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  1. www.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/HS-24-003-webinar-slides.pdf
    August 12, 2024 - Healthcare Research and Quality (AHRQ) • AHRQ’s Mission: ► To produce evidence to make health care safer … without 501(c)(3) IRS Status (Other than Institutions of Higher Education) Refer to RFA section III … 30 Scored Review Criteria: Significance • Does the project address an important problem or a critical
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
    June 16, 2008 - Turley, RN, PhD Abstract A critical step towards reducing errors in health care is the collection … In its report, To Err Is Human: Building a Safer Health System, the Institute of Medicine (IOM) estimated … Since the goal of this ontology was to index the published literature, we felt it was critical that … computerized physician order entry (CPOE) system, which had a menu of several possible doses of vasopressin; (iii … Conclusions and Future Work A critical step in the direction of reducing errors and adverse events
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pharmhealthlit/pharmlit/kripalani.ppt
    January 01, 2010 - References Davis TC, Wolf MS, Bass, PF III, Middlebrooks M, Kennen E, Baker DW, Bennett CL, Durazo-Arvizu … Making Healthcare Safer: A Critical Analysis of Patient Safety Practices.
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/lepguide/lepguide.pdf
    September 01, 2012 - iii Foreword The landmark Institute of Medicine report To Err Is Human was an influential and transformative … and Limited English Proficiency The Institute of Medicine (IOM) report To Err is Human: Building a Safer … Patient Safety and LEP Populations The Institute of Medicine (IOM) report To Err is Human: Building a Safer … improving care outcomes, team communication, and team attitudes.21-24 TeamSTEPPS provides higher quality, safer … To err is human: building a safer health system.
  5. www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
    September 01, 2012 - iii Foreword The landmark Institute of Medicine report To Err Is Human was an influential and transformative … and Limited English Proficiency The Institute of Medicine (IOM) report To Err is Human: Building a Safer … Patient Safety and LEP Populations The Institute of Medicine (IOM) report To Err is Human: Building a Safer … improving care outcomes, team communication, and team attitudes.21-24 TeamSTEPPS provides higher quality, safer … To err is human: building a safer health system.
  6. www.ahrq.gov/research/findings/nhqrdr/chartbooks/intro.html
    June 01, 2018 - Patient Safety: Making care safer by reducing harm caused in the delivery of care. … Ethnicity: Hispanic and non-Hispanic. ii Income: Poor, low income, middle income, and high income. iii … Improving measurement and data for these groups is critical to understand the reasons they cannot access … iii.
  7. www.ahrq.gov/hai/pfp/hacrate2013-refs.html
    October 01, 2015 - To err is human: building a safer healthcare system. … Toward improving the outcome of pregnancy III - enhancing perinatal health through quality, safety, and
  8. www.ahrq.gov/hai/pfp/interimhac2013-ref.html
    December 01, 2014 - To err is human: building a safer healthcare system. … Toward improving the outcome of pregnancy III—enhancing perinatal health through quality, safety, and
  9. www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
    June 01, 2012 - ii NOTES iii Falls Prevention and Management Student Workbook Contents Learning and Performance … Also, we might feel frustrated that the environment was not safer. … the care plan, including: › More frequent blood pressure monitoring. › More frequent toileting. › Safer … knowledge of the resident’s history, and observations about how this particular resident came to fall, are critical
  10. www.ahrq.gov/news/events/nac/2020-07-nac/nacmtg071420-minutes.html
    November 01, 2020 - Kahn, III M.P.H., Federation of American Hospitals Omar Lateef, D.O., Rush University Medical Center … Facilities as COVID-19 Skilled Care Centers Can Increase Hospital Capacity and Keep Nursing Home Patients Safer … The COVID-19 pandemic has revealed critical gaps in our knowledge of coordination logistics, the workforce
  11. www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2020-07-nac/nacminutes-071420.pdf
    January 01, 2020 - Kahn, III M.P.H., Federation of American Hospitals Omar Lateef, D.O., Rush University Medical Center … Facilities as COVID-19 Skilled Care Centers Can Increase Hospital Capacity and Keep Nursing Home Patients Safer … The COVID-19 pandemic has revealed critical gaps in our knowledge of coordination logistics, the workforce
  12. www.ahrq.gov/sites/default/files/2024-01/mcalearney-report.pdf
    January 01, 2024 - to have, and to test innovative designs that had the potential to alter the status quo and shape a safer … Policy changes included removing low-likelihood patient cohorts (Class III cardiac risk) from monitoring … Nursing Handovers in Critical Care: A Retrospective Analysis of Information Content and Function. … “Simple Strategies for Safer Hospitals.” … Nursing Handovers in Critical Care: A Retrospective Analysis of Information Content and Function.
