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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-Maddox_38.pdf
March 26, 2008 - Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes
Intravenous Infusion Safety Initiative: Collaboration,
Evidence-Based Best Practices, and “Smart”
Technology Help Avert High-Risk Adverse…
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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-Devine_83.pdf
April 06, 2008 - Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences
Implementing an Ambulatory e-Prescribing System:
Strategies Employed and Lessons Learned to
Minimize Unintended Consequences
Emily B. Devine, PharmD, MBA; Jennifer L. Wilson-Norton, RPh, MBA…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
The Evidence Behind Decolonization Strategies for MRSA
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Evidence Behind Decolonization Strategies for MRSA
SAY:
Welcome to this presentation on the current evidence behind decolonization strategies as part of an …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention | ICU & No…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 3. Description of Methods
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/60-tenn-health-coach-sustainability-plan-toolkit.pdf
March 30, 2023 - Health Coach Intervention Sustainability Plan
Health Coach Intervention Sustainability Plan
Medicare Preventative Services
i. In Office Visits, Modifiers and Add-On Codes
a. Annual Wellness Visits
1. Medicare
i. Description-Initial Preventative Physical Exam (IPPE) also known as
“Welcome to Medicare” visit
ii. …
-
www.ahrq.gov/sites/default/files/publications2/files/takeheart-hybrid-workgroup-evaluation.pdf
August 01, 2023 - Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination
e
Implementing PCOR To Increase Referral,
Enrollment, and Retention in Cardiac
Rehabilitation through Automatic Referral
with Care Coordination
Hybrid CR Workgroup
Evalu…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-refs.html
August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
References
Previous Page
Table of Contents
Pediatric Diagnostic Safety: State of the Science and Future Directions
Introduction
Challenges in Approaching Diagnostic Safety Unique to Children
Pediatric Diagnostic Safety R…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
September 01, 2023 - NPSD Data Spotlight: Patterns of Fall Interventions
Patterns of Fall
Interventions
NPSD Data Spotlight:
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. Suggested citation: NPSD Data Spotlight: Patterns of Fall
Interventions, 2023.…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Antimicrobial Perioperative Prophylaxis: Part 2
Beyond the Basics
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Pro…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative
133
Mixed Methods Analysis of Medical
Error Event Reports: A Report from
the ASIPS Collaborative
Daniel M. Harris, John M. Westfall, Douglas H. Fernald,
Christine W. Duclos, David R. West, Linda Niebauer,
Linda Ma…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
May 01, 2017 - Story #2
One facility lead set a goal of improving his team’s ability to “speak up” in difficult situations … Success Story #3
One facility lead shared the story of a nurse who faced two challenging situations
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www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
May 01, 2011 - system could allow reporters to opt out of confidentiality to increase the
report’s efficacy in certain situations … system could allow reporters to opt out of
confidentiality to increase the report’s efficacy in certain situations
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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 - system could allow reporters to opt out of confidentiality to increase the
report’s efficacy in certain situations … system could allow reporters to opt out of
confidentiality to increase the report’s efficacy in certain situations
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19598-Schnipper-draft-1.pdf
December 19, 2014 - provided onsite pharmacists with an updated ‘frequently asked
questions’ (FAQ) document for managing new situations
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www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
January 01, 2024 - In stressful situations, staff appear to rely on the checklist as a
reminder of safe practices.
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www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
January 01, 2024 - patients to
speak up yielded mixed results; the role of the person asking mattered in two of the three situations
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www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
January 01, 2024 - provided onsite pharmacists with an updated ‘frequently asked
questions’ (FAQ) document for managing new situations
-
www.ahrq.gov/sites/default/files/2024-07/cebul-report.pdf
January 01, 2024 - Identify emergent situations.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
November 01, 2017 - Qualitative analysis was chosen as the main form of analysis for this project because of its usefulness in situations