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1901. Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
      December 01, 2017 - agreement to which a variety of providers across intensive care units, labor and delivery units, and surgery

1902. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
      June 03, 2014 - agreement to which a variety of providers across intensive care units, labor and delivery units, and surgery

1903. Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
      April 01, 2025 - general, medical adverse events tend to be (but are not always) errors of commission (e.g., wrong site surgery

1904. Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update | Agency for Healthcare Research and Quality
      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…

1905. Using Home Visits to Understand Medication Errors in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
      May 28, 2008 - Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes

1906. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
      January 01, 2019 - • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement.

1907. Health Assessments A Primary Care Practice Improvement Activity (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_ha.pdf
      February 05, 2015 - Health Assessments A Primary Care Practice Improvement Activity Advancing Excellence in Health Care–•–www.ahrq.gov Health Assessments A Primary Care Practice Improvement Activity User Guide To use a screen reader application with this module, please change your Acrobat reading preferences under the Screen Rea…

1908. Detailed Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
      August 01, 2022 - the patient safety culture in participating hospitals, prevent and address adverse events affecting general … surgery patients, prevent the filing of malpractice claims through disclosure and early offer, and,

1909. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
      January 22, 2008 - Surgery 2004; 136: 5-13. 20. Volpp KGM, Grande, D.

1910. Appendix A: References and Available Abstracts | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/acfselection/appendixa.html
      July 01, 2018 - injured patients per hour and resuscitation room capacity was reached within 15 min. 17 patients needed surgery

1911. SOPS™ Value and Efficiency Supplemental Items for Hospitals and Medical Offices Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcasttranscript.pdf
      January 09, 2018 - five SOPS surveys for hospitals, nursing homes, medical offices, community pharmacies and ambulatory surgery

1912. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
      June 10, 2014 - Orthopedic surgery is another.

1913. Cauti-Sustainability-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
      January 01, 2014 - We also updated our physician order sets that for post-op day #1 for surgery and get those catheters

1914. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
      July 01, 2023 - I wasn’t offered any after care [post back surgery].

1915. Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship (June 10, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
      December 01, 2017 - Orthopedic surgery is another.

1916. Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
      December 01, 2017 - room, I noticed a surgeon who was in the back of the room and he'd been – he actually didn't do any surgery

1917. Navigating-Hierarchy-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
      December 10, 2013 - room, I noticed a surgeon who was in the back of the room and he’d been – he actually didn’t do any surgery

1918. The Business Case for CUSP (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/business-case.html
      April 01, 2013 - For instance, you’ve got me scheduled to go to surgery tomorrow morning, but for some reason somebody

1919. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
      December 01, 2017 - We also updated our physician order sets that for post-op day #1 for surgery and get those catheters

1920. AHRQ-Funded Patient Safety Project Highlights (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
      July 01, 2024 - The system was implemented in Radiation Oncology and Surgery, but investigators could only recruit 73