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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Reige.pdf
March 01, 2004 - A Patient Safety Program & Research Evaluation of U.S. Navy Pharmacy Refill Clinics
213
A Patient Safety Program &
Research Evaluation of U.S. Navy
Pharmacy Refill Clinics
Valerie J. Riege
Abstract
Historically, pharmacists have been safety consultants for patients with minor
illnesses and have assisted…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
September 01, 2022 - Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis
1
PATIENT
SAFETY
e
Issue Brief 9
Improved Diagnostic Accuracy
Through Probability-Based
Diagnosis
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e
Issue Brief 9
Improved Diagnostic Accuracy…
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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/vol2/Advances-Regenstein_54.pdf
May 08, 2008 - Hospital Language Services: Quality Improvement and Performance Measures
Hospital Language Services: Quality
Improvement and Performance Measures
Marsha Regenstein, PhD, MCP; Jennifer Huang, MS; Catherine West, MS, RN;
Holly Mead, PhD; Jennifer Trott, MPH; Melissa Stegun, MA
Abstract
For a growing segment…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS)
325
Developing a Taxonomy of Anesthetists’
Nontechnical Skills (ANTS)
Rona Patey, Rhona Flin, Georgina Fletcher,
Nicola Maran, Ronnie Glavin
Abstract
Safety research in high-reliability industries, such as aviation, has clearly shown
that t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
March 01, 2004 - The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium
33
The San Diego Center for Patient Safety:
Creating a Research, Education, and
Community Consortium
Nancy Pratt, Kelly Vo, Theodore G. Ganiats, Matthew B. Weinger
Abstract
In response to the Agency for Healthca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
June 19, 2008 - The Rural Physician Peer Review Model©: A Virtual Solution
The Rural Physician Peer Review Model©:
A Virtual Solution
Josie R. Williams, MD; Kathy K Mechler, MS, RN, CPHQ; R.B. Akins; John R. Holcomb, MD;
Laura K. Gelderd, RN, BSN; R. Kim Clay; Tracy L. Adams; Janine C. Edwards, PhD
Abstract
Evaluating …
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Case 3. Grand Hospital Center
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Ca…
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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/2024-01/bailey-kilbridge-report.pdf
January 01, 2024 - Among all methods used, this keyword-scanning technique yielded the most ADEs
(37%), followed by computer-generated
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www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
January 01, 2024 - of risks and failures.29-30
Sociotechnical probabilistic risk assessment (ST-PRA) is a prospective technique
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - surgical pain
management practices and the use of Video-Based Feedback for the Improvement of
Surgical Technique
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport.pdf
March 01, 2020 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report
Potentially Preventable Readmissions:
Conceptual Framework To Rethink
the Role of Primary Care
Final Report
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Potentially Preventable Readmissions:
Conceptual Framewo…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Appendix F. Hospital Practice Insights: Challenges and Solutions
Previous Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Cha…
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www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
January 01, 2025 - Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports
Final progress report
Developing Evidence for Safety Surveillance from Device Adverse Event Reports
Grant number: 1R03HS026291-01
Supported by AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
Research Team
Principal invest…
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www.ahrq.gov/sites/default/files/2024-10/klein-report.pdf
January 01, 2024 - Final Progress Report: Validity assessment of a real-time indicator of attentional load and task-induced fatigue in the MIS environment
Final Progress Report to the Agency for Healthcare Research and Quality
Title of Project Validity assessment of a real-time indicator of attentional
load and task-induced fatigue i…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
October 01, 2020 - Sustainability Module: Facilitator Notes
Slide 1: Sustainability Module
Say:
This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to augment the existing Spread module of the CUSP Toolkit while offering organization…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Sustainability Module
Facilitator Notes
SAY:
This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to au…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/fillmore.pdf
August 01, 2014 - c
Case Studies
of EXEMPLARY PRIMARY CARE
PRACTICE FACILITATION
TRAINING PROGRAMS
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
The PCM Portfolio graphic element is intended to be closely aligned with AHRQ's overall brand,…
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www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
January 01, 2024 - Final Progress Report: Are Volume Standards Accurate Measures?
FINAL PROGRESS REPORT:
ARE VOLUME STANDARDS ACCURATE MEASURES?
Principal Investigator: Laurent G. Glance, M.D.
Co-Investigators: Andrew W. Dick, Ph.D.
Turner M. Osler, M.D.
Dana B. Mukamel, Ph.D.
Organization: University of Rochester School of Medic…