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www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
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Distributed Cognition and the Rol…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Improving Communication and Teamwork in the Surgical Environment Module
Facilitator Notes
SAY:
The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communication. This module is meant to augment the exist…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix A. Teleconferences with AHRQ & CDC
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1.…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/chsp-annual-workshop1-slides.pdf
September 29, 2016 - AHRQ Comparative Health System Performance Initiative: Annual Workshop
AHRQ Comparative Health System
Performance Initiative
Annual Workshop
Presentation at AHRQ Headquarters
Rockville, Maryland
September 29, 2016
Mathematica Policy Research
22
Agenda for the Day
• Welcome (9:00–9:20)
• CoE updates and pr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Schillinger.pdf
January 01, 2004 - Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance
199
Preventing Medication Errors in
Ambulatory Care: The Importance of
Establishing Regimen Concordance
Dean Schillinger, Eddie Machtinger, Frances Wang,
Maytrella Rodriguez, Andrew Bindman
Objective: Mis…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
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e
Issue Brief 8
Distributed Cognition and the Rol…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp_linkage_file_tech_doc.pdf
October 01, 2018 - Compendium of U.S. Health Systems, 2016, Hospital Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2016, Hospital Linkage File, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of …
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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/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/vol1/Hoff.pdf
January 01, 2003 - This notion of mistake variation was supported by the
interviews, in which the residents from the surgery
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
January 01, 2010 - Tobacco Use and Dependence, General References
General References
1. Fiore MC, Bailey WC, Cohen SJ, et al.
Smoking cessation. Clinical Practice
Guideline No. 18. Rockville, MD, U.S.
Department of Health and Human Services,
Public Health Service, Agency for Health
Care Policy and Research. AHCPR
Publication …
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
September 26, 2023
Pre-Decisional Deliberative Document
Internal VA Use Only
Advancing Toward Zero Harm and
Becoming a Learning Health System
Gerard R. Cox, MD, MHA
Assistant Under Secretary for Health for Quality & …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation
AHRQ’s Safety Program for Nursing Homes
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes:
On-Time Pressure Ulcer Healing Facilitator Training
Slide 2: On-Time Pressure Ulcer…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides3.html
October 01, 2017 - Module 3: Best Practices in Pressure Injury Prevention
Slide Presentation
Slide 1: Best Practices in Pressure Injury Prevention
ADD Hospital Name
Module 3
Slide 2: Best Practices
Best practices are those care processes—based on literature and expert opinion—that represent the best ways we curren…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
October 01, 2014 - Module 3: Falls Prevention and Management
Session 2
Previous Page Next Page
Table of Contents
Module 3: Falls Prevention and Management
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Appendix. Additional Tools and Resources
Limiting Falls that Cause Inju…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs3.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Functional Specifications (continued)
3. Specifications for Each Pressure Ulcer Prevention Report
3.1. Nutrition Risk Reports: High Risk and Medium Risk
3.1.1. Report Description
The weekly reports display resident-level nutritio…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Overview of On-Time
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Overview of On-Time
Slide 2: On-Time Fall…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Facilitator Training Slide Presentation
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department V…
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www.ahrq.gov/sites/default/files/2024-11/mader-poronsky-report.pdf
January 01, 2024 - Final Progress Report: Valuation of a Simple Tool for Chest Pain Patient Risk-Stratification in North America
FINAL PROGRESS REPORT
1. Valuation of a simple tool for chest pain patient risk-stratification in North America
Principal Investigator and Team Members: Timothy J. Mader, MD, and Kye E. Poronsky, MA,
Bay…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/47-prep-colorectal-surgery.pptx
June 01, 2023 - PowerPoint Presentation
Oral Antibiotics and Mechanical Bowel Prep for SSI Prevention for Colorectal Surgery
How the Approach Has Evolved, with
Current Recommendations on the Right Approach
AHRQ Safety Program for Improving
Surgical Care and Recovery
AHRQ Pub. No. 23-0052
June 2023
AHRQ Safety Program for Improvin…