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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. 2015 National Healthcare Quality and Disparities Report: Chartbook on Person- and Family-Centered Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/personcentered/qdr2015-chartbook-personcenteredcare.pdf
      October 01, 2016 - 2015 National Healthcare Quality and Disparities Report: Chartbook on Person- and Family-Centered Care Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov CHARTBOOK ON PERSON- AND FAMILY-CENTERED CARE National Healthcare Quality and Disparities Report This document …

1663. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
      September 01, 2019 - Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect Part II: Appendixes Appendix A – Differences in Scores Between HSOPS 2.0 and HSOPS 1.0 Appendix B – How T…

1664. 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…

1665. Guide To Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
      March 01, 2017 - Guide To Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Pu…

1666. Final Progress Report: Improving Pain Management in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jones1-report.pdf
      January 01, 2024 - Final Progress Report: Improving Pain Management in Nursing Homes Final Report Improving Pain Management in Nursing Homes Principal Investigator: Katherine R. Jones Team Members: Investigator: Regina Fink Investigator: Evelyn Hutt Investigator: Ginny Pepper Investigator: Jill Scott Investigator: Lauren Clark Inves…

1667. Final Progress Report: Risk Assessment of Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
      January 01, 2025 - Final Progress Report: Risk Assessment of Pediatric Emergency Transfers Risk Assessment of Pediatric Emergency Transfers Final Report AHRQ P20 HS17125-01 Project Period: 09.31.07 – 02.28.09 Principal Investigator: Jane L. Holl, MD, MPH Northwestern University Institute for Healthcare Studies Co- Investigators: D…

1668. Final Progress Report: The National Quality Forum Annual Meeting 2005 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
      January 01, 2025 - Final Progress Report: The National Quality Forum Annual Meeting 2005 The National Quality Forum Annual Meeting 2005 Principal Investigator: Robyn Y. Nishimi, PhD Team Members: C. Bock, D. Feeney, L. Gorban, J. Lewis, M. Stegun, L. Thompson 9/30/2005 – 09/29/2006 Federal Project Officer: Beth Kosiak Sup…

1669. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
      January 01, 2003 - Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations 259 Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations Robert R. Campbell, Douglas D. Bradham, Aurora S…

1670. 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 …

1671. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
      July 01, 2022 - Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events Measure DX: A Resource to Identify, Analyze, and Learn From Diagnostic Safety Events PATIENT SAFETY e This page is intentionally blank. Measure Dx A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events …

1672. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
      July 01, 2022 - Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events Measure DX: A Resource to Identify, Analyze, and Learn From Diagnostic Safety Events PATIENT SAFETY e This page is intentionally blank. Measure Dx A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events …

1673. Chartbook on Healthy Living: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
      April 01, 2018 - Chartbook on Healthy Living: Slide Presentation National Healthcare Quality and Disparities Report Slide 1 National Healthcare Quality and Disparities Report Chartbook on Healthy Living April 2016 Slide 2 Organization of the Chartbook on Healthy Living Part of a series related to the Nationa…

1674. Final Progress Report: Caregiver innovations to reduce harm in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
      January 01, 2025 - Final Progress Report: Caregiver innovations to reduce harm in Neonatal Intensive Care Title: Caregiver innovations to reduce harm in Neonatal Intensive Care (P30HS024459);…

1675. 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…

1676. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
      January 01, 2024 - Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults Improving Over-the-Counter Medication Safety for Older Adults Project Dates: 04/01/2016 – 01/31/2020 R18HS024490 Institution: University of Wisconsin - Madison PI: Michelle Chui Team Members: Pascale Carayon, Roger Brown, Nora Jac…

1677. 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…

1678. 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…

1679. 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…

1680. 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…