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  1. www.ahrq.gov/sites/default/files/2024-02/maynard-report.pdf
    January 01, 2024 - Final Progress Report: Optimal Prevention of Hospital-Acquired Venous Thromboembolism Optimal Prevention Of Hospital-Acquired Venous Thromboembolism Greg Maynard, M.D., M.Sc. - Principal Investigator Tim Morris, M.D. Ian Jenkins, M.D. Sarah Stone, M.D. Joshua Lee, M.D. Marian Renvall, M.Sc. Ed Fink …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
    December 01, 2017 - Applying CUSP To Promote Safe Surgery AHRQ Safety Program for Surgery Applying the Comprehensive Unit-based Safety Program (CUSP) To Promote Safe Surgery AHRQ Publication No. 16(18)-0004-14-EF December 2017 AHRQ Safety Program for Surgery Contents Introduction .........................................…
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
    July 01, 2023 - Introduction to the SPPC‐II Teamwork Toolkit for Obstetric Hemorrhage SPPC‐II Toolkit                                                                                                                                                                             Hospital AIM Team Leads SPPC II Introduct…
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-notes.docx
    April 01, 2022 - Quality Improvement in Action Facilitator Guide CUSP Module: Quality Improvement in Action Facilitator Guide Slide Number and Image This module, titled “Quality Improvement in Action,” is part of the Agency for Healthcare Research and Quality, or AHRQ, Safety Program for Intensive Care Units: Preventing Central…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.pdf
    February 08, 2018 - Information to Help Hospitals Get Started Information to Help Hospitals Get Started Guide to Patient and Family Engagement :: 1 How to Use the Guide to Patient and Family Engagement The Guide to Patient and Family Engagement in Hospital Quality and Safety is an evidence-based resource that hospitals can use to…
  6. 013-Ss-Cleaning-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/013-ss-cleaning-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Optimizing Environmental Cleaning Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Optimizing Environmental Cleaning SAY: Welcome to this presentation on optimizing e…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
    January 01, 2004 - From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings 381 From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings Ann Freeman Cook, Helena Hoas, Katarina Guttmannova Abstract To date, few studies have focused on pat…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
    January 01, 2003 - Prescribing Safety in Ambulatory Care: Physician Perspectives 161 Prescribing Safety in Ambulatory Care: Physician Perspectives Thomas G. Rundall, John Hsu, Jennifer Elston Lafata, Vicki Fung, Kathryn A. Paez, Jan Simpkins, Steven R. Simon, Scott B. Robinson, Connie Uratsu, Margaret J. Gunter, Stephen B. Sou…
  9. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
    June 02, 2025 - Appendix 2: CED Compiled Public Comment Themes Summary_Out of Scope Comments There were many comments that were outside of the scope of this project in that they addressed the CED process rather including when and how it should be implemented. Multiple comments proposed that AHRQ should undertake a similar exercise …
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
    January 24, 2004 - Improving Patient Safety with the Military Electronic Health Record 23 Improving Patient Safety with the Military Electronic Health Record Marie-Jocelyne Charles, Bart J. Harmon, Pamela S. Jordan Abstract The United States Department of Defense (DoD) has transformed health care delivery in its use of infor…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
    January 25, 2008 - Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy John R. Clarke, MD; Janet Johnston, MSN, JD; Monica Davis, MSN, MBA; Arthur J. Augustine, BS; Matthew Grissinger, RPh; Michael J. Gaunt, PharmD; …
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
    March 11, 2005 - AHRQ WebM&M—Online Medical Error Reporting and Analysis 211 AHRQ WebM&M—Online Medical Error Reporting and Analysis Robert M. Wachter, Kaveh G. Shojania, Tracy Minichiello, Scott A. Flanders, Erin E. Hartman Abstract The AHRQ WebM&M Web site represents an unprecedented effort to publish illustrative case…
  13. 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…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
    March 22, 2008 - Using Patient Complaints to Promote Patient Safety Using Patient Complaints to Promote Patient Safety James W. Pichert, PhD; Gerald Hickson, MD; Ilene Moore, MD, JD, FCLM Abstract Patients can help promote safety and reduce risk in several ways. One is to make known their concerns about their health care e…
  15. www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
    January 01, 2024 - Final Progress Report: Mentored Implementation of I-PASS for Better Handoffs and Safer Care AHRQ Grant Final Progress Report  Landrigan, Christopher P. Grant Award Number: 1R18HS023291‐01  Title Page Title of Project: Mentored Implementation of I-PASS for Better Handoffs and Safer Care Principal Investigator and…
  16. www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
    January 01, 2024 - Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children Title Page Application title: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children Principal investigator: Charles G. Macias, MD, MPH Co-investigator: Evaline Alessandrini, MD,…
  17. www.ahrq.gov/sites/default/files/2024-04/levett-report.pdf
    January 01, 2024 - Final Progress Report: Improving Warfarin Management in Competitive Healthcare Kirkwood Community College Improving Warfarin Management in Competitive Healthcare Award No: 5 U18 HS015830-02 — FINAL Progress Report Principal Investigator: James M. Levett, MD AHRQ Grant Final Progress Report Title o…
  18. 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…
  19. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-reimagining-healthcare-teams.pdf
    July 07, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety PATIENT SAFETY e Issue Brief 13 Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety This page intentionally left blank. e Issue Brief 13 Reimagining Hea…
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/2022-HSOPS-WPS-database-report-appendix-508.pdf
    January 01, 2022 - Surveys on Patient Safety Culture (SOPS) Hospital Workplace Safety: 2022 Updated Results, Appendix C 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Workplace Safety Supplemental Item Set for Hospitals Appendix C: Results by Additional Respondent Characteristics Prepared for: A…

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