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  1. Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
    January 01, 2024 - aviation and patient safety and facilitate interdisciplinary OHSU-VA campus-wide discussion about the vision

  2. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - The senior executive can offer organizational vision and inform about interventions that the organization

  3. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - The senior executive can offer organizational vision and inform about interventions that the organization

  4. Archived: Diabetes Mellitus (Type 2) in Adults: Screening, 2003 | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/diabetes-mellitus-type-2-in-adults-screening-2003
    February 04, 2003 - The incidence of vision loss in a diabetic population.

  5. AHRQ Strategic Plan for Health System Transformation To Optimize Health, Functional Status, and Well-Being Among Older Adults (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/aging-well-strategic-plan.pdf
    August 01, 2024 - System Transformation To Optimize Health, Functional Status, and Well-Being Among Older Adults 1 Vision

  6. Screening for Preeclampsia US Preventive Services Task Force (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/Y5p8ZXy2ydg_VZMUfxbJ-6
    April 25, 2017 - complications, cesar- ean delivery, and adverse effects from magnesium sulfate (eg, nau- sea, headache, blurry vision

  7. Beyond the Pandemic: Creating Total Systems Safety | PSNet

    psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
    August 30, 2023 - McGaffigan: Safer Together: A National Action Plan to Advance Patient Safety was established through the vision

  8. In Conversation With... Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
    May 14, 2020 - reasonable accommodations are in place for patients who are deaf, hard-of-hearing, or are blind or have low vision

  9. Long-Term Care and the Response to COVID-19 | PSNet

    psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
    October 28, 2020 - to: wear supplemental nametags in large, clear fonts easily seen by people who are blind or have low vision

  10. Bringing Communities and Technology Together for Healthy Aging - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/p50hs019917-gustafson-final-report-2017.pdf
    January 01, 2017 - conversation), unable to give informed consent, or being unable to use Elder Tree (for example, poor vision

  11. Telehealth and Patient Safety During the COVID-19 Response | PSNet

    psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
    May 14, 2020 - reasonable accommodations are in place for patients who are deaf, hard-of-hearing, or are blind or have low vision

  12. Beyond the Hospital: the New Frontier of Patient Safety | PSNet

    psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
    August 01, 2014 - I won't say we've gotten there but that's the vision.

  13. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)

    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…

  14. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
    January 01, 2004 - In an effort to achieve this paperless vision, an organization must first have the infrastructure necessary

  15. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
    January 01, 2003 - her counsel and encouragement, and Joel Young, DHS/Health Service/Health Systems Planning, for his vision

  16. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
    January 01, 2004 - dementia, blindness, or aphasia; those who were too ill to participate; or those who had corrected vision

  17. The Patient Safety Education Project: An international Collaboration (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
    February 20, 2008 - This paper provides an overview of PSEP’s development and organization, its strategic vision, and its

  18. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
    August 30, 2023 - McGaffigan: Safer Together: A National Action Plan to Advance Patient Safety was established through the vision

  19. Research Findings #48 Influenza Vaccination Prevalence Among Adults with Increased Risk of Severe COVID-19 (pdf file)

    meps.ahrq.gov/data_files/publications/rf48/rf48.pdf
    April 20, 2021 - Insurance that provides coverage for a single service only, such as dental or vision coverage, was

  20. AHRQ's Evidence-based Practice Center Division Annual Report 2021: Solving the Puzzle for Evidence-Based Decision Making (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-year-in-review-2021.pdf
    January 01, 2021 - .....................................................................18 3 Executive Summary The vision
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