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www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
January 01, 2024 - Final Progress Report:
1. TITLE PAGE
Title of Project: Communication Processes, Technology, and Patient Safety in Ambulatory
Oncology Settings
Principal Investigator: Christopher R. Friese, PhD, RN, AOCN®, FAAN
Team Members:
Louise Bedard, MSN, MBA
Alex J. Fauer, PhD, RN, OCN®
Jennifer J. Griggs, MD, MPH, FAC…
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www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
January 01, 2025 - Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations
1
Title: Improving Patient Safety: Health Systems Reporting, Analysis and Safety
Improvement Research Demonstrations
Principal Investigator: Victoria J. Fraser, MD
Co-Principal Inv…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/primer-for-pbrn-business-opportunities.pdf
September 01, 2015 - ACOs thinking about business
partnerships with PBRNs should be aware of
several assets and areas of … Some leaders we spoke to thought that 80% research and 20% QI service would be the optimal
division
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-executive-summary.pdf
October 19, 2021 - review publications), entrepreneur (founding a healthcare
start-up that was acquired), and a global thought … s Meeting
3:05 pm – 4:35 pm Operation Paper Outline
4:35 pm – 4:50 pm BREAK
4:50 pm – 5:50 pm Thinking
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
December 01, 2017 - Your team can use the Perioperative Staff Safety Assessment (PSSA) to
gather their thoughts. … They thought the
correct gentamicin dose would be nephrotoxic.
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www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
January 01, 2024 - member understanding of
methods and appropriate level of rigor
• Engage project teams in systems-level thinking … adoption and
spread throughout the pilot included both technical and workflow challenges (e.g., patients thinking
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
August 01, 2022 - Preliminary findings from the attorney surveys are encouraging: 90 percent of respondents thought the … JDN program had reduced litigation costs for their case, 80 percent thought the JDN was a positive contribution … The thinking was that the DRPs would be utilized by the hospitals to disclose adverse events, and the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - Review formal survey measures and
readmission rates and talk to people about their thoughts on discharge
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdf
May 01, 2024 - questions and provide an additional
forum to ensure that all TEP members had an opportunity to share their thoughts … advocated
for disease prevention through screening
action.14 Many individuals screen without a
second thought … This tool was used to ensure that all TEP members had an
opportunity to share their thoughts and fully
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-c.html
July 01, 2021 - ASPE typically selects both short-turnaround and forward-thinking projects to build capacity for anticipated
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/sleep-apnea-protocol.pdf
June 09, 2020 - establish validity of a surrogate or
intermediate measure, we will describe major alternative ways of thinking
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
April 01, 2025 - Stanford
University
Stanford, California
R18 HS29123
[Grant]
Applying Human
Factors Science,
Design Thinking
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
April 08, 2004 - implications of health care error, error as an issue in medical education, and
the need for systems thinking
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
October 01, 2024 - The CUSP team has prudently been thinking about and planning feedback mechanisms since their earliest
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-prepare.pdf
February 18, 2021 - When thinking back on the process,
many participants emphasize that the
kickoff was essential.
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www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
January 01, 2024 - Thinking clearly in an
emergency. Can. Med. Assoc. J. Apr 2001;164(8):1170-1175.
18.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
October 01, 2017 - Module 2: How To Manage Change
Training Guide
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve or…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Labor and Delivery Unit Safety
SAY:
The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the importance of a comprehensive unit-based …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - Labor and Delivery Unit Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Labor and Delivery Unit Safety
Say:
The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Establishing a Program of In Situ Simulations
AHRQ Safety Program for Perinatal Care
Establishing a Program of In Situ Simulations
AHRQ Publication No. 17-0003-22-EF
May 2017
SAY:
Establishing a Program of In Situ Simulations
is a pillar of the AHRQ Safety Program for…