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4501. 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…

4502. 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…

4503. Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes (pdf file)
      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…

4504. 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…

4505. 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 …

4506. 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…

4507. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/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…

4508. Fall Prevention Program Implementation Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/implementation-guide_falls.docx
      September 01, 2017 - Fall Prevention Program Implementation Guide Fall 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 Publication No. AHRQ 17-0…

4509. 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…

4510. 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…

4511. 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). …

4512. 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…

4513. 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…

4514. 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 …

4515. 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…

4516. Final Progress Report: Improving patient safety through leadership and team performance in simulations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/20295-Fernandez-draft-1.pdf
      January 01, 2015 - 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…

4517. Final Progress Report: Improving patient safety through leadership and team performance in simulations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/20295-Fernandez-report.pdf
      January 01, 2015 - 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…

4518. Introduction Instructor Guide – PDF (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_ig_intro.pdf
      January 01, 2007 - Introduction Instructor Guide – PDF Team Strategies and Tools to Enhance Performance and Patient Safety INTRODUCTION SUBSECTIONS  Teamwork Exercise #1  Overview of Master Training and Materials  Barriers to Team Performance  Patient Safety Movement and …

4519. Diagnostic Excellence in the Context of Climate Change: A Review (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/dx-excellence-climate-change.pdf
      June 10, 2024 - Diagnostic Excellence in the Context of Climate Change: A Review ARTICLE IN PRESS REVIEW Diagnostic Excellence in the Context of Climate Change: A Review Kisha J. Ali, PhD, MS,a Sara Ehsan, MBBS, MPH,b Alberta Tran, PhD, RN, CCRN,a Monika Haugstetter, MHA, MSN, RN, CPHQ,c Hardeep Singh, MD, MPHb aMedStar Institute…

4520. Fall Prevention Toolkit (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
      January 01, 2012 - Fall Prevention Toolkit Fall Prevention Toolkit Module 3 Tools Tool 3A: Inpatient Falls Clinical Pathway Tool 3B: Scheduled Rounding Protocol Tool 3C: Environmental Safety at the Bedside Tool 3D: Environmental Safety Hazard Report Tool 3G: Stratify Fall Scale Tool 3H: Morse Fall Scale to use for the Case Study activit…