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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS)
MALPRACTICE INSURERS’ MEDICAL ERROR
SURVEILLANCE AND PREVENTION STUDY (MIMESPS)
Principal Investigator: David M. Studdert, LLB, ScD
Team Members:
Harvard School of Public Health:
Allison Nagy, BA
Ann Louise Puo…
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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/policymakers/chipra/demoeval/what-we-learned/finalsummary.pdf
February 21, 2016 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
The National Evaluation of the
CHIPRA Quality Demonstration Grant Program
Key Lessons from the National
Evaluation of the CHIPRA Quality
Demonstration Grant Program
FINAL SUMMARY
This report was prepared for the Agen…
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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/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room
Patient Identification Errors in the Operating Room 11-1
11. Patient Identification Errors in the Operating
Room
Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H.
Introduction
In the first Making Health Care Safer …
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www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
June 21, 2021 - Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes
VIEWPOINT
Bridging the feedback gap: a
sociotech…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
September 01, 2005 - Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative
105
Using Reported Primary Care
Errors to Develop and Implement
Patient Safety Interventions: A
Report from the ASIPS Collaborative
David R. West, John M. Westfall, Rodrigo Araya-G…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care
309
A Conceptual Framework for Studying the
Safety of Transitions in Emergency Care
Ravi Behara, Robert L. Wears, Shawna J. Perry,
Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro,
Christopher Beach, Pat Croskerry, Ka…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
January 01, 2004 - Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology
323
Evaluating and Predicting Patient
Safety for Medical Devices with
Integral Information Technology
Jiajie Zhang, Vimla L. Patel, Todd R. Johnson,
Philip Chung, James P. Turley
Abstract
Human errors in med…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
February 24, 2008 - Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture
Hospital Administrative Staff vs. Nursing Staff
Responses to the AHRQ Hospital Survey
on Patient Safety Culture
Karen L. Hannah, MBA; Charles P. Schade, MD, MPH; David R. Lomely, BS;
Patricia Ruddick,…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption
Implementation of Systems Redesign:
Approaches to Spread and Sustain Adoption
Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD;
Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS;
Bradley N. Do…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care
Minding the Gaps: Creating Resilience in Health Care
Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD;
Richard Cook, MD
Abstract
Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
March 03, 2008 - The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems
The Use of Modest Incentives to Boost Adoption of
Safety Practices and Systems
Gregg S. Meyer, MD, MSc; David F. Torchiana, MD; Deborah Colton;
James Mountford, MB, BCh; Elizabeth Mort, MD; Sarah Lenz;
Nancy Gagliano, MD; Elizabet…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
May 07, 2008 - Imbedding Research in Practice to Improve Medication Safety
Imbedding Research in Practice to
Improve Medication Safety
Marsha A. Raebel, PharmD; Elizabeth A. Chester, PharmD; David W. Brand, MSPH;
David J. Magid, MD, MPH
Abstract
Objective: The objective of this project was to improve medication saf…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdf
March 05, 2008 - Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care
Risk of Concurrent Use of Prescription Drugs with
Herbal and Dietary Supplements in Ambulatory Care
Robert E. Graham, MD, MPH; Tejal K. Gandhi, MD, MPH; Joshua Borus, MD;
Andrew C. Seger, PharmD; Elisabeth Bur…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/guidance-cg-cahps.pdf
April 01, 2021 - Users should also be aware that use of text prompts may be regulated at the state-level, so
adherence … But be aware of confidentiality issues.
-
www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
July 01, 2022 - review all
privacy, confidentiality, and privilege protections that apply to your organization, and be aware
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
July 01, 2022 - review all
privacy, confidentiality, and privilege protections that apply to your organization, and be aware
-
www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
September 01, 2012 - What is key information we need to be aware of? … You must be aware of the methods
of C. difficile testing and data collection in your facility.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - Improving Healthcare Safety by Enhancing Medication Safety
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Medication Safety
Overview
Medication safety refers to the practices and measures implemented to minimize the risk of medication
errors and adverse drug events (ADEs) i…