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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
    January 01, 2002 - Making Information Technology a Team Player in Safety: The Case of Infusion Devices 319 Making Information Technology a Team Player in Safety: The Case of Infusion Devices Christopher Nemeth, Mark Nunnally, Michael O’Connor, P. Allan Klock, Richard Cook Abstract Objective: To fulfill the promise of infor…
  2. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/mhs/cahps-outpatient-mental-health-guidance.pdf
    December 01, 2024 - Preparing a Questionnaire Using the CAHPS Clinician & Group Survey UPDATED AUGUST 2024 Guidelines for Using the CAHPS® Outpatient Mental Health Survey Introduction ............................................................................................ 1 Section 1: Preparing Your Organization’s Survey Instr…
  3. www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
    February 01, 2018 - Meeting Minutes, November 2017 National Advisory Council Minutes from the November 3, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 26, 2017, Summary Report Director's Update The Healthcare Cost and Ut…
  4. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
    March 27, 2025 - Healthcare Safety Competencies Affinity Group Environmental Scan Page 1 of 15 Healthcare Safety Competencies Affinity Group Environmental Scan, Resources, and Strategies version 4.7.2025 Table of Contents Background ...............................................................................................…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
    July 01, 2003 - Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis 265 Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis John A. Savino, Jane Smeland, Ellen L. Flink, Angelo Ruperto, Amanda Hines, Thomas Sullivan, Kerri Galvin, Donald A. Risucci Abstract Objective:…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
    January 25, 2008 - Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy John R. Clarke, MD; Janet Johnston, MSN, JD; Monica Davis, MSN, MBA; Arthur J. Augustine, BS; Matthew Grissinger, RPh; Michael J. Gaunt, PharmD; …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
    January 01, 2007 - Voluntary Adverse Event Reporting in Rural Hospitals Voluntary Adverse Event Reporting in Rural Hospitals Charles P. Schade, MD, MPH; Patricia Ruddick, MSN, APRN-BC; David R. Lomely, BS; Gail Bellamy, PhD Abstract Since 2004, we have managed a voluntary Web-based medical adverse event (AE) reporting system …
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
    March 31, 2008 - Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative David R. West, PhD; Wilson D. Pace, MD; L. Miriam Dickinson, PhD; Daniel M. H…
  9. www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
    January 01, 2024 - Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals Implementing a Program of Patient Safety in Small, Rural Hospitals Principal Investigators Katherine J. Jones, PhD, PT, January 2007 – June 20071 Keith J. Mueller, PhD, July 2005 – December 20061 Team Members Anne Skinn…
  10. www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
    January 01, 2025 - Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project Title: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project Principal Investigator: Gordon …
  11. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-6b.pdf
    January 01, 2013 - Section 6.B, Validity and Reliability SECTION VI. SCIENTIFIC SOUNDNESS OF THE MEASURE VALIDITY VI.B.1 “Informing” Coverage through the natural experiment of appendicitis Administrative data from the Medicaid Analytic eXtract (MAX) is the primary data source for states or government agencies wishing to as…
  12. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
    September 01, 2021 - 1 TAKEheart Data Implementation Guide – Module 4 Preparing and Understanding Your Data to Support Systems Change Table of Contents This document is hyperlinked to facilitate ease of access to the information contained inside. Press “ctrl” and click on the links below to access the desired section. Clicking o…
  13. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-21-leadership.pdf
    September 01, 2015 - Working With and Supporting Practice Leaders Primary Care Practice Facilitation Curriculum Module 21: Working With and Supporting Practice Leaders Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
    June 24, 2022 - Appendix 3: Data Abstraction TableOfContent Table of content Abstraction of criteria from existing sources Sheet number [Click to go to specific sheet] Pearson et. al 2018, white paper 1 Duke Margolis 2017, white paper 2 International Society for Pharmacoepidemiology (ISPE) position paper 3 Berger et al…
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part1.pdf
    April 01, 2018 - practical nurse (LPN) 5,047 16% Physician (M.D. or D.O.) 3,650 11% Management 2,555 8% Physician assistant
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2018mosopsdatabasereport-part1-rev0921.pdf
    April 01, 2018 - practical nurse (LPN) 5,047 16% Physician (M.D. or D.O.) 3,650 11% Management 2,555 8% Physician assistant
  17. www.ahrq.gov/news/newsroom/ahrq-stats.html
    July 01, 2025 - AHRQ Stats New data nuggets from AHRQ News Now posted weekly to highlight AHRQ statistical reports on health care trends. Adverse Drug Events Involving Hypoglycemic Agents In 2021, 7.5 percent of Hispanic patients, 6.6 percent of Black patients, 6.2 percent of patients with an “other” or unknown race, and 4.0…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/053-dec-guide-readiness.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Decolonization Decision-Making and Readiness for Implementation ICU & Non-ICU For more in-depth information on the implementation of decolonization, please refer to the presentation “Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization,” available on t…
  19. www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdf
    January 01, 2024 - Final Progress Report: Improved Patient Safety with Information Technology Final Progress Report Title of Project: Improved Patient Safety with Information Technology Principal Investigator: J. Marc Overhage, MD, PhD Team Members: Irmina Gradus-Pizlo, MD Chris Steinmetz, MD Karen Wolf, MD JingJin Li, PhD…
  20. www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
    January 01, 2024 - Final Progress Report: Putting a Face on Hospital Medical Errors: Communication FINAL REPORT Putting a Face on Hospital Medical Errors: Communication Project funded by: Agency for Healthcare Research and Quality Grant No. 1R03HS016122-01 September 29, 2005-September 30, 2006 Federal Project Officer: Elizabeth D…

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