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www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System
Pediatric Medication Safety:
Analyses from the MEDMARX
Medication Error Reporting System
Principal Investigator:
David G. Bundy, MD, MPH
Team Members:
Marlene R. Miller, MD, MSc
Michael L. Rinke, M…
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www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
January 01, 2024 - Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community
TITLE PAGE
Medication List Consistency When Patients Transition from Hospital to Community
Principal Investigator: Korey A. Kennelty
Team Mentors: Betty Chewning, Amy Kind, David Kreling,
Dave Mott, Beth Martin,…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
March 03, 2008 - A Model of Care Delivery to Reduce Falls in a Major Cancer Center
A Model of Care Delivery to Reduce Falls
in a Major Cancer Center
Nancy E. Kline, PhD, RN, CPNP, FAAN; Bridgette Thom, MS; Wayne Quashie, MPH, RN;
Patricia Brosnan, MPH, RN; Mary Dowling, MSN, RN
Abstract
Falls are a leading cause of injuries…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-non-ad.pdf
February 01, 2019 - non-surgical
procedures such as dermatology or pain management and just other procedures that required mild sedation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
March 15, 2004 - procedural technique
9 0.6
Loss of limb or organ 8 0.5
Aspiration pneumonia related to conscious sedation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - surgery checklist helps ensure certain measures or steps are taken prior to administration of
anesthesia/sedation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
June 02, 2025 - AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training 1
On-Time Falls
Prevention:
Reports
AHRQ’s Safety Program for Nursing
Homes: On-Time Falls Prevention
Training
Slide 1: Introduction to Falls Pr…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-ad.pdf
February 01, 2019 - non-surgical
procedures such as dermatology or pain management and just other procedures that required mild sedation
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
January 01, 2003 - Prescribing Safety in Ambulatory Care: Physician Perspectives
161
Prescribing Safety in Ambulatory Care:
Physician Perspectives
Thomas G. Rundall, John Hsu, Jennifer Elston Lafata, Vicki Fung,
Kathryn A. Paez, Jan Simpkins, Steven R. Simon, Scott B. Robinson,
Connie Uratsu, Margaret J. Gunter, Stephen B. Sou…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training
Facilitator Training Slide Presentation
Text version of slide presentation.
Slide 1: Introduction to Preventable Hospital and ED Visits Reports
AHRQ’s Safety Program for Nursing Homes: On-Time …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - Adverse sedation
events in pediatrics: a Critical Incident Analysis of
contributing factors.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
February 18, 2021 - Six Building Blocks How-To-Implement Toolkit: Design and Implement Guide
DESIGN AND IMPLEMENT GUIDE
i
Table of Contents
Introduction ......................................................................................................................................1
What Is the Design and Implement Guide? …
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www.ahrq.gov/sites/default/files/2025-04/marin-report.pdf
January 01, 2025 - has become, many, depending on the child and the exam (e.g., CT neck with contrast), may
require sedation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - On-Time Preventable Hospital and ED Visits Functional Specs
AHRQ’s Safety Program for Nursing Homes:
On-Time Preventable Hospital and Emergency
Department Visits
Functional Specifications
Current as of August 2017
Contents
1. General Information .......…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - double-checks 18 (7%) Checklist
”Or even if they sent their orders down from the floor and put ‘child needs sedation
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 3
Improving
Patient Safety
in Long-Term
Care Facilities
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Module 3.
Falls Prevention
and Management
Student
Workbook
These training materials were dev…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
May 07, 2008 - Imbedding Research in Practice to Improve Medication Safety
Imbedding Research in Practice to
Improve Medication Safety
Marsha A. Raebel, PharmD; Elizabeth A. Chester, PharmD; David W. Brand, MSPH;
David J. Magid, MD, MPH
Abstract
Objective: The objective of this project was to improve medication saf…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
January 01, 2003 - Medical Injury Identification Using Hospital Discharge Data
119
Medical Injury Identification
Using Hospital Discharge Data
Peter M. Layde, Linda N. Meurer, Clare Guse,
John R. Meurer, Hongyan Yang, Prakash Laud, Evelyn M. Kuhn,
Karen J. Brasel, Stephen W. Hargarten
Abstract
Objective: Determine the feasi…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - PowerPoint Presentation
AHRQ’s Safety Program
for Nursing Homes:
On-Time Preventable Hospital
and ED Visits Training
Introduction to Preventable Hospital and ED Visits Reports
Preventable Hospital and ED Visits
Electronic Reports
Electronic Reports
Transfer Risk Report – High Risk
Transfer Risk Report – Medium Ris…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-070814.pptx
January 01, 2015 - PEDS NEURO-O 1132 Peds Neuro-Oncology
PEDS OTOLARY 1133 Peds Otolaryngology
PEDS SEDATIO 1134 Peds Sedation … PEDS NEURO-O 1132 Peds Neuro-Oncology
PEDS OTOLARY 1133 Peds Otolaryngology
PEDS SEDATIO 1134 Peds Sedation