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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
References
Previous Page
Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurement of Diagnostic Safety
Getting Ready for Measurement: Overcoming …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - Emergency Nurses Association content and transcript
AHRQ Safety Program for Reducing CAUTI in Hospitals
The Emergency Nurses Association
Presents CAUTI
Slides and Transcript
AHRQ Pub No. 15-0073-5-EF
September 2015
Contents
Attribution......................................................................…
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www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
January 01, 2024 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training
Virtual Healthcare Environments Versus Traditional Interactive Team
Training
Principal Investigator: Jeffrey M. Taekman, MD
Investigative Team: Noa Segall, PhD
David Turner, MD
Gene Hobbs, CHT
Cheryl Jacobs
Barb…
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www.ahrq.gov/sites/default/files/2024-03/small-report.pdf
January 01, 2024 - Final Progress report: Creating High Reliability Organizations
Creating High Reliability Organizations
Principal Investigator:
Stephen D. Small, MD
Key Team Members:
Kay Metis, MS, MA
Bobbie J. Sweitzer, MD
Paul Barach, MD (2001-2002)
Additional funded collaborators:
Julie Mohr, PhD
David Meltzer, MD, …
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www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
January 01, 2024 - Final Progress Report: Are Volume Standards Accurate Measures?
FINAL PROGRESS REPORT:
ARE VOLUME STANDARDS ACCURATE MEASURES?
Principal Investigator: Laurent G. Glance, M.D.
Co-Investigators: Andrew W. Dick, Ph.D.
Turner M. Osler, M.D.
Dana B. Mukamel, Ph.D.
Organization: University of Rochester School of Medic…
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www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
January 01, 2025 - Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors
Principal Investigator/Program Director (Last, first, middle): Greenes, David S.
Automated Lab Test Follow-up to Reduce Medical Errors
Principal Investigator: David S. Greenes, MD
Department of Medicine, Children’s Hospital Boston
Team …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_3.pdf
October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #3: Fairview Health Services
New Models of Primary Care
Workforce and Financing
Case
Example Fairview Health Services3
New Models of Primary Care Workforce
and Financing
Case Example #3: Fairview Health Services
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - PowerPoint Presentation
AHRQ’s Safety Program
for Nursing Homes:
On-Time Preventable Hospital
and ED Visits Training
Introduction to Preventable Hospital and ED Visits Reports
Preventable Hospital and ED Visits
Electronic Reports
Electronic Reports
Transfer Risk Report – High Risk
Transfer Risk Report – Medium Ris…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/3-are-you-ready/cahps-ambulatory-care-guide-section-3.pdf
May 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Are You Ready To Improve?
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 3: Are You Ready To Improve?
Visit the AHRQ Website for the full Guide.
May 2017 (updated)
https://www.ahrq.gov/cahps/quality-improve…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
December 01, 2017 - Presentation: Auditing Your Briefings and Debriefings
Auditing Your Briefings and
Debriefings Process
AHRQ Safety Program for Surgery
Implementation
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program for Surgery – Implementation
SAY:
Let’s continue our discussion around briefings and debriefings. T…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
July 01, 2023 - Implementing the SPPC‐II Teamwork Toolkit
Hospital AIM
Team
Leads
SPPC‐II
Implementing the
SPPC‐II Teamwork Toolkit
Module 7 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 7 of the SPPC‐II Teamwork Toolkit. In this module, we’ll discuss
tactics and planning for the SPPC‐II Teamwork Toolkit implementation…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
July 01, 2023 - Implementing the SPPC-II Teamwork Toolkit
Hospital AI
Tea
Lea
SPPC‐
M
m
ds
II
Implementing the
SPPC‐II Teamwork Toolkit
Module 7 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 7 of the SPPC‐II Teamwork Toolkit. In this module, we’ll discuss
tactics and planning for the SPPC‐II Teamwork Toolkit implement…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-10-workflow-mapping.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workflow
Primary Care
Practice Facilitation
Curriculum
Module 10: Mapping and Redesigning Workfow
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Primary Care Practice Facili…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
April 01, 2025 - Improving Healthcare Safety by Enhancing Healthcare Facility Design
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Healthcare Facility Design
Overview
Research has shown that optimizing the physical, functional, and aesthetic details of healthcare facilitiesi
(e.g., units,…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2020-07-nac/nacminutes-071420.pdf
January 01, 2020 - National Advisory Council Meeting, July 14, 2020: Minutes
National Advisory Council, July 14, 2020 Page 1
Agency for Healthcare Research and Quality
National Advisory Council Meeting
(Virtual Meeting)
July 14, 2020
SUMMARY
NAC Members Present
Tina M. Hernandez-Boussard, Ph.D., M.…
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www.ahrq.gov/news/events/nac/2020-07-nac/nacmtg071420-minutes.html
November 01, 2020 - Meeting Minutes, July 2020
National Advisory Council
Minutes from the July 14, 2020, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
( Virtual Meeting )
Contents
Summary
Call to Order and Approval of March 26, 2020, Meeting Summary
Overview and Recent Accomplis…
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www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
January 01, 2024 - Meeting Minutes (Draft), November 2023
Minutes from the November 16, 2023, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of July 12, 2023, Meeting Summary
AHRQ Director’s Highlights
Consumer Experience Measurement: C…
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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-Baker_107.pdf
March 30, 2008 - Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems
Analysis of Patient Safety: Converting Complex
Pediatric Chemotherapy Ordering Processes
from Paper to Electronic Systems
Donald K. Baker, PharmD; James M. Hoffman, PharmD; Gregory A. Hal…
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - Spotlight
Spotlight
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis
1
Source and Credits
This presentation is based on the December 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Comment…
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psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
March 01, 2008 - In Conversation with...Bradley T. Rosen, MD, MBA
March 1, 2008
Also Read an Essay
Citation Text:
In Conversation with..Bradley T. Rosen, MD, MBA. PSNet [internet]. 2008.In Conversation with...Bradley T. Rosen, MD, MBA. PSNet [internet]. Rockville (MD): Agency for…