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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
PATIENT
SAFETY
e
Issue Brief 6
The Contribution of Diagnostic Errors
to Maternal Morbidity and Mortality
During and Immediately After Childbirth:
State of the Science
This…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator
39
Readmissions for Selected Infections
Due to Medical Care: Expanding the
Definition of a Patient Safety Indicator
Brian Gallagher, Liyi Cen, Edward L. Hannan
Abstract
Objective: Evaluate the A…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism
Appendix A: Tools and Resources
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
January 01, 2004 - Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation?
291
Can an Academic Health Care
System Overcome Barriers to
Clinical Guideline Implementation?
Debra Quinn, Mary Cooper, Lynn Chevalier,
Jerry Balentine, Lawrence Kadish, Steven Walerstein,
Fredric Weinbaum, Mark Ca…
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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-Nemeth_116.pdf
April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care
Minding the Gaps: Creating Resilience in Health Care
Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD;
Richard Cook, MD
Abstract
Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
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www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
January 01, 2025 - The Technical Panels (TPs) for the colorectal cancer and symptom
management/end-of-life care priority
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www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
January 01, 2024 - The specific items included comorbidities and symptom severity, risk factors,
prognosis, therapies,
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www.ahrq.gov/sites/default/files/wysiwyg/ecareplan/reports/ecare-plan-for-mcc-v2.pdf
January 01, 2025 - MCC eCare Plan Implementation Guide: MCC
symptom value sets. 2024.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
February 01, 2018 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications
AHRQ’s Safety Program for Nursing Homes:
On-Time Preventable Hospital and Emergency
Department Visits
Functional Specifications
Current a…
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www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
January 01, 2024 - 100%) observed counseling in the
intervention pharmacies, patients were educated about the onset of symptom
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - been attempted in the past, the issues persist, indicating potentially that the solution resolved a symptom
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults
Reducing Adverse Drug Events in Older Adults 9-1
9. Reducing Adverse Drug Events in Older Adults
Authors: Tara R. Earl, Ph.D., M.S.W., Nicole D. Katapodis, M.P.H., and Stephanie R. Schneiderman, M.P.P.
Reviewers: Scott Winiecki, M.D…
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www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
January 01, 2024 - Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics
1. Title: Surveillance for Adverse Drug Events in Ambulatory Pediatrics
Principal Investigator(s): Thomas C. Bailey (07/15/09—02/28/11)
Peter M. Kilbridge (09/01/07—07/14/09)
Team Members: Laura A. Noirot
Richard M. Reichley
…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
May 01, 2018 - Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma
1
Rate of Emergency Department Visit Use for Children
Managed for Identifiable Asthma
Section 1. Basic Measure Information
1.A. Measure Name
CAPQuaM PQMP Asthma I: Rate of Emergency Department Visit Use for Children Managed
for…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-intro-methods.pdf
December 01, 2021 - 2021 National Healthcare Quality and Disparities Report Introduction and Methods
2021
National
Healthcare
Quality and
Disparities
Report
Introduction
and Methods
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated.
Suggested citati…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/clinical-care/clinicalcare_slides.pptx
September 03, 2014 - PowerPoint Presentation
Clinical Care of the Hemodialysis Patient
1
Objectives
Summarize key reasons clinical care is important in vascular access infection (VAI) prevention
Identify five occasions in which hand hygiene is critical
Explain practices that all staff members can follow during site access in order to…
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www.ahrq.gov/sites/default/files/2024-01/zabar-report.pdf
January 01, 2024 - Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral and social determinants of health
AHRQ Grant Final Progress Report
Title of Project
Safe delivery of primary care to vulnerable populations: Using simulation (Unanno…
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www.ahrq.gov/sites/default/files/2024-01/hartung-report.pdf
January 01, 2024 - Final Progress Report: RESPOND Pharmacy Education Toolkit: AHRQ Final Report
RESPOND Pharmacy Education Toolkit: AHRQ Final Report
Principal Investigator: Daniel Hartung, PharmD, MPH
Team Members: Nicole O’Kane, Christi Hildebran, Adriane Irwin, Lindsey Alley, Kevin Novak, Sara
Haverly, David Cameron, Jennifer Hal…
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www.ahrq.gov/patient-safety/reports/hotline/eval4.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
IV. Evaluation Aims, Methods, and Results
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for …
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www.ahrq.gov/patient-safety/reports/hotline/design2.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
II. Hotline Design and Development
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient…