, 2024 - Final Progress Report: Improved Patient Safety with Information Technology Final Progress Report Title of Project: Improved Patient Safety with Information Technology Principal Investigator: J. Marc Overhage, MD, PhD Team Members: Irmina Gradus-Pizlo, MD Chris Steinmetz, MD Karen Wolf, MD JingJin Li, PhD…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.htmlAugust 01, 2022 - Event Investigation and Analysis Guide: Appendix C Visual Model The model above is one major output from the in-depth review findings. This format helps to utilize the information found in the investigation to understand why the event occurred. The boxes represent different categories of contributing factor…
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www.ahrq.gov/news/blog/ahrqviews/hospice-care-ensure-quality.htmlDecember 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders For Hospice Care, a Pressing Need to Ensure Quality for Patients and Families DEC 20 2022 By Members of AHRQ’s National Advisory Council: Krista Hughes, B.C.P.A., and Andrew D. Auerbach, M.D., M.P.H. Krista Hughes, B.C.P.A. …
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www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdfMay 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Integrating Primary Care Practices and Community-based Resources to Manage Obesity A Bridge-building Toolkit for Rural Primary Care Practices Prepared for Agency for Healthcare Research and Quality 540 Gaither Road Rockv…
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www.ahrq.gov/data/infographics/insurance-premiums-infographic.htmlJuly 01, 2019 - Average private-sector employer-sponsored health insurance premiums, 2018 Average private-sector employer-sponsored health insurance premiums, 2018 (PDF, 55.2 KB) Text Description: In 2018, average health insurance premiums were $6,715 for single coverage, $13,425 for employee-plus-one coverage, and $19,5…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdfJanuary 01, 2002 - The pump model used in the study (Figure 2) is commercially available, representative of current technology
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www.ahrq.gov/hai/tools/mvp/modules/cusp/forming-cusp-team-slides.htmlFebruary 01, 2017 - Forming a Comprehensive Unit-based Safety Program Team: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Forming a Comprehensive Unit-based Safety Program Team Slide 2: Learning Objectives After this session…
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Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdfOctober 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Paul Hougland, MD; Jonathan Nebeker, MS, MD; Steve Pickard, MBA; Mark Van Tuinen, PhD; Carol Masheter, PhD; Su… -
www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapf.htmlMay 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement F. Granular Ethnicities with No Determinate OMB Race Classification Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Re…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/addressing-emerging-needs-09132023-edgeman-levitan.pdfOctober 01, 2023 - AHRQ CAHPS Program: Addressing Emergining Needs for Patient Experience Measurement & Improvement webcast-EDGEMAN-LEVITAN Responding to Current Needs and Using the Surveys to Improve Patient Experience Susan Edgman-Levitan, PA MGH Stoeckle Center for Primary Care Innovation Massachusetts General Hospital/Yale CA…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-p.htmlMay 01, 2017 - Appendix P. Evaluating and Selecting Hand Hygiene Products - Implementation Guide Slide 1: Appendix P. Evaluating and Selecting Hand Hygiene Products Timothy Landers, Ph.D., R.N., CNP, CIC Assistant Professor, The Ohio State University College of Nursing Slide 2: Disclosures Dr. Landers receives sala…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3tab3-6.htmlMay 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Table 3-6. Examples of Instructions, Phrasing, and Terminology to Capture Race and Ethnicity Data Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Qual…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdfJanuary 01, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to convene a cross agency working …
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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.pdfApril 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…
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