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481. Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Loux_36.pdf
     March 15, 2008 - Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine Stephenie Loux, MS; Robert Coleman, BS; Matthew Ralston, MD; Andrew Coburn, PhD Abs…

482. The Mobile Mock Operating Room: Bringing Team Training to the Point of Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
     January 24, 2008 - Anaesthetists’ attitudes to teamwork and safety. Anaesthesia 2003; 58:233-242. 1. … TeamSTEPPS™: Strategies and tools to enhance performance and patient safety. … Using simulation-based training to improve patient safety: What does it take? … Promoting health care safety through training high reliability teams. … In Anca Jr JM, ed, Multimodal safety management and human factors.

483. Pillars of a Smart, Safe Operating Room (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
     April 07, 2008 - With novelty comes a reduced margin of safety. … Using information technology to improve patient safety has been a hallmark of recent patient safety … Smart environments would also speed training and improve safety. … Such communication is necessary to ensure OR efficiency and patient safety. … Monitoring patient safety. Crit Care Clin 2007; 23: 659-673. 32.

484. Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Leonhardt_35.pdf
     March 15, 2008 - to improving medication safety in their community. … Consumers Advancing Patient Safety home page. … Chicago, IL: Consumers Advancing Patient Safety (CAPS). … Partners in safety: Implementing a community-based patient safety council. … Outpatient drug safety: New steps in an old direction.

485. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
     May 05, 2008 - These high- reliability organizations view increasing safety as a systems-based endeavor.2, 3, 4, 5 To … Frush); Patient Safety Office, Duke University Health System (Mr. Alton, Dr. … TeamSTEPPS™: Strategies and tools to enhance performance and patient safety; 2007. … Safety in the operating theatre – Part 2: Human error and organisational failure. … National patient safety goals for 2006. Oakbrook Terrace, IL: The Joint Commission.

486. 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive in a Single Hospital? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
     January 01, 2006 - Team Training increased awareness of safety processes by 26 percent, communication as a team by 29 percent … The Quality and Patient Safety perspective is placed at the top indicating its priority importance in … Areas of focus include patient safety, patient flow, and patient satisfaction. … • Utilization of an open agenda for weekly safety rounds. … • Improved distribution of safety minutes to all staff and faculty.

487. Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences (pdf file)
     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 - HIT interventions—primarily electronic health records (EHRs)— improve quality by improving medication safety … implementing HIT solutions to improve health care.14 Use of a CPOE System to Improve Medication Safety … The culture of the Clinic includes a stable leadership team that embraces a culture of safety, efficiency … These provided additional medication safety features and proved popular. … It would also improve the safety and quality of care by providing more robust and integrated clinical

488. Advances-Goeschel 24
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Goeschel_24.pdf
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489. Advances-Gershon 88
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Gershon_88.pdf
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490. Advances-Titlecitation Vol2
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-TitleCitation_Vol2.pdf
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491. Index
     www.ahrq.gov/patient-safety/resources/index.html
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492. Advancing
     www.ahrq.gov/patient-safety/resources/advancing.html
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493. NOTICE Process Checklist (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/NOTICEProcessChecklist.pdf
     June 02, 2025 - NOTICE Process Checklist …

494. Banner Health: Classic 3 bucket model implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/bannerhealthslides.pdf
     June 02, 2025 - Banner Health: Classic 3 bucket model implementation Classic 3 bucket model implementation Courtesy Dr. Lori Porter, Good Samaritan Regional Medical Center Risk-appropriate prophylaxis options appear after risk level chosen. High Risk requires dual prophylaxis Contraindications captured if pharmacologic …

495. UC Davis Medical Center 3 bucket model algorithm (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/ucdavismodel.pdf
     June 02, 2025 - UC Davis Medical Center 3 bucket model algorithm Courtesy Dr. Richard White UC Davis Medical Center 3 bucket model algorithm assoc. w/ reduction in HA VTE

496. Hai-Intro
     www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-hai/hai-intro.html
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497. Infection Control and Prevention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/infectioncontrol.pdf
     October 14, 2008 - Infection Control and Prevention Infection Control and Prevention A. Providing a sanitary environment • All treatment-related areas, equipment and surfaces are kept free of blood, mold, and accumulation of dirt, dust and other potentially infectious materials. o Treatment-related areas include any area…

498. References (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/14-diagnostic-safety-toolkit-references.pdf
     November 24, 2020 - References Toolkit for Engaging Patients To Improve Diagnostic Safety References Implementation … Operational Measurement of Diagnostic Safety: State of the Science. … Rockville, MD; 2020. https://www.ahrq.gov/patient-safety/reports/issue-briefs/ state-of-science.html. … Medical Office Survey on Patient Safety Culture. Content last reviewed May 2021. … Diagnostic Safety Supplemental Items for Medical Office SOPS. Content last reviewed April 2021.

499. Co-producing a Diagnosis
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/09-diagnostic-safety-practice-orientation.pptx
     November 24, 2020 - Co-producing a Diagnosis Engaging Patients To Improve Diagnostic Safety Practice Orientation AHRQ Publication … Diagnostic error is the leading patient safety challenge in the United States. … It is foundational to building diagnostic safety within the clinical encounter.  … The goal with the 60 Seconds To Improve Diagnostic Safety strategy is to listen more than talk, to ask … Improved relationships with patients leading to improved experience and safety​ Enhanced connection

500. Vteguide
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/vteguide.pdf
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