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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…
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www.ahrq.gov/sites/default/files/2024-07/robins-report.pdf
January 01, 2024 - Final Progress Report: Effects of Establishing Focus in the Medical Interview
Effects of Establishing Focus in the Medical Interview
Principal Investigator
Lynne S. Robins, PhD
Department of Medical Education and Biomedical Informatics
University of Washington School of Medicine
1959 NE Pacific Street
Box 3572…
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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…
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www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
January 01, 2025 - Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners
FINAL PROGRESS REPORT
Bridging the Gap between EMS and Health Services Research:
A Conference for Researchers an d Practitioners
Project Team Members*
Derek DeLia, PhD, Principal …
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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…
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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-Webster_76.pdf
July 18, 2008 - Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies
Understanding Quality and Safety Problems in the
Ambulatory Environment: Seeking Improvement With
Promising Teamwork Tools and Strategies
John S. Webster, MD, MBA; Heidi B. …
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www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
January 01, 2024 - Final report: Realizing Improved Patient Care through Human-centered Design in the OR
Title of Project: Realizing Improved Patient Care through Human-centered Design in the OR
(RIPCHD.OR)
Principal Investigator and Team Members:
Clemson University
Anjali Joseph, PhD, EDAC - PI
Sahar Mihandoust, PhD - Co-I
Sara …
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter
PATIENT
SAFETY
e
Issue Brief 12
Patient Experience as a Source for
Understanding the Origins, Impact,
and Remediation of Diagnostic Errors
Volume 1: Why Patient Na…
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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-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…
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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/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…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys-webcast-transcript.pdf
January 01, 2018 - Understanding CAHPS Surveys: A Primer For New Users Webcast Transcript
Understanding CAHPS Surveys: A Primer for New Users
January 2018 Webcast
Speakers
Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency
for Healthcare Research and Quality
Dale Shaller, M…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
July 01, 2021 - 3. Breadth and Focus Areas of Federal Agency Research Portfolios in HSR and PCR
Health Services and Primary Care Research Study: Comprehensive Report
This chapter addresses the study’s first key question: What is the breadth and focus of federally funded HSR and PCR? There are two main components to this chap…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE.pdf
January 01, 2023 - Disparities Report and Related Chartbooks
This appendix describes the methods used to select and analyze … The
alignment of all the measures in the same direction provides a standard way to analyze the data.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
January 01, 2023 - Disparities Report and Related Chartbooks
This appendix describes the methods used to select and analyze … The
alignment of all the measures in the same direction provides a standard way to analyze the data.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-fullreport.pdf
February 01, 2020 - specifications" is defined as all information that any
potential measure implementer will need to use and analyze
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-fullreport.pdf
July 01, 2019 - specifications" is defined as all information that any
potential measure implementer will need to use and analyze
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-fullreport.pdf
February 01, 2020 - specifications" is defined as all information that any
potential measure implementer will need to use and analyze
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-slides.pptx
December 31, 2022 - Work together to analyze workflow process failures.
77
Sample Fishbone Diagram
Confusion over eligibility
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - Network of Patient Safety Databases Chartbook, 2019
Network of
Patient Safety
Databases
Chartbook, 2019
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook,
2019. Rockvi…