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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors? 53 Do Transient Working Conditions Trigger Medical Errors? Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf, Clay Dunagan, Gary Sorock, Bradley Evanoff Abstract Objective: Organizational factors affecting working conditions for health …
  2. www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
    July 05, 2023 - The PRIDx framework to engage payers in reducing diagnostic errors in healthcare Mini Review Kisha J. Ali*, Christine A. Goeschel, Derek M. DeLia, Leah M. Blackall and Hardeep Singh The PRIDx framework to engage payers in reducing diagnostic errors in healthcare https://doi.org/10.1515/dx-2023-0042 Received April 9…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
    February 08, 2008 - Promoting Best Practice and Safety Through Preprinted Physician Orders Promoting Best Practice and Safety Through Preprinted Physician Orders George Ehringer, MD; Barbara Duffy, RN, LHRM, MPH Abstract Defining how preprinted physician orders are developed within a hospital has the potential to positi…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
    September 01, 2008 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety Brenda K. Zierler, PhD; Ann Wittkowsky, PharmD; Gene Peterson, MD, PhD; Jung-Ah Lee, MN; Courtney Jacobson, BA; Robb Glenny, MD; Fred Wolf, PhD; Lynne Robin…
  5. 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…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
    March 26, 2008 - Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse…
  7. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
    March 01, 2020 - Environmental Scan of Primary Care-Based Efforts To Reduce Readmissions Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Prepared by: Michael Hochman, M.D., M.P.H. 1 Angel Bourgoin, Ph.D.2 Sonali Saluj…
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-fullreport.pdf
    January 01, 2020 - Children With Disabilities Algorithm Children with Disabilities Algorithm Section 1. Basic Measure Information 1.A. Measure Name Children with Disabilities Algorithm (CWDA) 1.B. Measure Number 0144 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measur…
  9. www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Universal ICU Decolonization Toolkit: An Enhanced Protocol HAIs Healthcare- Associated Infections Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov PREVENT Universal ICU Decolonization: An Enhanced Protocol …
  10. www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
    August 01, 2016 - AHRQ Individual Research Career Development (K) Award Program AGENCY FOR HEALTHCARE RESEARCH AND QUALITY INDIVIDUAL RESEARCH CAREER DEVELOPMENT (K) AWARD PROGRAM Evaluation Report Evaluation Report Agency for Healthcare Research and Quality Individual Career Development (K) Award Program Prepa…
  11. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
    September 01, 2015 - Module 15: Preparing and Presenting Performance Data Primary Care Practice Facilitation Curriculum Module 15: Preparing and Presenting Performance Data Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …
  12. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case1.html
    November 01, 2014 - In particular, representatives from all departments affected by a project are included on the project
  13. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
    July 25, 2018 - SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript July 2018 https://www.ahrq.gov/sops/index.html 1 New AHRQ SOPS Health IT Patient Safety Supplemental Items for Hospitals July 25, 2018 – Webcast Transcript Speakers: Joann Sorr…
  14. www.ahrq.gov/workingforquality/events/webinar-using-the-nine-levers-to-achieve-results.html
    November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Using the Nine Levers to Achieve Results August 19, 2014 Download accessible version of slides (PDF, 2.4 MB) National Quality Strategy Webinar: Using the Nine Levers to Achieve Results [Slide 1] Ann Gordon:  Good afternoon everyone. We want to…
  15. www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
    November 01, 2016 - Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health August 6, 2015 Download accessible version of slides (PDF, 1.1 MB) The National Quality Strategy: Best Practices to Improve Community Health. August 6, 2015 [Slide 1] Operator:  Ladies and gentlemen, than…
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
    June 01, 2022 - Understanding SOPS Surveys: A Primer for New Users (Webcast) Transcript Understanding SOPS Surveys: A Primer for New Users February 19, 2020 – Webcast Transcript Speakers: Naomi Yount, Ph.D. Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS), Westat (Moderator) Laura Gra…
  17. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
    January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Module 1 Introduction TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover the introduction to the TeamSTEPPS for Diagnosis Improvement material that you will review with the course par…
  18. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
    January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                                               …
  19. www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2024.xlsx
    January 01, 2024 - Introduction Introduction-Medication or Other Substance The tables in this workbook present data on Medication or Other Substance reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2023. The tables include the relative frequency…
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
    March 01, 2008 - Vascular Access Device (VAD) Policy, Adult Version 3.0 Policy Number IFC035 Effective Date 03/01/2008 The Johns Hopkins Hospital Interdisciplinary Clinical Practice Manual Infection Control Approval Date N/A Page 1of 16Subject Vascular Access Device (VAD) Policy, Adult Supercedes 08/01/2007 Keywords: Vascula…

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