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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
    July 07, 2002 - Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work 279 Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
    January 01, 2007 - Voluntary Adverse Event Reporting in Rural Hospitals Voluntary Adverse Event Reporting in Rural Hospitals Charles P. Schade, MD, MPH; Patricia Ruddick, MSN, APRN-BC; David R. Lomely, BS; Gail Bellamy, PhD Abstract Since 2004, we have managed a voluntary Web-based medical adverse event (AE) reporting system …
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mottur.pdf
    June 01, 2005 - An Ambulatory Care Curriculum for Advancing Patient Safety 313 An Ambulatory Care Curriculum for Advancing Patient Safety Christel Mottur-Pilson Abstract Objectives: The objective of this project was to develop and implement a seven module ambulatory care continuing medical education (CME) curriculum and t…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
    November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description…
  5. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
    September 02, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief Issue Brief 10 Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators PATIENT SAFETY e This page intentionally left blank. e Issue Brief 10 Reinforcing the Va…
  6. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
    April 01, 2023 - Resource List - AHRQ Ambulatory Surgery Center Survey SOPS Ambulatory Surgery Center Survey Resource List 1 Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture I. Purpose This document provides a list of ref…
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
    April 01, 2025 - Improving Patient Safety in Nursing Homes: A Resource List SOPS Nursing Home 2.0 Survey Resource List 1 Improving Patient Safety in Nursing Homes: A Resource List for Users of the AHRQ Nursing Home Survey on Patient Safety Culture Version 2.0 I. Purpose This document provides a list of publicly available resour…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
    November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five sample reports are provided here. The reports are: • High-Risk Transfer Report (a medium-risk rep…
  9. www.ahrq.gov/sites/default/files/2024-07/samore-report.pdf
    January 01, 2024 - Final Progress Report: Rural Trial of Clinic Order Entry With Decision Support Rural Trial of Clinic Order Entry with Decision Support Inclusive Date of Project: 9/20/2004 - 8/31/2008 Grant Award Number: 5R01HS015413 Principal Investigator: Matthew Samore, MD University of Utah Health Sciences Center Departmen…
  10. www.ahrq.gov/sites/default/files/wysiwyg/data/AHRQ-Security-and-Privacy-Language-for-Information-and-Information-Technology-Procurements.pdf
    November 07, 2023 - V-C3.01 Information Technology Security Policy Manual U.S. Department of Health and Human Services Agency for Healthcare Research and Quality Information Security and Privacy Program AHRQ Security and Privacy Language for Information and Information Technology Procurements CONTRACT…
  11. www.ahrq.gov/sites/default/files/2025-03/rinke-report.pdf
    January 01, 2025 - Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics 1. TITLE PAGE Reducing Diagnostic Errors in Primary Care Pediatrics Principal Investigator: Michael L. Rinke, MD, PhD Co-Investigators: David G. Bundy, MD, Hardeep Singh, MD, MPH, MPH, Moonseong Heo, PhD, Jason S. Adelman, MD, MS, Heathe…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
    April 01, 2004 - The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization 87 The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization Katrin S. Kohl, Jan Bonhoeffer, M…
  13. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-intro-methods.pdf
    September 01, 2019 - 2018 National Healthcare Quality and Disparities Report: Introduction and Methods c2015 National Healthcare Quality and Disparities Report and National Quality Stategy 5th Anniversary Update NATIONAL HEALTHCARE QUALITY & DISPARITIES REPORT 2018 Introduction and Methods This document is in the public doma…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
    April 28, 2008 - Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? Peter E. Rivard, PhD; Cindy L. Christiansen, PhD; Shibei Zhao, MPH; Anne Elixhauser, PhD; Amy K. Rosen, PhD Abstract Objective: W…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gururaja_7.pdf
    January 24, 2008 - Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training Ramnarayan Paragi Gururaja, MD, MPH; Tong Yang, MD, MS; John T. Paige, MD; Sheila W. C…
  16. www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-team-assessment-scale-jtcommjqualpatsaf.pdf
    June 30, 2024 - The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation The Joint Commission Journal on Quality and Patient Safety 2024; 50:95–103 The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation Kisha J. Ali, PhD, MS…
  17. www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
    January 01, 2024 - Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network AHRQ Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Resea…
  18. 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…
  19. www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
    January 01, 2024 - Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist Factors Associated with Effective Implementation of a Surgical Safety Checklist Sara J. Singer, MBA, PhD, Principal Investigator Team Members: William Berry Dante Foster Conley Lizabeth Edmondson Atul Gawa…
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
    April 01, 2022 - A Playbook for Preventing CLABSI and CAUTI in the ICU Setting AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI A Playbook for Preventing CLABSI and CAUTI in the ICU Setting 2 Playbook AHRQ Safety Program for Intensi…

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