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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
…
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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 …
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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…
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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…
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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…
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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…
-
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…
-
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…
-
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…
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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…
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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…
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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…
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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…
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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-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…
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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-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…
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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…
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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…
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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/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…
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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…