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1661. AHRQ-Funded Patient Safety Project Highlights (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
      July 01, 2024 - AHRQ-Funded Patient Safety Project Highlights AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange Overview Research has shown that health information technology (HIT)i and health information exchange (HIE)ii make it p…

1662. AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
      June 01, 2025 - AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Issue Brief 27 This page is intentionally left blank. Issue Brief 27 Understanding the AI Wave: Foundational Knowl…

1663. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/index.html
      August 01, 2025 - Overview of Patient Safety Learning Laboratory (PSLL) Projects Introduction Patient safety learning laboratories (PSLLs) take a systems engineering approach to allow researchers and healthcare providers to evaluate clinical processes and enhance work and information flow to improve patient safety. The learning …

1664. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
      January 01, 2024 - Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) Final Report APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) Principal Investigator: Wilson D. Pace, MD* Key Personnel: David West, PhD * Deborah S. Main, PhD* John Westfall, MD* Daniel Harris, PhD** Organizational Aff…

1665. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
      January 01, 2025 - Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report Leveraging Existing Assessments of Risk Now (LEARN) Final Report PI: Donna Woods, EdM, PhD Jane Holl, MD, MPH; Sally Reynolds, MD; Robert Wears, MD; Ellen Schwalenstocker, PhD; Jonathan Young; O…

1666. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
      January 01, 2024 - Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly Title: Proactive Risk Assessment of Primary Care of the Elderly Principal Investigator and Team Members: Ben-Tzion Karsh, PhD (PI) Brian Arndt, MD John Beasley, MD Vicki Bier, PhD Roger Brown, PhD Pascale Carayon, PhD Sue Dovey, P…

1667. Final Report: GestureClean: A Touchless Interaction Language for the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/wachs1-report.pdf
      January 01, 2024 - Final Report: GestureClean: A Touchless Interaction Language for the Operating Room Title Page Title of Project: GestureClean: A Touchless Interaction Language for the Operating Room Principal Investigator: • Juan P. Wachs, Professor, School of Industrial Engineering, Purdue University. Co-Investigators: • Richar…

1668. Seamless Care: Safe Patient Transitions from Hospital to Home (pdf file)
      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…

1669. The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
      February 23, 2008 - The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs Katherine J. Jones, PT, PhD; Anne Skinner, RHIA; Liyan Xu, MS; Junfeng Sun, PhD; Keith Mueller, PhD A…

1670. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
      January 01, 2020 - For each measure with at least four estimates over time, unweighted log-linear regression is used to calculate

1671. Chartbook on Healthy Living: National Healthcare Quality and Disparities Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pdf
      January 01, 2020 - each measure with at least four estimates over time, unweighted log-linear regression is used to calculate

1672. Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
      January 01, 2024 - Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network AHRQ Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Resea…

1673. Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
      January 01, 2024 - Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications Title of Project: Improving Safety After Hospitalization in Older Persons on High-Risk Medications Principal Investigator: Jerry H. Gurwitz, MD Principal Team Members: Kathleen M. Mazor, EdD; Terry S. Field, DSc;…

1674. Final Progress Report: Development of a toolkit for dissemination and implementation of the OR crisis checklists (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/berry2-report.pdf
      January 01, 2024 - Final Progress Report: Development of a toolkit for dissemination and implementation of the OR crisis checklists Title of Project ● Development of a toolkit for dissemination and implementation of the OR crisis checklists Principal Investigator and Team Members - ● William Berry, MD, MPA, MPH, Principal Investigat…

1675. Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/nielsen2-report.pdf
      January 01, 2025 - Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging Challenges and Opportunities  for Stewardship of Urological Imaging Quality Improvement Summit October 21, 2017 Principal Investigator. Matthew E. Nielsen, MD Team Members. Presenters Timothy Averch, MD; AUA Quality Improve…

1676. Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/nielsen-report.pdf
      January 01, 2025 - Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging Challenges and Opportunities  for Stewardship of Urological Imaging Quality Improvement Summit October 21, 2017 Principal Investigator. Matthew E. Nielsen, MD Team Members. Presenters Timothy Averch, MD; AUA Quality Improve…

1677. Final Progress Report: Auditory Perception of Drug Names: Neighborhood Effects (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/lambert3-report.pdf
      January 01, 2024 - Final Progress Report: Auditory Perception of Drug Names: Neighborhood Effects Title: Auditory Perception of Drug Names: Neighborhood Effects Bruce L. Lambert, Ph.D. (PI), Department of Pharmacy Administration, University of Illinois at Chicago (UIC), Laura Walsh Dickey, Ph.D., Department of Communication Science …

1678. Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
      January 01, 2024 - Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids FINAL PROGRESS REPORT Risk of Acute Asthma Associated with the Pediatric Use of Opioids Principal Investigator: Hua Chen, MD, PhD1 Co-Investigator: Harold J. Farber, MD, MSPH2,3 Organization …

1679. AHRQ Physician and Physician Practice Research Database Methodology Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Methodology-Report.pdf
      February 01, 2023 - AHRQ Physician and Physician Practice Research Database Methodology Report AHRQ Physician and Physician Practice Research Database Methodology Report AHRQ Physician and Physician Practice Research Database Methodology Report Prepared for: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Res…

1680. Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations (pdf file)
      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…