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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-Johnson_90.pdf
June 10, 2008 - patient
safety initiatives—managing concentrated injectable medicines, assuring medication accuracy at
transitions
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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-Tupper_73.pdf
March 20, 2008 - for patient safety 72 78a 60 69
Teamwork across hospital areas 60 64 53 57
Hospital handoffs and transitions
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
May 01, 2024 - Enhanced Kidney Follow-up for AKI Survivors in Care Transitions (the ACT Study) (R03) PI: Erin Frazee
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - from hospitals, 2016 and 2018
0% 20% 40% 60% 80% 100%
Nonpunitive Response to Error
Handoffs & Transitions … from hospitals, 2016 and 2018
0% 20% 40% 60% 80% 100%
Nonpunitive Response to Error
Handoffs & Transitions … Patient Safety,
Frequency of Events Reported, Overall Perceptions of Patient Safety, and Handoffs &
Transitions … Handoffs and Transitions and Nonpunitive Response to Error had the lowest percent
positive responses
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - provide institutions with periodic feedback that
addresses patient safety, health care quality, care transitions … Handoff: The transfer of information (along with authority and responsibility) during
transitions in
-
www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 01, 2015 - provide institutions with periodic feedback that
addresses patient safety, health care quality, care transitions … Handoff: The transfer of information (along with authority and responsibility) during
transitions in
-
www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - provide institutions with periodic feedback that
addresses patient safety, health care quality, care transitions … Handoff: The transfer of information (along with authority and responsibility) during
transitions in
-
www.ahrq.gov/ncepcr/reports/grants-transform/bibliography/index.html
February 01, 2017 - AHRQ Transforming Primary Care Grants Bibliography
This bibliography includes citations for and short summaries of the more than 50 peer-reviewed articles resulting from the AHRQ Transforming Primary Care grants as of January 1, 2015. The evidence generated from this initiative has formed a solid foundation tha…
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/tpcbib/index.html
May 01, 2015 - AHRQ Transforming Primary Care Grants
Bibliography
This bibliography includes citations for and short summaries of the more than 50 peer-reviewed articles resulting from the AHRQ Transforming Primary Care grants as of January 1, 2015. The evidence generated from this initiative has formed a solid foundation t…
-
www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - Project BOOST implementation guide - better outcomes for older adults via safe transitions.
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - Project BOOST implementation guide - better outcomes for older adults via safe transitions.
-
www.ahrq.gov/sites/default/files/2024-07/rothberg-report.pdf
January 01, 2024 - Final Progress Report: Patient-centered approach to reducing harm from VTE
Title: Patient-centered approach to reducing harm from VTE
Principal Investigator: Michael Rothberg, MD, MPH
Team Members: Aaron Hamilton, Bo Hu, Michael Kattan, Phuc Le, Lei Kou, Jacqueline Fox
Organization: Cleveland Clinic Foundation
In…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/patient-safety-technology-resources.pdf
May 01, 2023 - Improving Health Information Technology (IT) Patient Safety: A Resource List for Users of the AHRQ Health Information Technology Supplemental Item Set
SOPS Health IT Patient Safety Supplemental Item Set Resource List 1
Improving Health Information Technology (IT) Patient
Safety: A Resource List for Users of the A…
-
www.ahrq.gov/sites/default/files/2024-01/phillips-report.pdf
January 01, 2024 - Final Progress Report: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges
FINAL PROGRESS REPORT
Project Title: Preventing/Managing C. Diff for Nursing Home Residents, Admissions,
and Discharges
Principal Investigator: Charles D. Phillips, PhD, MPH, Regents Professor,
Texas A&M …
-
www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
January 01, 2024 - Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality
Final Progress Report
1. Title Page
Title: Development and Validation of a Tool to Evaluate Handoff Quality
Principal Investigator and Team Members:
Vineet Arora, MD, MAPP (Principal Investigator); Jeanne Farnan, MD, MHPE (Co…
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
1. Are we ready for this change?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressu…
-
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
December 01, 2017 - Building Your SSI Prevention Bundle: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Building Your SSI Prevention Bundle
Say:
In this module, you’ll learn about using building a local bundle to reduce surgical site infections.
Slide 2: Learning Objectives
Say:
After reviewing this mod…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
December 01, 2017 - Facilitator Guide: Building Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Building Your Surgical Site Infection Prevention Bundle
SAY:
In this module, you’ll learn about using building a local bundle to reduce surgical site infections.
Slide 1
Learning Objectives
SA…
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - Optimize Briefings and Debriefings: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Optimize Briefings and Debriefings
Slide 2: Learning Objectives
Describe characteristics of effective briefings and debriefings.
Present the evidence bas…
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
July 01, 2023 - Establishing a Program of In Situ Simulations: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Establishing a Program of In Situ Simulations
Say:
Establishing a Program of In Situ Simulations is a pillar of the AHRQ Safety Program for Perinatal Care. This module introduces in situ simu…