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7281. Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
      March 19, 2008 - the efficiency and safety of this process. … is proactively focused on safety promotion vs. … Medication safety in the ambulatory chemotherapy setting. Cancer 2005; 104: 2478-2483. 9. … ISMP Medication Safety Self Assessment® for Hospitals. … Medication safety in critically ill children. Clin Ped Emerg Med 2006; 7: 215-225. 22.

7282. Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
      January 01, 2007 - Quality improvement (QI) initiatives within health care facilities are often designed to improve the safety … Quality improvement implementation and hospital performance on patient safety indicators. … Patient safety proves elusive. … The business case for patient safety. Clin Orthop Relat Res 2007; 457: 21-34. 14. … What do we know about financial returns on investments in patient safety? A literature review.

7283. Minding the Gaps: Creating Resilience in Health 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-Nemeth_116.pdf
      April 27, 2008 - popular notions about how to improve safety and performance in health care. … System-Level Safety No system has infinite adaptive capacity. … Gaps in the continuity of care and progress on patient safety. … Systemic safety assessment of production installations. … Safety and efficacy of target controlled infusion (diprifusor) vs.

7284. High-Hanging Fruit: Improving Transitions in Health 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-Perry_49.pdf
      March 27, 2008 - Wears); Clinical Safety Research Unit, Imperial College London, London, UK (Dr. … Healthcare systems, ergonomics and patient safety. … Prepared for Health and Safety Executive, Offshore Safety Division. … Transitions in care: Studying safety in emergency department signovers. … Closing the communication loop: Using readback/hearback to support patient safety.

7285. Measuring IT Sophistication in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Alexander_10.pdf
      January 20, 2008 - IT development has the potential to improve the safety, quality, and efficiency of health care in the … United States.9 Increasing attention to errors in health care and concern for patient safety have prompted … sophisticated IT lies in its ability to transform and achieve certain foundational aims, including safety … Improving safety with information technology. N Engl J Med 2003; 348: 2526-2534. 28.

7286. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
      March 31, 2008 - Introduction Patient safety reporting systems (PSRS) are useful tools to understand the scope of errors … ASIPS Patient Safety Reporting System The core of the ASIPS PSRS is a Web-based data collection and … The challenge is to determine how to best use these data to improve patient safety. … Advances in patient safety: From research to implementation. Vol. 3, Implementation issues. … Patient safety: Achieving a new standard for care.

7287. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
      January 01, 2007 - Introduction Efforts to increase patient safety within hospital settings are numerous and have resulted … can be collected in a real-life clinical setting and used to reduce errors and build a culture of safety … errors in primary care is the question of how small- and medium-sized practices can develop patient safety … When developing patient safety reporting systems, providers should take care to learn from successful … Medical teamwork and patient safety: The evidence-based relation.

7288. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
      May 06, 2008 - Improving patient safety is a key initiative across the system, as safety is the basis upon which all … An HRO has an exceptional safety record, not merely above average. … Staff see PEERs as an opportunity to share issues not related to patient safety. … PEERs reports also have driven patient safety in the obstetrics department. … Developing a culture of safety in the Veteran’s Health Administration.

7289. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
      April 03, 2008 - Safety” Management Award. … Plans to recognize patient safety champions with safety award certificates and “Most Valuable Player … and proactive intervention for safety.10 Close calls—or Figure 2. … Patient safety: Achieving a new standard of care. … Sensemaking of patient safety risks and hazards.

7290. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
      January 01, 2007 - The value of educating physicians, house staff, and medical students about patient safety cannot be … of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA; Center for Patient Safety … Disruptive behavior in obstetrics: A hidden threat to patient safety. … Physician perception of hospital safety and barriers to incident reporting.

7291. 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 …

7292. 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 …

7293. 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

7294. 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…

7295. 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.

7296. 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

7297. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/medlist.html
      October 01, 2022 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families … In the primary care setting, medication safety issues include prescribing errors, contraindications, … Medication safety in primary care requires a team approach, engaging the patient and his or her family

7298. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/faq.html
      April 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families … Use the infographic or training slides to inform leaders about the risks to patient safety in primary … care settings and how patient and family engagement strategies can improve patient safety and quality … Prioritizing patients for a “medicine safety” appointment is one strategy that can help. … It’s a safety check. Return to Contents Warm Handoff Plus 1.

7299. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/start.html
      July 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families … Available strategies to overcome patient safety challenges. … Identify global patient safety and patient and family engagement outcomes. … AHRQ Medical Office Survey on Patient Safety Culture. … Quality & Safety at http://qualitysafety.bmj.com/content/25/4/273 .

7300. Redesigning Systems To Improve Teamwork and Quality for Hospitalized Patients (RESET Project) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resetguide.html
      July 01, 2020 - Redesigning Systems To Improve Teamwork and Quality for Hospitalized Patients (RESET Project) A number of challenges impede hospitals’ ability to provide high-quality care to patients on medical services. Teams are large, membership changes over time, and members are often physically scattered, working across m…