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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-Ballard_12.pdf
February 02, 2008 - Following revisions to address any issues identified through the pilot testing, the order set is
reviewed
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impguide.html
July 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Facilitator Training
Implementation of the Preventable Hospital and ED Visits Reports
Note: This part of the training consists of interactive exercises and does not have any associated slides.
Introduction
Say:
Yesterday you were introduced to the compon…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_Final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate and Engage Residents and Family Members
Tool 1. Talking With Residents
These talking points are presented in Q&A format to encourage an open and respectful dialogue
between nurses or prescribing clinicians and res…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-7.html
February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
References
Previous Page
Table of Contents
Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
Introduction
Electronic Patient Porta…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-monitor.pdf
April 20, 2021 - Six Building Blocks How-To-Implement Toolkit: Monitor and Sustain Guide
Table of Contents
Introduction ......................................................................................................................................1
What Is the Monitor and Sustain Guide?....................................…
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www.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - Advancing Patient Safety
A Decade of Evidence, Design, and Implementation
After the Institute of Medicine released its sentinel report, To Err is Human: Building a Safer Health System , the Agency for Healthcare Research and Quality (AHRQ), in conjunction with its Federal partners and non-Federal…
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www.ahrq.gov/sites/default/files/2024-09/segall-report.pdf
January 01, 2024 - Final Progress Report: Workload effects on response time to life-threatening arrhythmias
Workload effects on response time to life-threatening arrhythmias
Principal investigator: Noa Segall, PhD
Team members: Christopher Granger, MD
Melanie Wright, PhD
Gene Hobbs, CHT
Alberto Bonifacio, RN, BSN, MHA, CEN
Jeffr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
May 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis
323
Improving the Safety of Heparin
Administration by Implementing a
Human Factors Process Analysis
Kathleen A. Harder, John R. Bloomfield,
Sue E. Sendelbach, Michele F. Shepherd, Pam S. Rush,
Jamie S. Sinclair,…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - A System to Describe and Reduce Medical Errors in Primary Care
A System to Describe and Reduce Medical Errors in
Primary Care
Victoria Kaprielian, MD; Truls Østbye, MD, PhD; Samuel Warburton, MD;
Devdutta Sangvai, MD, MBA; Lloyd Michener, MD
Abstract
Although much attention has been focused on finding wa…
-
www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
January 01, 2010 - Advancing Patient Safety: A Decade of Evidence, Design, and Implementation
Evidence
Design and
Implementation
Advancing Excellence in Health Care •www.ahrq.gov
Agency for Healthcare Research and Quality
Advancing Patient Safety:
A Decade of
1999
1
Introduction
Patient safety was a fairly new
field when the …
-
www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
January 01, 2025 - medication reconciliation, pressure injury prevention, antibiotic use, discharge summary, and
laboratory testing … Prevention
Antibiotic use
Medication
prescribing
Discharge
summary
Diagnostic
imaging
Lab testing
-
www.ahrq.gov/sites/default/files/2024-01/kharrazi-report.pdf
January 01, 2024 - The development and testing of HIE-based real-
time readmission risk information for PCPs is the focus … Hopkins ACGs (adjusted clinical groups, formerly ambulatory
care groups) that focus on developing and testing
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
June 03, 2021 - It is estimated that at least $200 billion is wasted
annually on excessive testing and treatment.27 … This overutilization contributes to harm, with aggressive
testing mistakes and injuries believed to
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/LomotanDougherty2013.pdf
April 01, 2013 - sures related to overuse were avoidance of antibiotics for
otitis media with effusion and appropriate testing … effusion ICS Overuse – antibiotics [27]
Pharyngitis ICS Overuse – antibiotics without streptococcal testing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
December 01, 2017 - or remove unnecessary steps
· Standardize equipment and process of care map
· New device usability testing … or remove unnecessary steps
· Standardize equipment and process of care map
· New device usability testing
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
June 03, 2021 - It is estimated that at least $200 billion is wasted
annually on excessive testing and treatment.27 … This overutilization contributes to harm, with aggressive
testing mistakes and injuries believed to
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - roles contribute to the accuracy and timeliness of
diagnosis.10 Similarly, referring to “point-of-care testing … ” as “diagnostic point-of-care testing” acknowledges
how nurses’ responsibilities extend beyond simply
-
www.ahrq.gov/sites/default/files/2024-04/maraganore-report.pdf
January 01, 2024 - Final Progress Report: Quality Improvement and Practice-Based Research in Neurology Using the EMR
A. Title Page
Title of Project: Quality Improvement and Practice-Based Research in Neurology Using the EMR
Principal Investigator and Team Members:
University of Florida:
Demetrius M. Maraganore, MD (principal investi…
-
www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf
January 01, 2024 - Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program
Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program
Principal Investigator: David J. Taber, PharmD, MS, BCPS
Professor
Medical University of South Carolina
Department of Surgery
96 J…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Goeschel_24.pdf
January 01, 2008 - Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project
Harnessing the Potential of Health Care
Collaboratives: Lessons from the Keystone ICU
Project
Christine A Goeschel, RN, MPA, MPS; Peter J. Pronovost, MD, PhD
Abstract
In October 2003, the Quality and Safety Research…