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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense
361
Standardizing Medication Error Event
Reporting in the U.S. Department of Defense
Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake
Abstract
Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
June 16, 2008 - Development of a Comprehensive Medical Error Ontology
Development of a Comprehensive
Medical Error Ontology
Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD;
Jiajie Zhang, PhD; James P. Turley, RN, PhD
Abstract
A critical step towards reducing errors in health care …
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www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdf
January 01, 2024 - Final Progress Report: Building Consensus Among States on Patient Safety Reporting
Final Report
“Building Consensus Among States on Patient Safety Reporting”
William E. Golden, M.D.
Vice President for Quality Improvement
Health Care Quality Improvement Programs
Office of Projects and Analysis
Arkansas F…
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www.ahrq.gov/workingforquality/events/webinar-better-care-healthier-communities.html
November 01, 2016 - Webinar Transcript: Better Care, Healthier People and Communities, More Affordable Care: 5 Years of the National Quality Strategy
May 17, 2016
Download accessible version of slides (PDF, 1.9 MB)
Better Care, Healthier People and Communities, More Affordable Care: 5 Years of the National Quality Strategy…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Antimicrobial Perioperative Prophylaxis: Part 2
Beyond the Basics
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Pro…
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www.ahrq.gov/sites/default/files/2024-11/kizer-report.pdf
January 01, 2024 - Final Progress Report:: The National Quality Forum – Annual Meeting 2003
THE NATIONAL QUALITY FORUM
ANNUAL MEETING 2003
PRINCIPAL INVESTIGATOR: KENNETH W. KIZER, MD, MPH
TEAM MEMBERS: C. BOCK, L. GORBAN, J. LEWIS, R. NISHIMI, E. POWER,
M. STEGUN, L. THOMPSON
9/20/2003 – 9/19/2004
FEDERAL PROJECT OFFICE…
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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-Seagull_98.pdf
April 07, 2008 - Pillars of a Smart, Safe Operating Room
Pillars of a Smart, Safe Operating Room
F. Jacob Seagull, MD; Gerald R. Moses, PhD; Adrian E. Park, MD
Abstract
Major gains in patient safety can be achieved through development of innovative approaches to
the care of surgical patients. Investigators and clinicians have…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp_linkage_file_tech_doc.pdf
October 01, 2018 - Compendium of U.S. Health Systems, 2016, Hospital Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2016, Hospital Linkage File, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
May 01, 2004 - Assessing quality using administrative
data. Ann Intern Med 1997;127:666–74.
5.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
April 18, 2004 - Seamless Care: Safe Patient Transitions from Hospital to Home
79
Seamless Care: Safe Patient Transitions
from Hospital to Home
Andrea M. Spehar, Robert R. Campbell, Carron Cherrie, Polly Palacios,
Donna Scott, Jacquelyn L. Baker, Brad Bjornstad, Jay Wolfson
Abstract
Background: “Seamless care” is a smooth a…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training
Facilitator Training Instructor Guide
Slide 1: Introduction to Preventable Hospital and ED Visits Reports
Say:
In this session we will introduce you to the Preventable Hospital and ED Visits el…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2021-hp-chartbook.pdf
January 01, 2021 - 2021 Medicaid and Children's Health Insurance Program (CHIP) Chartbook: What Enrollees Say About Their Experiences With Their Health Plans and Medical Care
THE CAHPS DATABASE
CAHPS Health Plan Survey Database
2021 Medicaid and
Children's Health Insurance
Program (CHIP) Chartbook
What Enrollees Say About Their …
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www.ahrq.gov/sites/default/files/publications2/files/building-state-cooperatives-meeting-summary.pdf
September 26, 2024 - Building State Cooperatives for Healthcare Improvement: Meeting Summary
Contents
Contents ..........................................................…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report-rev091721.pdf
January 01, 2020 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part I
PATIENT
SAFETY
Surveys on Patient
Safety CultureTM
(SOPSTM)
Ambulatory
Surgery Center
Survey: 2020
User Database
Report
[This page is intentionally left blank]
Surveys on Patient Safety CultureTM…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pptx
June 16, 2016 - Slide 1
National Healthcare Quality and
Disparities Report
Chartbook on Care Coordination
June 2016
This presentation contains notes. Select View, then Notes page to read them.
1
National Healthcare Quality and Disparities Report
Annual report to Congress mandated in the Healthcare Research and Quality Act of …
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www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
January 01, 2024 - method improvements are responsible for the performance observed in synthetic case
studies used for assessing
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/hp-survey-strategies-webcast-transcript.pdf
April 01, 2016 - The CAHPS surveys are known for assessing patient experiences with care, and we have instruments that
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
January 01, 2023 - The MPSMS established a baseline for assessing the impact of national
patient safety initiatives, employing
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www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Improving Patient Flow
and Reducing Emergency
Department Crowding:
A Guide for Hospitals
Improving Patient Flow
and Reducing Emergency
Department Crowding:
A Guide for Hospitals
Megan McHugh, PhD
Kevin Van Dyke, MPP
Mark Mc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
February 01, 2005 - Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations
51
Looking for Trouble in All the
Right Places: The Legal Implications
Associated with “Electronic Signatures”
and High-risk Clinical Situations
Gabriel J. Escobar, Bruc…