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  1. www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
    January 01, 2024 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors Medication Error Reduction, Technologies, and Human Factors Final Report Pascale Carayon, PI, Tosha B. Wetterneck, co-PI Roger Brown Professor, UW School of Nursing Pascale Carayon Principal investigator; Professor, Department of …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
    January 01, 2003 - Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations 259 Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations Robert R. Campbell, Douglas D. Bradham, Aurora S…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
    March 23, 2008 - Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine …
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
    April 01, 2016 - Purpose: To help teams adopt a system-focused approached to event investigation and analysis. Who should use this tool? Event Reporting, Investigation, and Analysis Team. How to use this tool: Review the guide information when developing and implementing a systems approaching to event investigation and analysis. T…
  5. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
    December 01, 2024 - Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture SOPS Hospital Survey Version 2.0 Resource List 1 Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient I. Purpose This document provid…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_toolkit.pdf
    December 01, 2017 - A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings Suggested Citation: Davis K., Collier S., Situ J., et al. A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
    November 01, 2017 - A Toolkit to Engage High-Risk Patients in Safe Transitions: Final Report A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings Prepared for: Agency for Healthcare Research & Quality (AHRQ) U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Co…
  8. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/pubs/background-2012/backgrnd2012.pdf
    January 01, 2012 - Recommendations to Improve Children’s Health Care Quality Measures: Background Report on the 2012 Process Recommendations to Improve Children’s Health Care Quality Measures Background Report on the 2012 Process Structured Abstract Background: In 2009, the Children’s Health Insurance Program Reauthorizati…
  9. www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
    January 01, 2025 - Final Progress Report: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL) Final Progress Report Project Title: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL) PI: Sarwat I. Chaudhry Yale University Inclusive Dates: 9/30/2014-9/29/2019 Agency for Healthcare Research and Qua…
  10. www.ahrq.gov/sites/default/files/2024-02/wachs1-report.pdf
    January 01, 2024 - Final Report: GestureClean: A Touchless Interaction Language for the Operating Room Title Page Title of Project: GestureClean: A Touchless Interaction Language for the Operating Room Principal Investigator: • Juan P. Wachs, Professor, School of Industrial Engineering, Purdue University. Co-Investigators: • Richar…
  11. www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
    January 01, 2024 - Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly Title: Proactive Risk Assessment of Primary Care of the Elderly Principal Investigator and Team Members: Ben-Tzion Karsh, PhD (PI) Brian Arndt, MD John Beasley, MD Vicki Bier, PhD Roger Brown, PhD Pascale Carayon, PhD Sue Dovey, P…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
    March 01, 2004 - Regulation of Health Policy: Patient Safety and the States 405 Regulation of Health Policy: Patient Safety and the States Joanna Weinberg, Lee H. Hilborne, Quang-Tuyen Nguyen Abstract In its 1999 report on patient safety, the Institute of Medicine recommended a nationwide mandatory reporting system to co…
  13. www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
    April 15, 2024 - Diagnostic error in mental health: a review Diagnostic error in mental health: a review Andrea Bradford , 1,2 Ashley N D Meyer , 1,2 Sundas Khan,2 Traber D Giardina , 1,2 Hardeep Singh 1,2 Bradford A, et al. BMJ Qual Saf 2024;0:1–10. doi:10.1136/bmjqs-2023-016996 1 REVIEW 1Department of Medicine, Baylor…
  14. www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-bibliography-update-091223.pdf
    September 01, 2023 - AHRQ Comparative Health System Performance Initiative Publications Updated September 2023 This page intentionally left blank Comparative Health System Performance Initiative Publications 1 Comparative Health System Performance Initiative Publications Journal Articles Agniel D, Haviland A, Shekelle P, Sc…
  15. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3b.html
    July 01, 2018 - Guide to Patient and Family Engagement Methods (continued, 3) Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft K…
  16. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-2-pf-as-a-resource.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement Agency for Healthcare Research and Quality Advancing Excellence in Healt…
  17. www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
    June 01, 2020 - 6. Research Gaps and Prioritization of Federally Funded HSR and PCR Health Services and Primary Care Research Study: Comprehensive Report One of the study’s key research questions focuses on identifying research gaps—understudied or underfunded areas in HSR and PCR that, if addressed, would move the fields fo…
  18. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/primary-care-based-efforts.pdf
    March 01, 2019 - Environmental Scan of Primary Care-Based Efforts To Reduce Readmissions Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Prepared by: Michael Hochman, M.D., M.P.H. 1 Angel Bourgoin, Ph.D.2 …
  19. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/2020-instructions-for-analyzing-data.pdf
    January 01, 2020 - Instructions for Analyzing Data from CAHPS Surveys Instructions for Analyzing Data from CAHPS® Surveys in SAS®: Using the CAHPS Analysis Program Version 5.0 AHRQ Contract No.: HHSP233201500026I/HHSP23337004T Managed and prepared by: Westat, Rockville, MD Naomi Yount, Ph.D. Kayo Walsh, M.S. (Harvard Medic…
  20. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/instructions-for-analyzing-data-50.pdf
    June 01, 2025 - Instructions for Analyzing Data from CAHPS Surveys Instructions for Analyzing Data from CAHPS® Surveys in SAS®: Using the CAHPS Analysis Program Version 5.0 AHRQ Contract No.: GS-00F-009DA/75Q80123F80005 Managed and prepared by: Westat, Rockville, MD Naomi Yount, Ph.D. Kayo Walsh, M.S. (Harvard Medical …

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