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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
July 01, 2004 - Task Force on Risk Management.
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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-Zierler_81.pdf
September 01, 2008 - Report of the
WHO/International Society and Federation of
Cardiology Task Force.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
January 01, 2021 - AHRQ Hospital Survey 2.0 User's Guide
PATIENT
SAFETY
HOSPITAL SURVEY ON
PATIENT SAFETY CULTURE
VERSION 2.0
USER'S GUIDE
AHRQ Hospital Survey on Patient Safety Culture
Version 2.0: User’s Guide
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fisher…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - Taxonomic Guidance for Remedial Actions
75
Taxonomic Guidance for Remedial Actions
Bruce Thomadsen, Shi-Woei Lin
Abstract
Objectives: This project developed a taxonomy to provide guidance in selecting
remedial actions to address problems uncovered during root cause analyses of
events in a medical setting. M…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - wp-content/uploads/Transitions_of_Care_Checklist.pdf
The National Transitions of Care Coalition Advisory Task … Force has released a transitions of care
list that provides a detailed description of effective patient
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - PHMG created a
medication reconciliation task force in their five regions to redesign clinical practice
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Learning From Defects Through Sensemaking: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Learning From Defects Through Sensemaking
Say:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 2: Learning Objectives
Say:
At the end of this module, you w…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Facilitator Guide: Learning From Defects Through Sensemaking
Slide Title and Commentary
Slide Number and Slide
Learning From Defects Through Sensemaking
SAY:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 1
Learning Objectives
SAY:
At the end of this module, you will …
-
www.ahrq.gov/sites/default/files/2024-07/cebul-report.pdf
January 01, 2024 - (24) Task Force on Community Preventive Services.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - Learning From Defects
Learning From Defects
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
Learning From Defects
1
Educat…
-
www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
January 01, 2024 - Final Progress Report: Developing a Medical Biometric Identification System with a Secure Database Network That Can Access Electronic Medical Databases
AHRQ Grant Final Progress Report
Title of Project:
Developing a Medical Biometric Identification System with a Secure Database Network That Can Access
Electroni…
-
www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
January 01, 2024 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training
Virtual Healthcare Environments Versus Traditional Interactive Team
Training
Principal Investigator: Jeffrey M. Taekman, MD
Investigative Team: Noa Segall, PhD
David Turner, MD
Gene Hobbs, CHT
Cheryl Jacobs
Barb…
-
www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
January 01, 2024 - Meeting Minutes (Draft), November 2023
Minutes from the November 16, 2023, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of July 12, 2023, Meeting Summary
AHRQ Director’s Highlights
Consumer Experience Measurement: C…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
June 01, 2015 - System Redesign Responses to Challenges in Safety-Net Systems
System Redesign Responses to
Challenges in Safety-Net Systems:
Summary of Field Study Research
Submitted to:
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
www.ahrq.gov
AHRQ ACTION II Contract No. H…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - The
hospital’s patient advisory committee reviews all policies
and educational materials from a patient
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - The
hospital’s patient advisory committee reviews all policies
and educational materials from a patient
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
January 01, 2014 - It is recommended by
the Advisory Committee on Immunization Practices (ACIP) for routine vaccination … Preventive Services Task Force). … papillomavirus vaccine (HPV2, Cervarix) for use in females and updated HPV
vaccination recommendations from Advisory … Committee on Immunization Practices (ACIP). … Preventive Services Task Force.
-
www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
January 01, 2025 - Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse
TITLE PAGE
Title of Project: Ambulatory patient safety of clients in treatment for
substance abuse
Principal Investigator: Bentson McFarland, MD, PhD
Team Members: Colleen Lewy, PhD
Christina Nicolaidis, MD
Patri…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-21-leadership.pdf
September 01, 2015 - Working With and Supporting Practice Leaders
Primary Care
Practice Facilitation
Curriculum
Module 21: Working With and Supporting Practice Leaders
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-senior-leaders.pdf
April 01, 2022 - Making It Work Tip Sheet: Engaging Senior Leaders in Preventing Healthcare-Associated Infections
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Engaging Senior Leaders in Preventing Healthcare Associated Infections
This “Making It Work” tip sheet pro…