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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…
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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-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…
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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…
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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…
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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…
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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…
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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
…
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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…
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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…
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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…
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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…
-
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…
-
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…
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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…
-
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…
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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…
-
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
…
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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/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…
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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…