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www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - We underscore the importance of collaboration among the interprofessional team to
create a safer environment
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-6.pdf
January 01, 2023 - effective person-centered care may result in
decreased healthcare costs:
• Poor communication, lack of collaboration … A Review of the Evidence
About Value Improvements Made by Changing Communication, Collaboration, and
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-cx.pdf
January 01, 2018 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2018, Hospital Linkage File, Technical
Documentation
Prepared for:
Agency for Healthcare…
-
www.ahrq.gov/sites/default/files/2024-07/grannis-report.pdf
January 01, 2024 - Final Progress Report: Advancing Patient Identity Management in the Context of Real-World Health Information Exchange
Final Progress Report
Project Title:
Advancing Patient Identity Management in the Context of Real-World Health Information Exchange
Principal Investigator:
Shaun Grannis, MD, MS, FAAFP
Team Membe…
-
www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
January 01, 2024 - Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting
Project Title: Proactive Risk Reduction in Medication Prescribing in the Ambulatory
Setting
Principal Investigator: Terry S. Field, DSc
Principal Team Members: Lawrence Garber, MD; Jennifer Tjia, MD; Brooke
Harrow,…
-
www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
January 01, 2025 - Final Progress Report: Center for Safety In Emergency Care
Center for Safety In Emergency Care
Final Progress Report
Principal Investigator
Robert L Wears, MD, MS
Team Members
Christopher Beach, MD
Ravi Behara, PhD
Patrick Croskerry, MD, PhD
Shawna J Perry, MD
Marc Shapir…
-
www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model
RISK AND RECOVERY IN COMPLEX ENVIRONMENTS:
LABOR AND DELIVERY AS A MODEL
Final Progress Report
Grant Award: 1 UC1 HS014376-01
June 30, 2006
Marlene B. Goldman, MS, ScD, Meghan M. Dierks, MD, Ronald G. Marcus, MD, Luk…
-
www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
January 01, 2024 - Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer
1
Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer
Principal Investigator: Rita Secola, RN, PhD, CPON
Organization: University of California Los Angeles, NIHAward@research.ucla.e…
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
January 01, 2024 - 2024 Network of Patient Safety Databases Chartbook
2024 Network
of Patient Safety
Databases
Chartbook:
Medication and Other
Substance Events
2024 NETWORK OF PATIENT SAFETY DATABASES
CHARTBOOK: MEDICATION AND OTHER SUBSTANCE
EVENTS
U.S. DEPARTMENT OF
…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/medofficevaluepilotreport.pdf
November 01, 2017 - 2014 Pilot Study: Value and Efficiency Supplemental Items for the Medical Office SOPS Survey
Results From the 2014 Pilot Study of the AHRQ
SOPS™ Value and Efficiency Supplemental Items for
the Medical Office SOPS Survey
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 2…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - Safe Practices for Better Health Care
23
Safe Practices for Better Health Care
Kenneth W. Kizer, Laura N. Blum
Abstract
Modern health care is highly complex, high risk, and error prone. Not
surprisingly, health care errors and consequent adverse events are a leading cause
of death and injury, even though wel…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
March 03, 2008 - A Model of Care Delivery to Reduce Falls in a Major Cancer Center
A Model of Care Delivery to Reduce Falls
in a Major Cancer Center
Nancy E. Kline, PhD, RN, CPNP, FAAN; Bridgette Thom, MS; Wayne Quashie, MPH, RN;
Patricia Brosnan, MPH, RN; Mary Dowling, MSN, RN
Abstract
Falls are a leading cause of injuries…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
March 27, 2008 - High-Hanging Fruit: Improving Transitions in Health Care
High-Hanging Fruit: Improving
Transitions in Health Care
Shawna J. Perry, MD; Robert L. Wears, MD, MS; Emily S. Patterson, PhD
Abstract
Discussions about enhancing the safety of transitions in health care have been disjointed.
Respected health care …
-
www.ahrq.gov/sites/default/files/2024-01/stifter-report.pdf
January 01, 2024 - Final Progress Report: Using an Electronic Health Record to Examine Nurse Continuity and Pressure Ulcers
1
Using an Electronic Health Record to Examine Nurse Continuity and Pressure Ulcers
Janet STIFTER, PhD, RN,1 Yingwei YAO, PhD, Research Associate Professor,1 Karen Dunn LOPEZ, PhD,
MPH, RN, Assistant Professor…
-
www.ahrq.gov/sites/default/files/2025-03/connors-report.pdf
January 01, 2025 - Final Progress Report: Society for Pediatric Sedation Consensus Meeting: Great Expectations— Defining Quality in Pediatric Sedation
Title of Project: Society for Pediatric Sedation Consensus Meeting: Great Expectations—
Defining Quality in Pediatric Sedation
Principal Investigator: J. Michael Connors, MD
Team …
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
December 01, 2017 - Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014)
Webinar Transcript
AHA – Chicago
August National Content Call
August 12, 2014
11:00 AM CT
Operator: The following is a recording of the Paul Tedrick August National Content Call with the American Hospital Association on Tuesd…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
August 12, 2014 - Paul Tedrick
AHA – Chicago
August National Content Call
August 12, 2014
11:00 AM CT
Operator:
The following is a recording of the Paul Tedrick August National Content Call with the American Hospital Association on Tuesday, August 12, 2014 at 11:00 a.m. Central Time. Excuse me, everyone. We now have all of our speak…
-
www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
January 01, 2024 - Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety
Final Progress Report:
Implementing Reduced Work Hours for All House Staff to Improve
Patient Safety
Principal Investigator: Christopher P. Landrigan, MD, MPH
Team Members: Charles A. Czeisler, PhD, MD, David W. …
-
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…
-
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…