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  1. www.ahrq.gov/sites/default/files/2024-03/bruzzese2-report.pdf
    January 01, 2024 - Final Progress Report: Health Journalism 2010, national conference on healthcare journalism Final Grant Report for Agency for Healthcare Research and Quality Title: Principal Investigator: Organization: Grant Period: Federal Project Officer: Acknowledgement of Agency Support: Grant Number: Health Journalis…
  2. www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
    January 01, 2024 - Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions 1 Final report-2011/11/29 (limited to 20 pages) AHRQ R03 Project Title: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions Principal Investigator (PI): Huey-Ming Tzeng, PhD, RN, FAAN,…
  3. www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
    January 01, 2025 - Final Progress Report: Proactive Risk Assessment in the ED: Building the Safety Case Proactive Risk Assessment in the ED: Building the Safety Case Principal Investigator: Robert L. Wears, MD, MS Co-investigator Shawna J. Perry, MD Team Members: John Wreathall Rollin (Terry) Fairba…
  4. 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 - Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? 199 Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? Dean Schillinger, Edward L. Machtinger, Frances Wang, Lay-Leng …
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare 423 What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare William E. Encinosa, Fred J. Hellinger Abstract Objective: To estimate the impact of potentially preventable adverse event…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
    June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative 133 Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative Daniel M. Harris, John M. Westfall, Douglas H. Fernald, Christine W. Duclos, David R. West, Linda Niebauer, Linda Ma…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
    February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator 395 From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth, Debora A. Paterniti, William Dager, …
  8. 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 - Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System 207 Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System Sharon K. Ulep, Sheryl L. Moran Abstract Moving to a Web-based system for tracking patient safety events is a goal o…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
    April 20, 2004 - Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation 437 Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation Mary V. Wideman, Michael E. Whittler, Timothy M. Anderson Abstract An electronic barcode medication administration sy…
  10. 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 - The Patient Safety Education Project: An international Collaboration The Patient Safety Education Project: An International Collaboration Linda Emanuel, MD, PhD; Merrilyn Walton, PhD; Martin Hatlie, JD; Denys Lau, PhD; Tim Shaw, PhD; Joel Shalowitz, MD, MBA; John Combes, MD Abstract The Patient Safety Edu…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
    February 08, 2008 - Promoting Best Practice and Safety Through Preprinted Physician Orders Promoting Best Practice and Safety Through Preprinted Physician Orders George Ehringer, MD; Barbara Duffy, RN, LHRM, MPH Abstract Defining how preprinted physician orders are developed within a hospital has the potential to positi…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
    March 26, 2008 - Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse…
  13. www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
    January 01, 2024 - Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer Final Progress Report Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer Principal Investigator: Katherine J. Jones, PT, PhD1 Co-Investigators: MARobin High, MBA, 1 Roni Reiter-P…
  14. www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
    January 01, 2024 - Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety Clinical Decision Support Simulations for Medication Administration Safety Principal Investigator: Jacqueline Moss, PhD, RN Co-Investigator: Eta S. Berner, EdD University of Alabama at Birmingham Dates of Aw…
  15. www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) Final Report APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) Principal Investigator: Wilson D. Pace, MD* Key Personnel: David West, PhD * Deborah S. Main, PhD* John Westfall, MD* Daniel Harris, PhD** Organizational Aff…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/resources/ccrm-atlas-suppl/ccrm-atlas-suppl.pdf
    October 01, 2013 - The level of clinician-patient information sharing regarding the preventive health services being addressed
  17. www.ahrq.gov/sites/default/files/publications/files/ccrm-atlas-suppl.pdf
    October 01, 2013 - The level of clinician-patient information sharing regarding the preventive health services being addressed
  18. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
    January 01, 2020 - functional impact can leave a potentially treatable symptom unrecognized and therefore unlikely to be addressed
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_sms.pdf
    March 29, 2016 - visit to organize the patient’s visit without increasing visit length or the number of problems addressed
  20. www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
    January 01, 2024 - Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes Title Page Title of Project. Safety Outcomes of Obese Residents in US Nursing Homes Principal Investigator and Team Members. Holly C. Felix, PhD (PI), Jennifer A. Andersen, PhD (CI), Christine K. Bradway, PhD (CI), Clare C. Brown, PhD (C…

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