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digital.ahrq.gov/sites/default/files/docs/page/ahrq-health-information-technology-portfolio-2011-annual-report.pdf
January 01, 2011 - active in 2011
constitute a real-world laboratory for examining how health IT can:
• Make care safer … III | AHRQ HeAltH InfoRmAtIon tecHnology PoRtfolIo 2011 AnnuAl RePoRt
tAble of contents
Table of Contents … .................................................................................................6
iii … Making Care Safer by Reducing Harm Caused
in the Delivery of Care.
2. … Funding Mechanisms
Grants and Cooperative Agreements
Contracts
Interagency Agreements
III.
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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - How the work is changed to make patients safer and deliver care more efficiently, both the processes … JN : One of the critical issues for nurse satisfaction is effective communication among the team and … [such as exist in certain states like California] probably keep the patients in those institutions safer … There's some evidence that patients have been made safer, but all other things are not equal. … Gibson, MSc
September 1, 2014
Addressing the quality and safety gap—parts I-III
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_resource_list.pdf
October 01, 2021 - supplemental-items/workplace-safety.html
SOPS Workplace Safety Supplemental Items Resource List 2
III … download this free action plan that can provide clear directions to make
significant advances toward safer … and leaders to act on the report, and taking
personal responsibility for one’s actions, which are critical … • Identifying the critical needs and priorities to support the well-being of clinicians,
including … How To Use This Resource List
III. Contents
IV.
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - that never reached the patient, (ii) incidents that reached the patient but did not cause harm, and (iii … They can also identify recovery strategies that can be incorporated into designing safer care processes … January 19, 2014
How will we know patients are safer? … More
See More About The Topic
Emergency Departments
Health Care Providers
Critical
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - the 18 problems
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov/issue/err-human-building-safer-health-system … https://psnet.ahrq.gov/issue/err-human-building-safer-health-system
https://psnet.ahrq.gov//#references … effect can change the apparent position of an object depending on
the sight line of the viewer); (iii … "e-Iatrogenesis": the most critical unintended consequence of
CPOE and other HIT.
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psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
January 23, 2017 - Nearly 10% of the errors identified resulted in or contributed to patient harm.( 6 ) Making PN Use Safer … standardization of the process and the expertise of those involved, the number of patients receiving PN is a critical … In the absence of built-in decision support, the critical step of pharmacist review becomes paramount … Unfortunately, commercially available pre-made PN formulations are not safer in the absence of a standardized … Poh BY, Benjamin S, Hayward TZ III.
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psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
November 02, 2016 - patient safety, but also how this knowledge can enhance clinical and organizational practices and support safer … The Institute of Medicine's landmark patient safety publication, To Err is Human: Building a Safer Health … It is critical that researchers test the effectiveness of prospective tools and resources in real world … constructing measures that shape clinical definitions, electronic specifications, and interoperability; and (iii … safety research and its application, more interdisciplinary research initiatives will enable and support safer
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - Placement
Respiratory Hygiene and Etiquette
Safe Injection Practices
Soiled Linen
III … As a result, it's critical that they be regularly cleaned. … Return to the Contents
III. … Communication Tips
Ask your supervisor how to help make resident care safer. … Share ideas with your supervisor for making resident care safer.
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - it's clear that the
infusion of physicians unfamiliar with the local clinical microsystems is also critical … Making July safer: simulation-based mastery learning during
intern boot camp. … Highstead RG, Johnson LC, Street JH III, Trankiem CT, Kennedy SO, Sava JA.
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - Outcomes research is beginning to address these critical questions, and it is driving policy decisions … hospitals in the State of Ohio, a complete surgical team was immediately available in 100% of Level III … can give providers a set of tools to make their responses more rational, productive, and ultimately safer
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psnet.ahrq.gov/node/33711/psn-pdf
May 01, 2011 - the second victim
recovery process: (i) chaos and accident response, (ii) intrusive reflections, (iii … Awareness of the second victim phenomenon and proactive institutional response planning are critical … To Err is Human: Building a Safer Health System.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
June 02, 2025 - clinical process measures
AHRQ Surveys on Patient Safety Culture
Patient Safety Indicators
16
Level III … Problem:
Suboptimal communication among surgical team members
Team Process:
What: Communication of critical … Level III Behavior:
4. Level IV Results:
33
Step 6. … Improved team performance and safer patient care.
47
47
The Role of a TeamSTEPPS Coach
Coaching
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
September 26, 2019 - incidence and associated morbidity and mortality, the World Health Organization
recently identified CRE as critical … Making Healthcare Safer: Stop Infections from
Lethal CRE Germs Now.CDC Vitals Signs.Centers for Disease … By creating more
specific models on the length of CRE carriage for different patients, we can make safer … Clinical Trial
• Clinical Trial,
Phase I
• Clinical Trial,
Phase II
• Clinical Trial,
Phase III
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psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - We lack critical supports like electronic health records and personal health records. … There's a critical balance. … the frontline delivery system and that we're probably not focusing their efforts on some of the most critical … plan for measurement and reporting, (ii) identifying core metrics for measurement and reporting, and (iii … To Err Is Human: Building A Safer Health System.
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www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
January 01, 2024 - III. Methods
A. … Making Health Care Safer: A Critical
Analysis of Patient Safety Practices. … Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … Critical Care Medicine.
2002;30:846-50.
23. … To Err is Human: Building a Safer Health System.
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psnet.ahrq.gov/Information/Editor
May 23, 2025 - He is board certified in anesthesiology, critical care medicine and transesophageal echocardiography. … quality for over eight years, most recently writing several chapters of the AHRQ Making Healthcare Safer … III report. … residency in general surgery at the University of California, Davis, and fellowship in trauma and surgical critical
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www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
March 11, 2022 - Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care. … The critical need for nursing education to
address the diagnostic process. … Making Healthcare Safer III: A Critical
Analysis of Existing and Emerging Patient Safety Practices. … March 2020. https://www.ahrq.gov/research/findings/making-
healthcare-safer/mhs3/index.html. … /mhs3/index.html
https://www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
https
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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - Related Resources
Patient Safety Innovations
Critical … Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer … Diagnosis (Safer Dx) Instrument
January 26, 2022
Patient Safety … Making and MAT to Reduce Mortality Rates
February 9, 2021
Making Healthcare Safer … III.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ehc-research-gaps-telehealth.pdf
April 01, 2023 - %3Awhite_paper&f%5B4%5D=field_product_type%3Amethods_guide_chapter&sort_by=field_product_pub_date
iii … Telehealth
research supports the overall AHRQ mission of producing evidence to make health care safer … with varied
experiences adopting or expanding telehealth for a
range of uses (e.g., from primary to critical … teleconsultations involving
technology such as echocardiograms, ultrasound, or
endoscopy might increase access to critical
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - plan for measurement and reporting, (ii) identifying core metrics for measurement and reporting, and (iii … foundation for reporting systems that facilitate the capture of quality and patient safety practices critical … To Err Is Human: Building A Safer Health System. … We lack critical supports like electronic health records and personal health records. … There's a critical balance.