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www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
January 01, 2025 - Research Activity III. … These are diagnoses that
are critical but often difficult to make—critical because timely diagnosis … Introduction: Communicating critical test results. … Making Formularies Safer By Identifying Sources of Harmful
Drug Product Confusion. … Chicago Patient Safety Forum, Creating safer health care in Chicago, IL; February 7, 2003.
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
June 02, 2025 - This exercise is so much
better, and safer! … iii. … iii. … iii. … iii.
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www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
January 01, 2024 - Drafts of this report were reviewed and shaped at several critical stages by the Workshop participants … Consumer-Led Workshop To Advance Patient Safety 4
III. … of building a foundation for the partnership
that was formed during the workshop, AI proved to be a critical … We’re here to help make the system safer through cooperation, and we’re not
going away. … Scope
Scope
III.
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www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
January 01, 2024 - RIPCHD.OR resulted in the design of a safer and more efficient OR prototype, 22
peer-reviewed publications … incorporate evidence-based design, human factors, and systems engineering principles to
design a safer … ample visibility between surgical team members and facilitated movement for
the circulating nurse, a critical … and refined through
this project are envisioned to be applicable to other healthcare spaces where critical … 17:212-229, ISSN 2358-3630.
5) Jurewicz KA, Neyens DM, Catchpole K, Joseph A, Reeves ST, Abernathy III
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - Involvement from physicians and pharmacy staff was critical in
getting new order sets written for oxytocin … In addition to the debriefing form, the OMH team developed a tool for documenting critical
events during … As a result, patients were empowered and felt
safer because they were told of the rationale behind various … WakeMed Cary is a 156-bed hospital with 10 L&D beds and a Level III nursery. … It is a 61-bed facility
with six L&D beds and a Level III nursery.
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www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
September 01, 2015 - Appropriate use of urine cultures and nontreatment of asymptomatic bacteriuria are also critical
factors … Toolkit
The CUSP Toolkit is available on the AHRQ Web site and includes training tools to make care
safer … and inappropriate
indications for indwelling urinary catheter placement.15 The list was based on a critical … Assistance with healing of stage III or IV perineal and sacral wounds in incontinent
patients—This is … For example, indwelling urinary catheters can be appropriate for stage III,
IV, or unstageable pressure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
September 01, 2015 - Appropriate use of urine cultures and nontreatment of asymptomatic bacteriuria are also critical
factors … Toolkit
The CUSP Toolkit is available on the AHRQ Web site and includes training tools to make care
safer … and inappropriate
indications for indwelling urinary catheter placement.15 The list was based on a critical … Assistance with healing of stage III or IV perineal and sacral wounds in incontinent
patients—This is … For example, indwelling urinary catheters can be appropriate for stage III,
IV, or unstageable pressure
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www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
May 01, 2011 - Anonymity allows reporter to feel safer but
precludes follow-up and investigation. … III. Environmental Scan and Literature Review
Methods. … III. Ownership/operation of consumer reporting systems. … To err is human: Building a safer health system. Kohn LT, Corrigan JM, Donaldson MS, eds. … Stakeholder Interviews
III. Environmental Scan and Literature Review
IV.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
May 01, 2011 - Anonymity allows reporter to feel safer but
precludes follow-up and investigation. … III. Environmental Scan and Literature Review
Methods. … III. Ownership/operation of consumer reporting systems. … To err is human: Building a safer health system. Kohn LT, Corrigan JM, Donaldson MS, eds. … Stakeholder Interviews
III. Environmental Scan and Literature Review
IV.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
January 01, 2004 - Anticipated risks
Time
S
tu
d
y
ri
sk
s
Animal
models
Phase I
trials
Phase II
trials
Phase III … Specific staff members are also identified to serve as
“advocates” for the system, as local buy-in is critical … Making health care safer: a critical
analysis of patient safety practices. … Making health care safer: a critical analysis of patient
safety practices.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
March 01, 2017 - Other critical factors for reducing CAUTIs include appropriate use of urine cultures and non-treatment … The modules are available on the AHRQ Web site and include training tools to make care safer by improving … More importantly, research has identified six critical success factors for successfully improving health … To assist in healing of stage III or stage IV open sacral or perineal wounds in incontinent residents … Critical success factors for performance improvement programs.
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www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
January 01, 2024 - III. … The current Med System III drug library without guardrails will be
incorporated into the Medley pumps … Critical Care Medicine. 2005 Mar; 33(3): 679-680.
Gurwitz JH. Field TS. Radford MJ. … “Critical Medication Administration Errors - Framing the Problem.” … Building a safer health system, Washington, DC, National
Academy Press; 1999.
2.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
August 07, 2018 - Assuring that women on high-risk drugs are off of those drugs
before they get pregnant is a critical … This strategy is known as “Treating for Two: Safer Medication Use in Pregnancy
Initiative” (CDC, 2014 … things such as Hydroxyzine HCL, an
antihistamine suspected of causing birth defects and for which safer … group, or facility:** Can compare: (i) practice sites; (ii) medical or other
professional groups; or (iii … Broussard CS, Frey MT, Hernandez-Diaz S, et al., Developing a systematic approach to safer
medication
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www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
January 01, 2024 - organizations,3 suggest that a robust safety
culture enables more reliable work processes and thus safer … III. … A new accident model for engineering safer systems. Safety Science. 2004;42:237-268.
72. … The response of anesthesia trainees to simulated critical incidents. … The role of experience in the response to simulated critical incidents.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
April 01, 2022 - CUSP can also be coupled with other performance
improvement tools to support safer care.3 Once the concepts … need for device necessity, and a CVC is still
necessary, ensuring an aseptic technique is used is critical … iii This material was expanded, enhanced and adapted for the AHRQ toolkit from materials developed for … CLINICAL INDICATIONS for use of external catheters:32
• Stage III or Stage IV or unstageable pressure … which can contribute to overinflated CAUTI rates, missed
diagnoses, and misuse of antibiotics, it is critical
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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
-
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.
-
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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - Other critical factors for reducing CAUTIs include appropriate use of urine cultures and non-treatment … • Implement summarizes critical success factors for implementing evidence-based practices and
other … The modules are available on the
AHRQ Web site and include training tools to make care safer by improving … • To assist in healing of stage III or stage IV open sacral or perineal wounds in incontinent
residents … Critical
success factors for performance improvement
programs.
-
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