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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Learning From Defects Through Sensemaking: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Learning From Defects Through Sensemaking
Say:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 2: Learning Objectives
Say:
At the end of this module, you w…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Facilitator Guide: Learning From Defects Through Sensemaking
Slide Title and Commentary
Slide Number and Slide
Learning From Defects Through Sensemaking
SAY:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 1
Learning Objectives
SAY:
At the end of this module, you will …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc1.pdf
September 01, 2014 - Supplemental Document No. 1
The findings and conclusions in this document are those of the author(s), who are responsible for its
content, and do not necessarily represent the views of AHRQ and the Centers for Medicare &
Medicaid Services (CMS). No statement in this report should be construed as an official positio…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Improving Communication and Teamwork in the Surgical Environment Module
Facilitator Notes
SAY:
The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communication. This module is meant to augment the exist…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5a.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
5. Improving Data Collection Across the Health Care System (continued)
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
…
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www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
November 01, 2016 - Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities
July 21, 2016
Download accessible version of slides (PDF, 1 MB)
The National Quality Strategy and The Public Sector [Slide 1]
Operator: Ladies and gentlemen, thank you for stand…
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www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
January 01, 2024 - Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS
Project Title: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS
(Tailoring Interventions for Patient Safety)
Principal Investigator and Team Members.
Patricia C. Dykes, An…
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www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
January 01, 2024 - Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults
AHRQ Grant Final Progress Report
Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-
Related Hospitalizations in Older Adults
Principal Investigat…
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www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
January 01, 2025 - Final Progress Report: Comprehensive Pediatric Hypertension Diagnosis and Management
1. TITLE PAGE
Comprehensive Pediatric Hypertension Diagnosis and Management
Principal Investigator: Michael L. Rinke, MD, PhD
Co-Investigators: David G. Bundy, MD, MPH, Tammy M. Brady, MD, PhD, Beth Tarini, MD,
Katherine E. Twomb…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2014cahpshealthplanchartbook.pdf
October 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook
THE CAHPS DATABASE
2014 CAHPS Health Plan
Survey Database
2014 Chartbook: What Consumers Say About Their
Experiences with Their Health Plans and Medical Care
AHRQ Contract No.: HHSA290201300003C
Managed and prepared by:
Westat, Rockville, MD
Dale Shalle…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix A. Teleconferences with AHRQ & CDC
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1.…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_hp-chartbook.pdf
January 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook
THE CAHPS DATABASE
2014 CAHPS Health Plan
Survey Database
2014 Chartbook: What Consumers Say About Their
Experiences with Their Health Plans and Medical Care
AHRQ Contract No.: HHSA290201300003C
Managed and prepared by:
Westat, Rockville, MD
Dale Shalle…
-
www.ahrq.gov/patient-safety/reports/liability/baker.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Comme…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Antimicrobial Perioperative Prophylaxis: Part 2
Beyond the Basics
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Pro…
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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…
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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 …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
April 20, 2004 - Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation
437
Barcode Medication Administration:
Lessons Learned from an Intensive
Care Unit Implementation
Mary V. Wideman, Michael E. Whittler, Timothy M. Anderson
Abstract
An electronic barcode medication administration sy…
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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-Donaldson_87.pdf
April 23, 2008 - Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement
Role of the External Coach in Advancing Research
Translation in Hospital-Based
Performance Improvement
Nancy Donaldson, RN, DNSc, FAAN; Dana Rutledge, RN, PhD; Kristin Geiser, PhD
Abstract
The Califo…
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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-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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
July 28, 2016 - This list represents possible
interventions you may identify for a patient.