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www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
January 01, 2024 - In addition, no attending surgeon ever found out about seven
of the 15 floor mistakes and near misses
-
www.ahrq.gov/sites/default/files/2024-07/gallagher3-report.pdf
January 01, 2024 - Final Progress Report: Training Doctors To Disclose Unanticipated Outcomes to Patients: Randomized Trial
R01HS016506 Final Progress Report 12-26-13; Gallagher TH, PI. 1
Title Page
Title of Project: Training Doctors to Disclose Unanticipated Outcomes to Patients:
Randomized Trial
Principal Investigator and Team M…
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www.ahrq.gov/sites/default/files/2024-03/small-report.pdf
January 01, 2024 - Final Progress report: Creating High Reliability Organizations
Creating High Reliability Organizations
Principal Investigator:
Stephen D. Small, MD
Key Team Members:
Kay Metis, MS, MA
Bobbie J. Sweitzer, MD
Paul Barach, MD (2001-2002)
Additional funded collaborators:
Julie Mohr, PhD
David Meltzer, MD, …
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-cancer.html
June 01, 2018 - Chartbook on Health Care for Blacks
Part 2: Trends in Priorities of the Heckler Report—Care for Cancer
Previous Page Next Page
Table of Contents
Chartbook on Health Care for Blacks
Health Care for Blacks
Acknowledgments
Part 1: Overviews of the Report and the Black Population
Part 2: Trends …
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www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
January 01, 2024 - the time out, other ASCs changed staff during the final time out,
conducted the time out without the surgeon … preoperative assessment in
the ASC setting and must communicate information among other nurses, the surgeon … Concerns are communicated by the nurse to the
anesthesiologist, surgeon, or nursing and administrative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - Clinical scenario: During the removal of an abdominal mass, the surgeon documents, in the
description … 03 Retained Surgical
Item or
Unretrieved
Device Fragment
X Foreign body intentionally left by
surgeon
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-slides.pdf
February 09, 2022 - Voice from the Field
The Aspirus Wausau Hospital Cardiac Rehab Story of
2016
The Advice of a Surgeon
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/45-iscr-pathway-audit-tool.xlsx
June 01, 2023 - Introduction
The compliance tracking sheet is located in the other tab of this Excel file AHRQ Pub. No. 23-0052
June 2023
&G
Audit Tool
Purpose of this tool: To support your hospital’s AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) implementation, your hospital should begin r…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/104-what-are-4-es.pptx
April 01, 2025 - PowerPoint Presentation
What Are the 4 Es?
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
What Are the 4 Es?
1
Educational…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
June 02, 2025 - To reach consensus on what steps to take to prevent DVT/PE, an HMC committee that included
a trauma surgeon
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_11_PPT_508.pdf
June 02, 2025 - 34 Strategy 1: Working With Patient and Family Advisors Training (Tool 11)
Scenario 4
• A surgeon
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf
January 01, 2003 - Can We Talk? Priorities for Patient Care Differed Among Health Care Providers
5
Can We Talk? Priorities for Patient Care
Differed Among Health Care Providers
Bradley Evanoff, Patricia Potter, Laurie Wolf, Deborah Grayson,
Clay Dunagan, Stuart Boxerman
Abstract
Objective: Poor communication and collabora…
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www.ahrq.gov/policymakers/chipra/overview/background/references.html
April 01, 2025 - Mental health: A report of the Surgeon General. Washington, DC; 1999. 60.
-
www.ahrq.gov/sites/default/files/2025-06/xu-report.pdf
January 01, 2025 - Final Progress Report: Occult Uterine Cancer and Power Morcellation in Hysterectomy and Myomectomy
AHRQ Grant Final Progress Report
Project Title
Occult Uterine Cancer and Power Morcellation in Hysterectomy and Myomectomy
Principal Investigator and Team Members
Principal Investigator:
Xiao Xu, PhD
Co-Investigator…
-
www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
March 01, 2016 - cardiac surgery program, a practice
group of cardiothoracic surgeons, or uncommonly, an individual surgeon … ), Surgeon
Group Q, for years 2012, 2013, and 2014. … The report also shows Surgeon Group Q
compared with the percentage of patients with “any complication … a
ti
e
n
ts
Any Complication
Participant Like STS
Isolated CABG Procedures
Data Summary
Surgeon
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
December 10, 2013 - I have a colleague, John Webster, who’s a retired Naval orthopedic surgeon and when he and I met in the … And in the very back of the room, I noticed a surgeon who was in the back of the room and he’d been – … certain group of people so that we could back them up, and we went into one of the units where this surgeon … therapists, there were pharmacists and it was a pretty small classroom and everybody was packed in, and this surgeon
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
December 01, 2017 - I have a colleague, John Webster, who's a retired Naval orthopedic surgeon and when he and I met in the … And in the very back of the room, I noticed a surgeon who was in the back of the room and he'd been – … certain group of people so that we could back them up, and we went into one of the units where this surgeon … therapists, there were pharmacists and it was a pretty small classroom and everybody was packed in, and this surgeon
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
March 01, 2012 - patients who received surgery in an
ASC, experienced a complication, and returned to their private surgeon … A referral back to the surgeon should be performed
for any concerns known to increase a patient’s risk … form of an SBAR, for example, might be used for a nurse to highlight a
particular risk point to a surgeon
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb26.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B26: Reducing Falls: A Safety Checklist for the Home
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introductio…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-4.html
August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
Diagnostic Safety Research Priorities and Opportunities
Previous Page Next Page
Table of Contents
Pediatric Diagnostic Safety: State of the Science and Future Directions
Introduction
Challenges in Approaching Diagnostic Safe…