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  1. www.ahrq.gov/sites/default/files/2024-11/kowozer-report.pdf
    January 01, 2024 - Final Progress Report: Mortality Assessment in Lung Cancer Resection Final Progress Report Mortality Assessment in Lung Cancer Resection University of Virginia July 1, 2009 – June 30, 2014 Principal Investigator: Benjamin D. Kozower, MD, MPH Project Officer: Kay Anderson, PhD I would like to …
  2. www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
    August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study PATIENT SAFETY e Issue Brief 20 Learning from AHRQs’ Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study This page intentionally left blank. e Issue Brief 2…
  3. www.ahrq.gov/sites/default/files/2024-01/chetty-report.pdf
    January 01, 2024 - Final Progress Report: Comprehensive Analysis of Data from Testing the Re-engineered Hospital Discharge Final Progress Report Title of Project: Comprehensive Analysis of Data from Testing the Re-engineered Hospital Discharge Principal Investigator and Team Members: Veerappa K. Chetty, PhD Organization: Boston M…
  4. www.ahrq.gov/sites/default/files/2024-01/pliego-report.pdf
    January 01, 2024 - Close-Out Report: Improving Resuscitation Team Response to Inpatient Critical Events by Simulation Grant Number: U18 HS16634-01 Grant Period: 9-30-2006 to 10-1-2008 No-cost extension: 10-1-2008 to 9-30-2009 Reporting Period: Close-Out Report Title of Project: Improving Resuscitation Team Response to Inpatient Cri…
  5. www.ahrq.gov/sites/default/files/2025-03/smith2-report.pdf
    January 01, 2025 - Final Progress Report: A Study of Narrative as the Cognitive Process Underlying Diagnostic Reasoning A Study of Narrative as the Cognitive Process Underlying Diagnostic Reasoning PI: Curtis Scott Smith, MD Team: Chris Francovich, EdD Magdalena Morris, RN, MSN Andrew Turner, PhD Bruce Robbins, PhD Lynne Robins, …
  6. www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
    January 01, 2024 - Final Progress Report: Patient Safety in Hospice Care AHRQ Grant Final Progress Report Title of Project: Patient Safety in Hospice Care Principal Investigator: Douglas R. Smucker, MD, MPH, Adjunct Professor, University of Cincinnati Department of Family and Community Medicine Team Members: • Nancy Elder, MD, Ass…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
    August 20, 2015 - An Overview of the CANDOR Process Communication and Optimal Resolution (CANDOR) Toolkit Module 8: Organizational Learning and Sustainability Module 8, the last module in the CANDOR Toolkit, provides an overview of organizational learning and how an organization can develop a sustainability plan to assure the CAND…
  8. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/progress-update-2024-slides.pdf
    January 01, 2024 - Slide Presentation - Progress Update: The National Action Alliance for Patient and Workforce Safety—What, Why and How? The National Action Alliance for Patient and Workforce Safety - What, Why, and How? NATIONAL WEBINAR April 23, 2024 Housekeeping Notes • This webinar will be recorded and available for viewing…
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english.pdf
    March 01, 2023 - SOPS Medical Office Survey, Version: 1.0 Language: English SOPS® Medical Office Survey Version: 1.0 Language: English • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and an…
  10. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/spanish-composite-measures.pdf
    December 01, 2011 - Spanish Medical Office Survey on Patient Safety Culture Items and Dimensions D-1 Spanish Translation of AHRQ’s Medical Office Survey on Patient Safety December 2011 This document explains the process that was used to develop a Spanish translation of the Agency for Healthcare Research and Quality (AHRQ) Medica…
  11. www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
    August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024 Patient Safety Previous Page Next Page Table of Contents AHRQ’s Investments in Primary Care Research for 2023 and 2024 Acknowledgements and Authors Message from the Director of AHRQ’s National Center for Excellence in Primary Care R…
  12. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
    January 17, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare October Meeting Summary Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to co…
  13. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-8-approaches-to-qi.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 8: Approaches to Quality Improvement Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facilitation Curriculum Module 8: Approaches to Quality Improvement Primary …
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
    January 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4p Selected Best Practices and Suggestions for Improvement PDI 02: Pressure Ulcer Why focus on pressure ulcers in children? • Although children are typi…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
    March 05, 2008 - Impact of Staff-Led Safety Walk Rounds Impact of Staff-Led Safety Walk Rounds Vicki L. Montgomery, MD, FAAP, FCCM Abstract Objectives: The primary objectives of this study were to provide a venue for discussing safety concerns and to facilitate finding solutions for everyday safety issues. Methods: The mul…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49408/psn-pdf
    July 01, 2003 - Check the Wristband July 1, 2003 Rosenthal M. Check the Wristband. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/check-wristband The Case The patient was a 28-year-old female awaiting ambulatory surgery. She was very anxious about the impending surgery. The patient spoke English and appeared to be of aver…
  17. psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
    March 27, 2024 - In Conversation With… Suchi Saria, PhD July 1, 2019  Citation Text: In Conversation With… Suchi Saria, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49732/psn-pdf
    May 01, 2015 - Errors in Sepsis Management May 1, 2015 Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/errors-sepsis-management Case Objectives Define sepsis, severe sepsis, and septic shock. Describe the severe sepsis/septic shock resuscitation bundle. Recognize commonly encou…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33807/psn-pdf
    May 01, 2016 - In Conversation With... Barbara Drew, RN, PhD May 1, 2016 In Conversation With.. Barbara Drew, RN, PhD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd Editor's note: Dr. Drew, a nurse researcher, is the David Mortara Distinguished Professor of Physiological Nursing and…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33696/psn-pdf
    June 01, 2010 - In Conversation with…Pat Croskerry, MD, PhD June 1, 2010 In Conversation with…Pat Croskerry, MD, PhD. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd Editor's note: Pat Croskerry, MD, PhD, is a professor in emergency medicine at Dalhousie University in Halifax, Nova…