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www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
January 01, 2024 - Final Progress Report: Quality Factors in Nursing Home Choice
1
Title Page
Title of Project: Quality Factors in Nursing Home Choice
Principal Investigator: JoAnn G. Congdon
Team Members:
Co-Principal Investigator: Joan K. Magilvy
Investigator: Mary A. Blegen
Investigator: Katherine R. Jones
Investigator: Nor…
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www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
January 01, 2025 - Final Progress Report: Proactive Risk Assessment in the ED: Building the Safety Case
Proactive Risk Assessment in the ED: Building the Safety Case
Principal Investigator: Robert L. Wears, MD, MS
Co-investigator Shawna J. Perry, MD
Team Members:
John Wreathall
Rollin (Terry) Fairba…
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www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
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e
Issue Brief 8
Distributed Cognition and the Rol…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
April 01, 2013 - Best Practices: How Successful Units Engaged Their Senior Executive Leaders (Transcript)
October 18, 2011
Operator: The following is a recording for Paul Tedrick with the American Hospital Association, Chicago, supplemental call on Tuesday, October 18, 2011, beginning at 1 p.m. Central time. Excuse me, every…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Improving Communication and Teamwork in the Surgical Environment Module
Facilitator Notes
SAY:
The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communication. This module is meant to augment the exist…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
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e
Issue Brief 8
Distributed Cognition and the Rol…
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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-Zierler_81.pdf
September 01, 2008 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety
Venous Thromboembolism Safety Toolkit:
A Systems Approach to Patient Safety
Brenda K. Zierler, PhD; Ann Wittkowsky, PharmD; Gene Peterson, MD, PhD;
Jung-Ah Lee, MN; Courtney Jacobson, BA; Robb Glenny, MD; Fred Wolf, PhD;
Lynne Robin…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
April 06, 2008 - Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences
Implementing an Ambulatory e-Prescribing System:
Strategies Employed and Lessons Learned to
Minimize Unintended Consequences
Emily B. Devine, PharmD, MBA; Jennifer L. Wilson-Norton, RPh, MBA…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-transcript.pdf
January 01, 2017 - Health Plan Survey, which is where
it all began in 1995, but now CAHPS surveys for surgical care, behavioral
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www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
January 01, 2024 - to these types of evaluation and don’t constitute
evidence that the training effects will result in behavioral
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pptx
July 01, 2015 - depressive disorder when systems are in place to ensure accurate diagnosis, psychotherapy (cognitive-behavioral
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-fullreport.pdf
January 01, 2020 - Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care
1
Adolescent Assessment of Preparation for Transition
(ADAPT) to Adult-Focused Health Care
Section 1. Basic Measure Information
1.A. Measure Name
Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused …
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www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
January 01, 2024 - Final Progress Report: Consumer-Led Workshop To Advance Patient Safety
Report to the
Agency for Healthcare Research & Quality
from the
Consumer-Led Workshop to Advance Patient Safety1
(October 16-18, 2003, Houston, TX)
Prepared on Behalf of Workshop Participants by Jonathan Peck,
Institute for Alternative Futu…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_cg_cahps_chartbook.pdf
January 01, 2014 - 2014 CAHPS Clinician & Group Survey Database Chartbook
THE CAHPS DATABASE
2014 CAHPS Clinician & Group
Survey Database
2014 Chartbook: What Patients Say About Their
Health Care Providers and Medical Practices
AHRQ Contract No.: HHSA290201300003C
Managed and prepared by:
Westat, Rockville, MD
…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
April 02, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Issue Brief 1
Operational
Measurement
of Diagnostic
Safety:
State of the
Science
PATIENT
SAFETY
Operational Measurement
of Diagnostic Safety:
State of the Science
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers L…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Pressure Injury Prevention Program Implementation Guide
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No.: HHSA290201200017I Task Order No. 2
Prepared by:
AFYA, Inc.
Laurel, MD
AHRQ Publ…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Issue Brief
Operational
Measurement
of Diagnostic
Safety:
State of the
Science
PATIENT
SAFETY
Operational Measurement
of Diagnostic Safety:
State of the Science
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lan…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems
135
Lessons Learned from the Evolution of
Mandatory Adverse Event Reporting Systems
Ellen Flink, C. Lynn Chevalier, Angelo Ruperto, Peg Dameron,
Frederick J. Heigel, Ruth Leslie, Janet Mannion, Robert J. Panzer
Abstract
New Yor…
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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-Kellie_30.pdf
April 21, 2008 - Patient Safety Learning Pilot: Narratives from the Frontlines
Patient Safety Learning Pilot: Narratives from
the Frontlines
Shirley E. Kellie, MD, MSc; James B. Battles, PhD; Nancy M. Dixon, PhD;
Harold S. Kaplan, MD; Barbara Rabin Fastman, MHA
Abstract
Although patient safety experts have focused on event…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
June 01, 2020 - SOPS™ 101 Webcast Transcript
November 2018 https://www.ahrq.gov/sops/index.html 1
Understanding SOPS Surveys: A Primer for New Users
October 23, 2018 – Webcast Transcript
Speakers:
Laura Gray, M.P.H.
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety C…