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  1. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appc.pdf
    January 01, 2019 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation-Appendix C Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Depar…
  2. www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
    July 01, 2010 - Ambulatory Safety and Quality Program: Health IT Portfolio AHRQ’s Ambulatory Safety and Quality Program: Health IT Portfolio P R O G R A M B R I E F The mission of AHRQ is to improve the quality, safety, efficiency, and effectiveness of health care by: • Using evidence to improve health care. • Improving health …
  3. www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
    January 01, 2024 - Final Progress Report: Shared Decision Making in Surgery To Improve Patient Safety and Reduce Liability Shared Decision Making in Surgery to Improve Patient Safety and Reduce Liability Karen B. Domino, MD, MPH, PI Karen L. Posner, PhD, Project Manager Lynne Robbins, PhD, Co-Investigator Richard J. Bran…
  4. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/fielding-child-hcahps.pdf
    June 02, 2025 - Fielding the CAHPS Child Hospital Survey CAHPS® Child Hospital Survey and Instructions Fielding the CAHPS Child Hospital Survey Document No. 93 Fielding the CAHPS® Child Hospital Survey Sampling Guidelines and Protocols Contents Introduction..................................................................…
  5. www.ahrq.gov/sites/default/files/2024-11/wakefield2-report.pdf
    January 01, 2024 - Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions Verbal Order Policies, Occurrence, and Perceptions Douglas S. Wakefield, PhD Principal Investigator Center for Health Care Quality University of Missouri Bonnie Wakefield, RN, PhD Co-Investigator Associate Research Professor Sinclair…
  6. www.ahrq.gov/sites/default/files/2024-12/kmetik-otoole-report.pdf
    January 01, 2024 - Final Progress Report: Cardio-HIT Phase II Final Progress Report Cardio-HIT Phase II Principal Investigator Karen S. Kmetik, PhD Vice President, Performance Improvement American Medical Association, Chicago, IL Co-Principal Investigator Michael O’Toole, MD Cardiologist and Chief Information Officer Midw…
  7. www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
    January 01, 2024 - Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment Medication Management at Home Final Report Medication Management at Home: Patient-Identified Processes and Risk Assessment Dates of Project: September 1, 2007, to August 31, 2009 Organization: Sacred Heart M…
  8. www.ahrq.gov/sites/default/files/2024-07/richards-report.pdf
    January 01, 2024 - Final Progress Report: Regional Approach for THQIT in Rural Settings – Implementation TITLE Title: Regional Approach for THQIT in Rural Settings – Implementation Principal Investigator: Francis M. Richards Organization: Geisinger Clinic on behalf of the Geisinger Health System Dates of Project: September 30, 2005, t…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/mowebinar_2014transcript.pdf
    January 01, 2014 - Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture Webinar Transcript Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture September 16, 2014 – Webinar Transcript Speakers Theresa Famolaro, MPS, Database Manager, AHRQ Surveys on Patient Safety Culture, Westat, …
  10. www.ahrq.gov/sites/default/files/2024-01/mosaly-report.pdf
    January 01, 2024 - Final report: To Quantify the Impact of the Existing vs. Enhanced Work Configuration of Radiation Therapy Technicians on Workload, Situation Awareness, and Performance during Pretreatment QA Tasks To Quantify the Impact of the Existing vs. Enhanced Work Configuration of Radiation Therapy Technicians on Workload, Sit…
  11. www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
    January 01, 2025 - Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism Short-term Clinical Deterioration After Acute Pulmonary Embolism Anthony J. Weekes, MD, MSc (Principal Investigator), Jason T. Nomura, MD, Dasia Esener, MD, Jeremy S. Boyd, MD, Patrick M. Ockerse, MD, Stephen Leech, MD, H. J…
  12. www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
    January 01, 2025 - Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions FINAL REPORT Title of Project: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions Principal Investigator: J.B. Jones, PhD, MBA Mark J. Selna (original Principal Investigator) Team Members: Mark Selna, MD …
  13. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/fielding-child-hcahps-93.pdf
    June 02, 2025 - Fielding the CAHPS Child Hospital Survey CAHPS® Child Hospital Survey and Instructions Fielding the CAHPS Child Hospital Survey Document No. 93 Fielding the CAHPS® Child Hospital Survey Sampling Guidelines and Protocols Contents Introduction..................................................................…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
    November 01, 2004 - Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries 305 Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries Pascale Carayon, Ann Schoofs Hundt, Carla J. Alvarado, Scott Springman, Amanda Borgsdorf, Lynn Jenkins Abstract This…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
    March 25, 2008 - Risk-Based Patient Safety Metrics Risk-Based Patient Safety Metrics Matthew C. Scanlon, MD; Ben-Tzion Karsh, PhD; Kelly A. Saran, MS, RN Abstract Patient safety programs require meaningful metrics. Dominant frameworks are based on two safety metrics: one that seeks to identify, measure, and eliminate error an…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
    October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Paul Hougland, MD; Jonathan Nebeker, MS, MD; Steve Pickard, MBA; Mark Van Tuinen, PhD; Carol Masheter, PhD; Su…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
    January 29, 2008 - Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety Thomas R. Cunningham, MS, and E. Scott Geller, PhD Abstract Medical errors continue t…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
    January 01, 2010 - Tobacco Use and Dependence, General References General References 1. Fiore MC, Bailey WC, Cohen SJ, et al. Smoking cessation. Clinical Practice Guideline No. 18. Rockville, MD, U.S. Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research. AHCPR Publication …
  19. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/compare/WR_751_AHRQ_Quigley_08_26_10.pdf
    April 01, 2010 - Improving Hospital Inpatient Nursing Care: A Case Study of One Hospital's Intervention to Improve the Patient's Care Experience W O R K I N G P A P E R Improving Hospital Inpatient Nursing Care A Case Study of One Hospital’s Intervention to Improve the Patient’s Care Experience …
  20. www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
    January 01, 2024 - Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care O’Connor, Patrick J. Final Report MOVES: Patient-Based Strategy to Reduce Errors in Diabetes Care Patrick J. O’Connor MD MPH, Principal Investigator Research Team Members: JoAnn Sperl-Hillen MD, Paul E. Johnson PhD†, William A. …

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