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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-Dickerman_84.pdf
June 04, 2008 - Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process
Designing the Built Environment for A
Culture and System of Patient Safety –
A Conceptual, New Design Process
Kenneth N. Dickerman, ACHA, AIA, FHFI; Paul Barach, BSc, MD, MPH
Abstract
There is growi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
January 01, 2006 - 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive in a Single Hospital?
10-Year Experience Integrating Strategic Performance
Improvement Initiatives: Can the Balanced Scorecard,
Six Sigma®, and Team Training All Thrive …
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www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
January 01, 2024 - Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative
R18HS019531 Final Progress Report 9-30-14; Gallagher TH, PI. 1
Title Page
Title of Project: Communication to Prevent and Respond to Medical Injuries: WA State
Collaborative
Principal Investigator and Team Memb…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
June 01, 2020 - We have a formal consultation process where we go out to visit each of our agencies.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
October 01, 2024 - To learn more about the 4 Es, access the one-pager on the 4 Es, or visit the What Are The 4 Es?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
January 01, 2025 - information on how the percent positive response is calculated for positively and
negatively worded items, visit
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2015_hp-chartbook.pdf
January 01, 2015 - (To learn more, visit
https://cahpsdatabase.ahrq.gov/DataResearchers.aspx).
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-workplace-safety-report-pt1.pdf
January 01, 2025 - information on how the percent positive response is calculated for positively and
negatively worded items, visit
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www.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - education that could be done prior to hospital discharge and/or with a follow-up phone call or home visit
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www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - discharge instructions, such as information on how to manage the condition, what should
trigger a return visit … hospital interpreter was present at the time of the adverse event or was used at
any time during the visit
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www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
June 01, 2012 - .
• Daughters visit on weekends.
• Liquid diarrhea.
• Falling blood pressure, rising heart rate.
• … hip fracture, followed by hospital and
rehabilitation stays.
› Walks with a walker.
› Daughters visit … Paul comes to visit his father after work; he is aware that his father fell
yesterday, without injury
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/state/how-to-guide/how-to-guide.pdf
August 01, 2024 - The recommended minimum number of contacts was one in-
person visit and two phone/video/email contacts
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
November 01, 2021 - AHRQ Multiple Chronic Conditions Research Summit: Speaker Biosketches
Melinda Abrams, MS
The Commonwealth Fund
Ms. Abrams, as Senior Vice President, oversees The Commonwealth Fund's Delivery System Reform and International Health Policy programs. Since coming to the Fund in 1997, Ms. Abrams has worked…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
August 01, 2025 - AHRQ-Funded Patient Safety Project Highlights
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by Preventing
Procedural Harms and In-Facility Injuries
In the delivery of healthcare, practices are implemented that prevent procedural harms and in-facility
injuries to improve the safety of …
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
August 01, 2022 - specific to communication included communication with the patient before, during, and after an office visit
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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/2024-05/schoenfeld-report.pdf
January 01, 2024 - Final Progress Report: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department
Title Page
Title: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department
PI: Elizabeth Schoenfeld, MD, MS
Team: Peter Lindenauer, MD, MSc, Kathleen Mazur, Ed…
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www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
January 01, 2024 - Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care
Title of Project: Prescribing Errors in Ambulatory Pediatric Care
Principal Investigator and Team Members:
Basco, William T. = PI
Simpson, Kit = Mentor
Hulsey, Thomas = Mentor, Director of Masters Degree Program
Ebeling, Myla = Co-investig…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
December 01, 2017 - Surgical Complication Prevention Guide
AHRQ Safety Program for Surgery
Surgical Complication Prevention Guide
AHRQ Publication No. 16(18)-0004-13-EF
December 2017
AHRQ Safety Program for Surgery Surgical Complication
Prevention Guide
Contents
Introduction .................................................…
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www.ahrq.gov/news/events/nac/2018-11-nac/nacmtg1118-minutes.html
April 01, 2019 - Meeting Minutes, November 2018
National Advisory Council
Minutes from the November 15, 2018, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of July 18, 2018, Meeting Summary
Director's Welcome and Update
Update on AH…