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  1. 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
  2. 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…
  3. 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…
  4. 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…
  5. 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?....................................…
  6. 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…
  7. 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…
  8. 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,…
  9. 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…
  10. 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 …
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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…
  19. 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…
  20. 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…

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