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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
May 01, 2004 - Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors
333
Establishing a Culture of Patient
Safety Through a Low-tech Approach
to Reducing Medication Errors
Steven H. Shaha, Linda Brodsky, Michael S. Leonard, Michael A. Cimino,
Sandra A. McDougal, Joann M. Pilliod…
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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-Singh-R_68.pdf
April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management
Building Self-Empowered Teams for Improving Safety
in Postoperative Pain Management
Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD;
Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD
Abstrac…
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www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
January 01, 2024 - Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study
Principal Investigator: Gershon, RRM
Safety in the Home Healthcare Sector: A pilot study (Final Report)
Safety in the Home Healthcare Sector:
A Pilot Study
Final Report
September 30, 2010
Grant Number: R03 HS018284-01
Project Period: 10…
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www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
January 01, 2024 - Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates
TITLE PAGE
Title: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative
Care to Neonates
Principal Investigator: Daniel Joseph France, PhD, MPH
Team Members:
Key Pe…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp4.pdf
February 01, 2012 - Nutritional Research Series - Volume 4: Effects of Eicosapentanoic Acid and Docosahexanoic Acid on Mortality Across Diverse Settings: Systematic Review and Meta-Analysis of Randomized Trials and Prospective Cohorts
Technical Review 17
Nutritional Research Series
Volume 4: Effects of Eicosapentanoic Aci…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
January 01, 2023 - Network of Patient Safety Databases Chartbook, 2023
Network of
Patient Safety
Databases
Chartbook, 2023
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook,
2023. R…
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www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
January 01, 2025 - Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness
Title of Project: Emotional Influences on Diagnostic Error in Emergency Medicine: An
Experimental Ap…
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www.ahrq.gov/sites/default/files/2024-09/linzer-schwartz-report.pdf
January 01, 2024 - Final Progress Report: Minimizing Error, Maximizing Outcome (MEMO): The Physician Worklife Study II
Minimizing Error, Maximizing Outcome (MEMO): Physician Worklife Study II
Mark Linzer, MD, Principal Investigator (University of Wisconsin-Madison)
Mark Schwartz, MD, Co-Principal Investigator (New York Universi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
March 01, 2002 - Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System
145
Reporting of Adverse Drug Events:
Examination of a Hospital Incident
Reporting System
Radhika Desikan, Melissa J. Krauss, W. Claiborne Dunagan,
Erin Christensen Rachmiel, Thomas Bailey, Victoria J. Fraser
Abstract
Ba…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Gershon_88.pdf
January 01, 2012 - Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings
Home Health Care Patients and Safety Hazards
in the Home: Preliminary Findings
Robyn R.M. Gershon, MT, MHS, DrPH; Monika Pogorzelska, MPH;
Kristine A. Qureshi, RN, DNSc; Patricia W. Stone, PhD; Allison N. Canton, BA;
Stephanie M.…
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www.ahrq.gov/data/apcd/envscan/app-c.html
May 01, 2025 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence
Appendix C. Environmental Scan Resources Included
Previous Page
Table of Contents
All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of C…
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www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
December 01, 2017 - Transforming Hospitals
Designing for Safety and Quality
Transforming Hospitals: Designing for Safety and Quality , a video from the Agency for Healthcare Research and Quality (AHRQ), reviews the case for evidence-based hospital design and how it increases patient and staff satisfaction and safety, quality of …
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www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
January 01, 2024 - Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm
Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm
Cynthia F. Corbett, PhD, RN: Principal Investigator
Alice A. Dupler, JD, APRN-BC
Stephen M. Setter, PharmD, DVM, CGP
Ke…
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www.ahrq.gov/talkingquality/assess/evaluation-plan.html
January 01, 2023 - Elements of an Evaluation Plan
An evaluation plan should be an integral part of your overall written plan for a quality reporting project. To support the planning of an evaluation, this page covers the following topics:
Purpose of the Evaluation
Evaluation Questions
Evaluation Criteria
Timetable and W…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
July 01, 2013 - Slide 1
Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI
*
Barbara Meyer Lucas, MD, MHSA
Project Consultant
Michigan Health & Hospital Association
Keystone Center for Patient Safety and Quality
Milisa Manojlovich, PhD, RN, CCRN
Associate Professor
Division of Nursing Business & Hea…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Monitoring Ventilator-Associated Events
SAY:
Today, we will discuss monitoring ventilator-associated events.
Slide 1
Learning Objectives
SAY:
After this session, you will be able to describe the …
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www.ahrq.gov/sites/default/files/2024-07/morrison-report.pdf
January 01, 2024 - Final Progress Report: Electronic Communications Across Provider Settings
AHRQ Grant Final Progress Report
Electronic Communications Across Provider Settings
Deane Morrison - Principal Investigator
Wendy Angelo, MD - Project Co-Director
Josie Bendiks - Project Co-Director
Dan Venecek - Project Manager
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
January 01, 2012 - Project Report - Lean Sigma
*
National Content Webinar
CUSP: A Framework for Success
March 7, 2012
*
*
Today’s Speakers
Marge Cannon, Medical Officer, CMS
Minet Javellana, Health Insurance Specialist, CMS
Barb Edson, Vice President of Clinical Quality, HRET
Chris George, Director of National Projects, MHA…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/spanish-hospital-ve-supp-item-set-2022.pdf
January 01, 2022 - SOPS® Value and Efficiency Supplemental Items for the SOPS Hospital Survey - Spanish
SOPS® Value and Efficiency Supplemental
Item Set for the SOPS Hospital Survey 2.0
Language: Spanish
• Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0
to help hospitals as…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
December 01, 2017 - The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: The Science of Improving Patient Safety and Identifying Defects
Say:
The topic of this module is the science of patient safety. The discussion will include the importance of unders…