  13. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/mcalearney-report.pdf
    September 29, 2020 - to have, and to test innovative designs that had the potential to alter the status quo and shape a safer … Policy changes included removing low-likelihood patient cohorts (Class III cardiac risk) from monitoring … Nursing Handovers in Critical Care: A Retrospective Analysis of Information Content and Function. … “Simple Strategies for Safer Hospitals.” … Nursing Handovers in Critical Care: A Retrospective Analysis of Information Content and Function.
  14. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-highlights-pfe-updated-aug24.pdf
    February 28, 2025 - Parts I and III were rated positively but Part II (report card) needs refinement. … Arbaje Johns Hopkins University Baltimore, Maryland R01 HS26599 [Grant] Making Health Care Safer … safety to inform physicians, nurses, patients, and families about specific ways to make healthcare safer … Key Findings/Impact: Understanding quantitative information about probabilities is critical for health … Anna Beeber University of North Carolina Chapel Hill, North Carolina R01 HS26473 [Grant] A Safer
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-fullreport.pdf
    May 01, 2018 - of serious drug interactions, delirium, serious behavioral changes, cardiac arrhythmias, and death (Safer … be made explicit and transparent as part of the public release of CHIPRA deliberations; thus, it is critical … group, or facility:** Can compare: (i) practice sites; (ii) medical or other professional groups; or (iii … Antipsychotic polypharmacy in psychotic disorders: A critical review of neurobiology, efficacy, tolerability … Psychiatr Serv 2011; 62:613-8. 23 Safer DJ, Zito JM, DosReis, S.
  16. www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
    October 27, 2014 - patient harm since the Institute of Medicine’s (IOM’s) 1999 publication of To Err Is Human: Building a Safer … RTI estimated that the difference in costs between patients with hospital-acquired Stage III and Stage … IV pressure ulcers and matched patients without hospital-acquired Stage III and IV pressure ulcers … Medicare Severity diagnosis-related group (MS- DRG), sex, race, and age that did NOT have a Stage III … To err is human: building a safer healthcare system.
  17. www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdf
    January 01, 2024 - One-Page Summary 5 III. Final Report 6 IV. Appendix A: List of Participants 12 V. … post-initiative data can document successes and challenges in reducing patient risk, which can be critical … To Err is Human: Building a Safer Health System. Washington: National Academy Press; 1999. 2.
  18. www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
    July 01, 2023 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices. … AHRQ Publication No. 20-0029-EF. https://www.ahrq.gov/research/findings/making-healthcare-safer/mhs3 … https://www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html https://www.ahrq.gov/research … /findings/making-healthcare-safer/mhs3/index.html https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874935
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-fullreport.pdf
    February 01, 2019 - Thus, clinicians may be underutilizing safer first-line psychosocial interventions in children with … in foster care are more likely to be prescribed antipsychotics than those not in foster care (Zito, Safer … be made explicit and transparent as part of the public release of CHIPRA deliberations; thus, it is critical … group, or facility:** Can compare: (i) practice sites; (ii) medical or other professional groups; or (iii … Zito JM, Safer DJ, Sai D, et al. Psychotropic medication patterns among youth in foster care.
  20. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
    March 04, 2016 - Making care safer by reducing harm caused in the delivery of care. 2. … Data are from all intensive care units, wards, and other non-critical care locations. … C e n tr a l- Li n e D ay s ≤750 g 751-1,000 g 1,001-1,500 g 1,501-2,500 g >2,500 g Level III … C e n tr a l- Li n e D ay s ≤750 g 751-1,000 g 1,001-1,500 g 1,501-2,500 g >2,500 g Level III … Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices

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