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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdfSeptember 01, 2015 - Emergency Nurses Association content and transcript AHRQ Safety Program for Reducing CAUTI in Hospitals The Emergency Nurses Association Presents CAUTI Slides and Transcript AHRQ Pub No. 15-0073-5-EF September 2015 Contents Attribution......................................................................…
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Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training (pdf file)
www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdfJanuary 01, 2024 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training Virtual Healthcare Environments Versus Traditional Interactive Team Training Principal Investigator: Jeffrey M. Taekman, MD Investigative Team: Noa Segall, PhD David Turner, MD Gene Hobbs, CHT Cheryl Jacobs Barb… -
www.ahrq.gov/sites/default/files/2024-03/small-report.pdfJanuary 01, 2024 - Final Progress report: Creating High Reliability Organizations Creating High Reliability Organizations Principal Investigator: Stephen D. Small, MD Key Team Members: Kay Metis, MS, MA Bobbie J. Sweitzer, MD Paul Barach, MD (2001-2002) Additional funded collaborators: Julie Mohr, PhD David Meltzer, MD, …
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www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdfJanuary 01, 2024 - Final Progress Report: Chronic Care Technology Planning Project Chronic Care Technology Planning Project John M. Branscombe, Jr., MSB, Principal Investigator Team Members and Organizations: David Peterson, President/CEO, The Aroostook Medical Center, Presque Isle, Maine Joy Barresi-Saucier, RN, The Aroostook Medic…
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www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdfSeptember 01, 2015 - Emergency Nurses Association content and transcript AHRQ Safety Program for Reducing CAUTI in Hospitals The Emergency Nurses Association Presents CAUTI Slides and Transcript AHRQ Pub No. 15-0073-5-EF September 2015 Contents Attribution......................................................................…
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Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdfNovember 29, 2004 - Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care 369 Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush Abstract Objectives: Diabetes-related medic… -
Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdfJuly 01, 2004 - Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency 105 Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency David R. Hunt, Nancy Verzier, Susan L. Abend, Courtney Lyder, Lisa J. Jaser, Nancy Safer, Paul Davern Abstract The Medicar… -
Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdfMarch 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room Patient Identification Errors in the Operating Room 11-1 11. Patient Identification Errors in the Operating Room Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H. Introduction In the first Making Health Care Safer … -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdfJanuary 01, 2000 - Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care 7 Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care Denise Hartnett Daudelin, Manlik Kwong, Joni R. Beshansky, Harry P. Selker Abstract Information Technology (IT) solutions to patient safe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdfJuly 01, 2003 - Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors 185 Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors Emily Beth Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless, Thomas K. Hazlet, R…
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Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdfJanuary 01, 2004 - Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? 291 Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? Debra Quinn, Mary Cooper, Lynn Chevalier, Jerry Balentine, Lawrence Kadish, Steven Walerstein, Fredric Weinbaum, Mark Ca… -
Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdfJanuary 01, 2005 - Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database 277 Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database Elaine M. Furmaga, Peter A. Glassman, Francesca E. Cunningham, Chester B. Good Abstract Objective: In view of the wi… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdfJanuary 01, 2003 - The Use of Surgical Simulators to Reduce Errors 165 The Use of Surgical Simulators to Reduce Errors Marvin P. Fried, Richard Satava, Suzanne Weghorst, Anthony Gallagher, Clarence Sasaki, Douglas Ross, Mika Sinanan, Hernando Cuellar, Jose I. Uribe, Michael Zeltsan, Harman Arora Abstract The training of…
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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-Drews_15.pdfFebruary 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive Care Unit Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD Abstract Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas where errors occur frequently is t…
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ChartBook On Patient Safety (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdfMarch 04, 2016 - The home health team can help teach a patient ways to organize drugs and take them properly. -
Primary-Care-Based-Efforts (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/primary-care-based-efforts.pdfMarch 01, 2019 - care settings, bundled with 12 various primary care-based readmission reduction efforts, and ways … risk stratification, testing of the post-discharge visit protocol, medication reconciliation, and ways -
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdfMarch 01, 2020 - care settings, bundled with 12 various primary care-based readmission reduction efforts, and ways … risk stratification, testing of the post-discharge visit protocol, medication reconciliation, and ways
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdfJanuary 01, 2019 - Network of Patient Safety Databases Chartbook, 2019 Network of Patient Safety Databases Chartbook, 2019 This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook, 2019. Rockvi…
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Impguide2 (pdf file)
www.ahrq.gov/sites/default/files/publications/files/impguide2.pdfSeptember 08, 2015 - The National Evaluation of the CHIPRA Quality Demonstration Grant Program Designing Care Management Entities for Youth with Complex Behavioral Health Needs Grace Anglin, Adam Swinburn, Leslie Foster, Cindy Brach, and Linda Bergofsky Implementation Guide Number 2 2 Designing Care Management Entities for Youth w… -
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdfApril 30, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Teamwork and Leadership Overview According to the Joint Commission, in 2022, failures in communication, teamwork, a…
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