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  1. 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, …
  2. 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 …
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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 …
  9. 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.
  10. 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…
  11. 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…
  12. 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 …
  13. 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 ..........................................................…
  14. 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…
  15. 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 …
  16. 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
  17. 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
  18. 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
  19. 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…
  20. 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…

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