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www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 1
Improving
Patient Safety
in Long-Term
Care Facilities
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Module 1.
Detecting Change
in a Resident’s
Condition
Student
Workbook
These training materi…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc1.pdf
September 01, 2014 - Supplemental Document No. 1
The findings and conclusions in this document are those of the author(s), who are responsible for its
content, and do not necessarily represent the views of AHRQ and the Centers for Medicare &
Medicaid Services (CMS). No statement in this report should be construed as an official positio…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
December 31, 2022 - Building, Implementing, and Troubleshooting an Automatic Referral for Cardiac Rehabilitation
Building, Implementing & Troubleshooting an Automatic Referral for Cardiac Rehabilitation
1
This presentation is designed to help you understand the steps required for designing, testing, implementing, and troubleshootin…
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www.ahrq.gov/sites/default/files/2024-07/middleton-wald-report.pdf
January 01, 2024 - Final Progress Report: Shared Online Health Records for Patient Safety and Care
FINAL REPORT: December, 18th 2007
Shared Online Health Records for Patient Safety and Care
Principal Investigator: Blackford Middleton, MD, MPH, MSc; bmiddleton1@partners.org
Brigham and Women’s Hospital
Blackford Middleton, MD, MPH,…
-
www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
January 01, 2025 - Final Progress Report: Proactive Risk Assessment in the ED: Building the Safety Case
Proactive Risk Assessment in the ED: Building the Safety Case
Principal Investigator: Robert L. Wears, MD, MS
Co-investigator Shawna J. Perry, MD
Team Members:
John Wreathall
Rollin (Terry) Fairba…
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www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
January 01, 2024 - Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy
Principal Investigator/Program Director (Last, First, Middle): Ferguson, T. Bruce Jr.
Project Title: Cardiovascular Care Disparities: Safety-Net HIT
Strategy
T. Bruce Ferguson, Jr., MD LSU HSC, HCSD Principal Investigator
Michael M .…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2014cahpshealthplanchartbook.pdf
October 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook
THE CAHPS DATABASE
2014 CAHPS Health Plan
Survey Database
2014 Chartbook: What Consumers Say About Their
Experiences with Their Health Plans and Medical Care
AHRQ Contract No.: HHSA290201300003C
Managed and prepared by:
Westat, Rockville, MD
Dale Shalle…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator
395
From Insight to Implementation:
Lessons from a Multi-site Trial of
a PDA-based Warfarin Dose Calculator
Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth,
Debora A. Paterniti, William Dager, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense
361
Standardizing Medication Error Event
Reporting in the U.S. Department of Defense
Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake
Abstract
Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
September 01, 2008 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety
Venous Thromboembolism Safety Toolkit:
A Systems Approach to Patient Safety
Brenda K. Zierler, PhD; Ann Wittkowsky, PharmD; Gene Peterson, MD, PhD;
Jung-Ah Lee, MN; Courtney Jacobson, BA; Robb Glenny, MD; Fred Wolf, PhD;
Lynne Robin…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
June 16, 2008 - Development of a Comprehensive Medical Error Ontology
Development of a Comprehensive
Medical Error Ontology
Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD;
Jiajie Zhang, PhD; James P. Turley, RN, PhD
Abstract
A critical step towards reducing errors in health care …
-
www.ahrq.gov/patient-safety/reports/liability/baker.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Comme…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Improving Communication and Teamwork in the Surgical Environment Module
Facilitator Notes
SAY:
The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communication. This module is meant to augment the exist…
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www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
January 01, 2024 - AHRQ Final report: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process
TITLE PAGE
Project Title: Designing for Patient Safety: Developing Methods to Integrate Patient
Safety Concerns in the Design Process
Principal Investigator: Anjali Joseph, PhD, EDAC
Tea…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/hiv.html
April 01, 2018 - Chartbook on Effective Treatment
HIV and AIDS
Previous Page Next Page
Table of Contents
Chartbook on Effective Treatment
Acknowledgments
Effective Treatment
Effective Treatment Trends and Measures
Cardiovascular Disease
Cancer
Chronic Kidney Disease
Diabetes
HIV and AIDS
Mental Hea…
-
www.ahrq.gov/patient-safety/reports/liability/pichert.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Ref…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
January 01, 2004 - Creating a Culture of Patient Safety through Innovative Hospital Design
425
Creating a Culture of Patient Safety through
Innovative Hospital Design
John G. Reiling
Abstract
When SynergyHealth, St. Joseph’s Hospital of West Bend, Wisconsin, decided to
relocate and build an 82-bed acute care facility, we reco…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems
337
Work System Analysis: The Key to
Understanding Health Care Systems
Ben-Tzion Karsh, Samuel J. Alper
Abstract
Many articles in the medical literature state that medical errors are the result of
systems problems, require systems analyses, a…
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www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
November 01, 2016 - Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities
July 21, 2016
Download accessible version of slides (PDF, 1 MB)
The National Quality Strategy and The Public Sector [Slide 1]
Operator: Ladies and gentlemen, thank you for stand…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
October 25, 2022 - Preventable
Hosp Among
Home
Health and
Nursing
Home
Patients
(n=2)
Supportive
and
Palliative
Care
(n=4)
Transitions … preventable hospitalization measures, 50% of supportive and palliative care measures, and
50% of transitions … of preventable hospitalization measures, 25% of supportive and
palliative care measures, and 50% of transitions