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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
January 01, 2005 - Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database
277
Reducing the Use of Short-acting
Nifedipine by Hypertensives Using
a Pharmaceutical Database
Elaine M. Furmaga, Peter A. Glassman,
Francesca E. Cunningham, Chester B. Good
Abstract
Objective: In view of the wi…
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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…
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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.pdf
March 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/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
June 05, 2008 - News Media and Health Care Providers at the Crossroads of Medical Adverse Events
News Media and Health Care Providers at the
Crossroads of Medical Adverse Events
Pamela Whitten, PhD; Mohan J. Dutta, PhD; Serena Carpenter, PhD; Graham D. Bodie
Abstract
In 2005, Indiana Governor Mitch Daniels issued an executi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
March 30, 2008 - Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems
Analysis of Patient Safety: Converting Complex
Pediatric Chemotherapy Ordering Processes
from Paper to Electronic Systems
Donald K. Baker, PharmD; James M. Hoffman, PharmD; Gregory A. Hal…
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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-Nemeth_116.pdf
April 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 …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
February 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/publications/files/obesity-pcpresources.pdf
May 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…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/estimating-costs-primary-care-transformation.pdf
July 31, 2015 - obtained from a
variety of sources, including:
• Qualitative and mixed data collected from clinic representatives
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
November 30, 2013 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1
On-Time
Preventable
Hospital and ED
Visits: Reports AHRQ’s Safety Program for Nursing
Homes: On-Time Preventable Hospital
and ED Visits Training
Slide 1: Introduction to Preventable Hospital
and ED Visits Reports …
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
June 01, 2018 - Chartbook on Care Coordination: Slide Presentation
National Healthcare Quality and Disparities Report
Slide 1
National Healthcare Quality and Disparities Report
Chartbook on Care Coordination
June 2016
Slide 2
National Healthcare Quality and Disparities Report
Annual report to Congress mandat…
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
April 30, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Teamwork and Leadership
Overview
According to the Joint Commission, in 2022, failures in communication, teamwork, a…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
June 01, 2013 - Environmental Scan of Patient Safety Education and Training Programs
Contract Final Report
Environmental Scan of Patient Safety
Education and Training Programs
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, M…
-
www.ahrq.gov/sites/default/files/2024-05/anderson-thomas-report.pdf
January 01, 2024 - Final Progress Report: Simulation to Support Competency-Based Training in Orthopedic Trauma
1. TITLE PAGE
Title of Project: Simulation to Support Competency-Based Training in Orthopedic Trauma
Principal Investigator and Team Members.
Principal Investigators:
Donald D. Anderson, PhD – Professor, Orthopedics & Rehab…
-
www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging
Agency for Healthcare Quality and Research
Research Grant Final Report
December 5, 2024
Watchful Waiting as a Strategy for Reducing Low-valu…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
April 06, 2008 - Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences
Implementing an Ambulatory e-Prescribing System:
Strategies Employed and Lessons Learned to
Minimize Unintended Consequences
Emily B. Devine, PharmD, MBA; Jennifer L. Wilson-Norton, RPh, MBA…
-
www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdf
January 01, 2024 - Final Progress Report: Do Safety Warnings Change Prescribing Among the US Dialysis Population?
Principal Investigator: Thamer, Mae
FINAL REPORT
TITLE PAGE
Title: Do Safety Warnings Change Prescribing among the US Dialysis Population?
Principal Investigator and Team Members: M Thamer, PI, and other team members (…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention | ICU & No…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/mod6-care-for-caregiver-guide.pdf
April 01, 2016 - Purpose: To guide an organization in developing and implementing a Care for the Caregiver program.
Who should use this tool? The Care for the Caregiver Program Lead
How to use this tool: Use this guide as a checklist to ensure the needed elements for implementation of a Care
for the Caregiver program. There are six …