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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…
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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…
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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-Jones_29.pdf
February 23, 2008 - The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs
The AHRQ Hospital Survey on Patient Safety Culture:
A Tool to Plan and Evaluate Patient Safety Programs
Katherine J. Jones, PT, PhD; Anne Skinner, RHIA; Liyan Xu, MS; Junfeng Sun, PhD;
Keith Mueller, PhD
A…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Case 5. Heights Hospital
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Case 3.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians
15
Implementing Safety Cultures in Medicine:
What We Learn by Watching Physicians
Timothy J. Hoff, Henry Pohl, Joel Bartfield
Abstract
This study explores the workplace dynamics associated with physicians and
medical mistakes. …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide.html
April 01, 2016 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training Instructor Guide
Slide 1: Introduction to Pressure Ulcer Prevention Reports
Say:
In this session we will introduce you to the pressure ulcer prevention electronic reports.
Slide 2: Pressure Ulcer Preventi…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - Resource List - AHRQ Nursing Home Survey
Improving Patient Safety in Nursing Homes: A
Resource List for Users of the AHRQ Nursing Home
Survey on Patient Safety Culture
I. Purpose
This document provides a list of references to websites and other publicly available resources that
nursing homes can use to improve …
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www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
January 01, 2024 - Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals
Implementing a Program of Patient Safety in Small,
Rural Hospitals
Principal Investigators
Katherine J. Jones, PhD, PT, January 2007 – June 20071
Keith J. Mueller, PhD, July 2005 – December 20061
Team Members
Anne Skinn…
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www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
January 01, 2025 - Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project
Title:
Cook County & Rush Developmental Center for Research in Patient Safety:
Diagnosis Error Evaluation and Research (DEER) Project
Principal Investigator:
Gordon …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_sms.pdf
March 29, 2016 - Such tools can
provide an easy-to-follow and systematic process for addressing single or multiple chronic
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www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
March 09, 2008 - Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities
Using Root Cause Analysis to Reduce Falls
in Rural Health Care Facilities
Patricia Ruddick, RN, MSN; Karen Hannah, MBA; Charles P. Schade, MD; Gail Bellamy, PhD;
John Brehm, MD; David Lomely, BA.
Abstract
Prevention of patient falls i…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises3.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Additional Exercises (continued)
Trigger Summary Report Information Exercises
Objective: Facilitators will understand criteria and rules that determine information that displays on the Trigger Summary Report.
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-1.pdf
May 01, 2016 - Patient Access to Medical Notes in Primary Care
Patient Access to Medical Notes in Primary
Care: Improving Engagement and Safety
Executive Summary
Primary care physicians at Beth Israel Deaconess
Medical Center (BIDMC) provided patients with access
to their clinical notes as part of a demonstration project,
Open…
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www.ahrq.gov/sites/default/files/2024-12/marcin-report.pdf
January 01, 2024 - Final Progress Report: Factors Associated With Quality of Care Delivered to Children in US EDs
Factors Associated with Quality of Care Delivered to Children in US EDs
PI: James P. Marcin, MD
Co-Investigators: Madan Dharmar, MBBS, PhD; Patrick Romano, MD; Nathan Kuppermann,
MD, MPH
Organization: Regents of the Uni…
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www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
January 01, 2024 - Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality
Final Progress Report
1. Title Page
Title: Development and Validation of a Tool to Evaluate Handoff Quality
Principal Investigator and Team Members:
Vineet Arora, MD, MAPP (Principal Investigator); Jeanne Farnan, MD, MHPE (Co…
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www.ahrq.gov/sites/default/files/2024-10/mchugh-report.pdf
January 01, 2024 - Final Progress Report: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes
Final Progress Report
Title: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes
Principal Investigator: Matthew D. McHugh
Team Members: Linda H. Aiken (primary mentor); Jeffrey H.…
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www.ahrq.gov/sites/default/files/2024-03/kerfoot-conlin-report.pdf
January 01, 2024 - Final progress Report: Spaced Education to Optimize Prostate Cancer Screening
Title Page
Title of Project: Spaced Education to Optimize Prostate Cancer Screening
Principal Investigator and Team Members:
B. Price Kerfoot, MD, EdM – Principal Investigator
Paul R. Conlin, MD – Primary Mentor
Organization: Harvard Uni…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
June 02, 2025 - Tool 11: Community Resource Guide
Tool 11: community resource guide
Purpose
Many hospital readmission reduction teams perceive that no community resources are available, even though community behavioral health and social service providers state they rarely receive referrals from hospitals. The purpose of this commu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - An Overview of the CANDOR Process
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 4: Event Reporting,
Event Investigation and Analysis
Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process.
1
Objectives
Define the key elements …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight06.html
January 01, 2014 - How are CHIPRA quality demonstration States working together to improve the quality of health care for children?
Evaluation Highlight No. 6
Authors: Dana Petersen, Henry Ireys, Grace Ferry, and Leslie Foster
Contents
Key Messages
Background
Findings
Conclusion
Implications
Learn More
Endno…