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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Stone.pdf
January 01, 2004 - findings of
a positive association between a teamwork-oriented culture and patient
satisfaction in Veterans … providers are represented, with the largest sample associated with a
multisite study conducted through the Veterans … sample
size
952 420 600 74,595 1,763 2,324
Number of
items in survey
99 31 18 29 52 59
VHA = Veterans … Effect of the transformation of the Veterans
Affairs health care system on the quality of care. … Effects of high-
involvement work systems on employee satisfaction
and service costs in veterans’ health
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www.ahrq.gov/news/events/nac/2021-07-nac/nacmtg071421-minutes.html
December 01, 2021 - Washington Advocates for Patient Safety
Ex Officio Members and Alternates Present
Naomi Tomoyasu, Ph.D., Veterans … following topics:
Cultural and structural features of zero-burnout primary care practices ( Health Affairs … consolidation in Medicare ACOs: Potential for higher prices without mergers or acquisitions ( Health Affairs
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
September 01, 2024 - DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, TX
Kelly M. … DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, TX
Bat-Zion Hose, Ph.D … that more decisions could be seen as depending on the values and wishes of the
patient, a state of affairs
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www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - DeBakey Veterans Affairs Medical Center; †Baylor College of Medicine,
Houston, Texas; ‡MedStar Institute … DeBakey
Veterans Affairs Medical Center (MEDVAMC), Houston Center for
Innovation in Quality, Effectiveness … Singh is funded in part by the
Houston Veterans Administration (VA) Health Services Research and
Development
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/007-ss-contact-precautions-fg.docx
April 01, 2025 - Department of Veterans Affairs (VA) also conducted a study examining the effectiveness of contact precautions
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/005-ss-preop-chlorhexidine-fg.docx
April 01, 2025 - Department of Veterans Affairs medical center undergoing elective orthopedic surgery with hardware implantation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
March 01, 2004 - Keynote speakers—James Bagian, Director
of the Veterans Affairs National Center for Patient Safety, … Health
Affairs 2001;20(6):44–56.
4. Sirio CA, Segel KT, Keyser DJ, et al. … Health Affairs 2003
Sep–Oct;22(5):157–65.
5. Young D.
-
www.ahrq.gov/news/newsroom/ahrq-stats.html
July 01, 2025 - Demographics of Veterans Veterans treated at Department of Veterans Affairs (VA) medical facilities in … 2014-15 were more likely to be age 65 or older, black, lower income and in poorer health compared with veterans … Veterans' Out-of-Pocket Medical Expenses Out-of-pocket medical expenses accounted for 7 percent of total … expenses for veterans who used Department of Veterans Affairs (VA) facilities in 2014-15. … That compared with 15 percent for veterans treated at non-VA facilities only.
-
www.ahrq.gov/news/events/nac/2023-03-nac/nacmtg030623-minutes.html
July 01, 2023 - Department of Veterans Affairs
Shari M.
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www.ahrq.gov/sites/default/files/wysiwyg/2020-hospital-linkage-techdoc.pdf
January 01, 2020 - Non-Federal General Acute Care Hospitals
AHA (1) Not Department of Defense, Public Health Service, Veterans … Affairs, Federal other,
Indian Health Service, or Department of Justice facilities and (2) the hospital … IQVIA (1) Not a government or Veterans Affairs-owned/run facility and (2) flagged as an
acute care general
-
www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
September 28, 2016 - Safety Improvement Corps
(PSIC) training programs
• In 2003, AHRQ partnered with the Department of Veterans … Affairs’ National Center for Patient Safety and began the
first of four 9-month PSIC training programs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Galt.pdf
January 01, 2004 - We also
reviewed the Veterans Affairs Center for Patient Safety’s published materials and
background … Communication from Veterans Affairs Patient Safety
Center, 2002.
23.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - National-Action-Plan-to-Advance-Patient-Safety.aspx
Upcoming Webinars
• September 26, 2:00-3:00 PM ET, Sponsored by the Veterans … Source: Health Affairs, January 2010
Source: Jha A, Epstein A. … Health Affairs. 2010;29(1):182-187.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
April 18, 2004 - readmissions
using extant administrative databases for fiscal year 2001 at two facilities, a
Department of Veterans … Affairs (VA) hospital and a private, nonprofit hospital. … The Tampa Veterans Affairs (VA) Hospital is a 327-bed
tertiary care teaching hospital that also includes … A
full range of inpatient and outpatient care is provided for veterans, including
medical, surgical … Living alone and
outpatient care use by older veterans. J Am Geriatrics
Soc 2004;52:617–22.
56.
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www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - Using BCMA software to improve patient safety in Veterans
Administration Medical Centers. … Department of Veterans Affairs. New York, NY:
Commonwealth Fund; 2011. Pub 1477. … Department of Veterans Affairs, National Center for Patient Safety. Unpublished data for 2006-2008. … Department of Veterans Affairs. New York, NY:
Commonwealth Fund; 2011. Pub 1477.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicutoolkit.pdf
January 01, 2004 - Medicine; Texas Children’s
Hospital; Texas Children’s Health Plan; University of Texas Houston; and the Veteran … Affairs
Hospital’s doctors, local researchers, nurses, and hospital staff.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - The Department of Veterans
Affairs (VA) has both mandatory and voluntary reporting systems, capturing … Department of Veterans Affairs, National Center for
Patient Safety.
-
www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
April 01, 2018 - The entire Veterans Affairs (VA) network of 152 active hospitals participates in NSQIP (its implementation … developing an algorithm entirely in the VA and applying it to other hospitals include the fact that the veteran
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
January 01, 2021 - such as the New England Journal of Medicine, the Journal of the American Medical
Association, Health Affairs … This sampling frame excluded Federal systems (including the Indian Health Service and
Department of Veterans … Affairs) and systems that focused on a medical specialty, such as
cancer (Dartmouth, 2020). … For
example, in Health Affairs, Furukawa, et al. (2020b) enumerated health systems using the
Compendium … Also, in Health Affairs, Fisher, et al. (2020) compared differences in the adoption of care delivery
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/021-ss-mrsa-surveillance-fg.docx
April 01, 2025 - recent study examined the effectiveness of contact precautions in preventing MRSA transmission in 108 Veterans … Affairs acute care hospitals across the U.S.