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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
    January 01, 2004 - Methodological Challenges in Describing Medication Dosing Errors in Children 213 Methodological Challenges in Describing Medication Dosing Errors in Children Heather McPhillips, Christopher Stille, David Smith, John Pearson, John Stull, Julia Hecht, Susan Andrade, Marlene Miller, Robert Davis Abstract Alth…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
    April 04, 2008 - A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care Ranjit Singh, MA, MB, BChir (Cantab.), MBA; Wilson Pace, MD; Ashok Singh, MA, MB, BChir (Cantab); Chester Fox, MD; Gurdev Singh, MSc…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Dutta.pdf
    January 01, 2003 - SimCare: A Model for Studying Physician Decisionmaking Activity 179 SimCare: A Model for Studying Physician Decisionmaking Activity Pradyumna Dutta, George R. Biltz, Paul E. Johnson, JoAnn M. Sperl-Hillen, William A. Rush, Jane E. Duncan, Patrick J. O’Connor Abstract A major factor that contributes to th…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
    January 01, 2004 - Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies 507 Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies Laura Bonner, Bradford Felker, Edmund Chaney, Karen Vollen, Karen Berry, Barbara Revay, Barbara Sim…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
    October 01, 2017 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Introduction to Falls Reports Falls Prevention Electronic Reports Electronic Reports Falls High-Risk Report Summary of Fall Risk Factors (by Unit or Facility) Contextual Factors Report (by Unit or Facilit…
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/ereports.html
    December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Electronic Reports On-Time Nutrition Risk Reports There are two Nutritional Risk Reports: medium-risk and high-risk resident reports. Table 1: Sample On-Time Nutrition Risk Report: High Risk Resident Room Number Decre…
  7. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide-slides.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Instructor Guide Slide Presentation Text version of slide presentation. Slide 1: Introduction to Pressure Ulcer Prevention Reports AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention …
  8. www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
    January 01, 2024 - Final Progress Report: A Memory-Based Approach to Reducing Medication Errors A Memory-Based Approach to Reducing Medication Errors Project Final Report June 26th, 2023 Principal Investigator: Sadaf Kazi, PhD Team Members: Raj Ratwani, PhD Ella Franklin, MSN, RN Deanna-Nicole Busog Organization: MedSta…
  9. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-rev.pdf
    November 01, 2023 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Healthcare Facility Design 1 PATIENT SAFETY AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Healthcare Facility Design Overview Research has shown that optimizing the physical, function…
  10. www.ahrq.gov/healthsystemsresearch/hspc-research-study/references.html
    June 01, 2020 - References Health Services and Primary Care Research Study: Comprehensive Report 42 CFR 67.13, 42 CFR 67.13, Public Health Service Act. 42 U.S.C. ch. 6A § 201 et seq. 42 U.S.C. 299 et seq, “Healthcare Research and Quality Act of 1999. S.580.” AcademyHealth, “HSRProj,” undated. As of October 3, 2019: ht…
  11. www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
    February 01, 2017 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Say: This module introduces and provides evidence for the lung protective…
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/053-dec-guide-readiness.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Decolonization Decision-Making and Readiness for Implementation ICU & Non-ICU For more in-depth information on the implementation of decolonization, please refer to the presentation “Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization,” available on t…
  13. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3a.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 3: Defining Categorization Needs for Race and Ethnicity Data Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary R…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
    April 01, 2016 - Purpose: To help you identify members of your organization who are effective at delivering disclosure communications. Who should use this tool? Communication and Optimal Resolution (CANDOR) Implementation Team, Disclosure Lead(s), Disclosure Communicators. How to use this tool: Use the Communication Assessment Guid…
  15. www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
    December 01, 2017 - Optimize Briefings and Debriefings: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Optimize Briefings and Debriefings Say: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement are a big part of this project. Evidence supports that addre…
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 8: The Care Management Evidence Base Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program Se…
  17. www.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …
  18. 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 …
  19. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
    March 01, 2020 - Chapter-8 - Diabetes Harms Due to Diabetic Agents 8-1 8. Harms Due to Diabetic Agents Authors: Lisa LeRoy Ph.D., M.B.A., and Sonja Richard, M.P.H. Reviewer: Shelia Roman, M.D. Introduction In this chapter, two different kinds of diabetes patient safety practices are addressed—both intended to improve diabete…
  20. www.ahrq.gov/sites/default/files/2025-03/sarkar3-report.pdf
    January 01, 2025 - Final Progress Report: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco Ambulatory Safety CEnter for iNnovaTion (ASCENT) Final Progress Report TITLE PAGE Title: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco A…

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