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  1. 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…
  2. 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…
  3. 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…
  4. 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.…
  5. 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. …
  6. 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…
  7. 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 …
  8. 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…
  9. 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 …
  10. 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
  11. 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…
  12. 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. …
  13. 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…
  14. 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…
  15. 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…
  16. 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.…
  17. 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…
  18. 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…
  19. 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 …
  20. 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…

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