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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-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…
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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/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…
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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 …
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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…
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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
…
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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…
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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…
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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…
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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…
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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). …
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-implementation-guide.pdf
March 01, 2023 - Getting Started: Laying the Groundwork for Implementing Automatic Referral and Effective Care Coordination
Implementation Guide for Getting Started
Getting Started:
Laying the Groundwork for Implementing
Automatic Referral and Effective Care
Coordination
Acronym List
Term Abbreviation
AACVPR American Assoc…
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www.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
November 01, 2016 - Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update
August 8, 2013
Download accessible version of slides (PDF, 920 KB)
National Quality Strategy: 2013 Annual Progress Report Update [Slide 1]
Ann Gordon: Welcome everyone. My name is Ann Gordon and I'll be facilitating…
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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…
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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…
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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…
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit3.html
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Chapter 3. Linking With a Community Partner
Previous Page Next Page
Table of Contents
Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Ch…
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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…
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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…