-
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 …
-
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…
-
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…
-
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…
-
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/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…
-
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…
-
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…
-
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
…
-
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…
-
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
…
-
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
-
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…
-
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…
-
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…
-
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…
-
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…
-
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
…
-
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…
-
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…