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3681. Mixed Methods Analysis of Medical Error Event Reports: 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/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…

3682. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
      April 20, 2004 - Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation 437 Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation Mary V. Wideman, Michael E. Whittler, Timothy M. Anderson Abstract An electronic barcode medication administration sy…

3683. Outpatient Surgery and Patient Safety—The Patient’s Voice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
      January 01, 2003 - Outpatient Surgery and Patient Safety—The Patient’s Voice 445 Outpatient Surgery and Patient Safety— The Patient’s Voice Ann Schoofs Hundt, Pascale Carayon, Scott Springman, Maureen Smith, Kelly Florek, Rupa Sheth, Margaret Dorshorst Abstract Four outpatient surgery centers from a large Midwestern communit…

3684. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
      April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…

3685. Medical Office Survey on Patient Safety Culture: 2018 User Database Report, Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part2.pdf
      April 01, 2018 - Medical Office Survey on Patient Safety Culture: 2018 User Database Report, Part II Medical Office Survey on Patient Safety Culture: 2018 User Database Report Part II Appendix A—Overall Results by Medical Office Characteristics Appendix B—Overall Results by Respondent Characteristics Prepared for: Agency for …

3686. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-MOSOPS-Database-Report-Part-II-508.pdf
      January 01, 2022 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report Part II Surveys on Patient Safety CultureTM (SOPS®) Medical Office Survey: 2022 User Database Report Part II: Appendix A – Results by Medical Office Characteristics Appendix B – Results by Respondent Characteristics Pre…

3687. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation-Appendix B (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appb.pdf
      January 01, 2019 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation-Appendix B Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Depar…

3688. Universal ICU Decolonization: An Enhanced Protocol (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
      September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Universal ICU Decolonization Toolkit: An Enhanced Protocol HAIs Healthcare- Associated Infections Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov PREVENT Universal ICU Decolonization: An Enhanced Protocol …

3689. Pressure Injury Prevention Program Implementation Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
      October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Pressure Injury Prevention Program Implementation Guide Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No.: HHSA290201200017I Task Order No. 2 Prepared by: AFYA, Inc. Laurel, MD AHRQ Publ…

3690. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
      January 01, 2024 - Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies Final Report: Using Risk Models to Improve Safety with Dispensing High-Alert Medications in Community Pharmacies Principal Investigator: Michael R. Cohen, RPh, MS, ScD Team Members: Judy L. Smetzer, R…

3691. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
      January 01, 2024 - Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety Risk Models to Improve Long-term Care Medication Safety Principal Investigator: Grant Higginson, MD, MPH Team Members: Sharon Conrow Comden, Margaret Murphy Carley, Megan Hornby, Linda Kirschbaum, David Marx, Misti Hale, Joel Young, Lyn…

3692. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
      January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy References Previous Page Next Page Table of Contents Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction 2. Methods 3. Results 4. Discussion References Appe…

3693. Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
      April 23, 2004 - Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office 101 Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office Kimberly A. Galt, Ann M. Rule, Bartholomew E. Clark, James D. Bramble, Wendy Taylor, Kevin G. Moores Abst…

3694. Making Healthcare Safer Practices: 16. Venous Thromboembolism (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
      March 01, 2020 - Making Healthcare Safer Practices: 16. Venous Thromboembolism Venous Thromboembolism 16-1 16. Venous Thromboembolism Eleanor Fitall, M.P.H., and Kendall K. Hall, M.D., M.S. Introduction Background Venous thromboembolism (VTE) is a disorder that includes deep vein thrombosis (DVT) and pulmonary embolism (PE). …

3695. Final Progress Report: Improving patient safety through leadership and team performance in simulations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-report.pdf
      January 01, 2024 - Final Progress Report: Improving patient safety through leadership and team performance in simulations 1R18HS020295 Final Progress Report: Fernandez R, PI Title of Project: Improving patient safety through leadership and team performance in simulations Principal Investigator and Team Members: Fernandez, R (PI); Ko…

3696. Medical Failure-to-Rescue Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
      January 01, 2025 - Medical Failure-to-Rescue Final Report Medical Failure-to-Rescue Final Report November 13, 2018 Principal Investigator: Jeffrey H. Silber, MD, PhD1,2,3,4,5 Co-investigators: Paul R. Rosenbaum, Ph.D5,6 Patrick S. Romano, MD, MPH7 Project Manager: Bijan A. Niknam, BS1 Orit Even-Shoshan, MS1,5 Senior Statis…

3697. Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
      January 01, 2024 - Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home TITLE PAGE  AHRQ Final Progress Report Title: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home Principle Investigator: Steven M. Handler, MD, PhD Team Members: Joseph T. Hanlon…

3698. Connecting the Dots: Improving Unit Safety Culture to Stop HAI (October 8, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-transcript.html
      December 01, 2017 - Connecting the Dots: Improving Unit Safety Culture to Stop HAI (October 8, 2013) Webinar Transcript Paul Tedrick American Hospital Association - Chicago October National Content Call October 8, 2013 11:00 AM Central Time Operator: The following is a recording for Paul Tedrick with the American Ho…

3699. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-transcript.doc
      October 08, 2013 - Paul Tedrick Paul Tedrick American Hospital Association - Chicago October National Content Call October 8, 2013 11:00 AM Central Time Operator: The following is a recording for Paul Tedrick with the American Hospital Association of Chicago on Tuesday, October 8, 2013 at 11:00AM Central Time. This is the October…

3700. Rafael Borja (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
      September 09, 2014 - Rafael Borja American Hospital Association – Chicago September National Content Call September 9, 2014 11:00 AM CT Operator: This is a recording for the Kathy Drury Teleconference with American Hospital Association Chicago, Tuesday, September 9, 2014 scheduled for 11:00 a.m. Central Time. Ladies and gentlemen, than…