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Technical Working Group Charter (pdf file)
digital.ahrq.gov/sites/default/files/docs/resource/Team_Charter_Example.pdfJune 16, 2021 - Technical Working Group Charter ____________ Working Group Charter Initial Meeting Date: _______________ Date Charter Reviewed and Approved: ______________ Overall Mission of the Working Group: (Describe the goal of the initiative, answer the question “What are we trying to accomplish? Provide some background… -
Eising_Panel_2 (pdf file)
effectivehealthcare.ahrq.gov/sites/default/files/eising_panel_2.pdfJanuary 01, 2010 - Eising_Panel_2 Slide 1: White Paper 2 Opening Comments Scott W. Eising Director, Advanced Market/Product Development Mayo Clinic Rochester, MN Slide 2: Make Content Accessible • Create once, but design system to be compatible with a variety of platforms (print, W… -
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/100-alabama-heart-health-improvement-collaborative-survey.docxJune 02, 2025 - You are invited to take part in a member survey for the Alabama Cardiovascular Cooperative/Heart Health Improvement Project. The survey includes 19 items related to your experience as a Cooperative Member along with questions related to our work in the future. Strongly Disagree Disagree Neither Agree nor Disagree…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837627/psn-pdfJuly 06, 2022 - Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus on quality and equity. July 6, 2022 Howell EA, Sofaer S, Balbierz A, et al. Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus on quality and equity. Obstet Gynecol. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851053/psn-pdfJune 28, 2023 - In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi- institutional initiative. June 28, 2023 Yang CJ, Saggar V, Seneviratne N, et al. In situ simulation as a quality improvement tool to identify and mitigate… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47876/psn-pdfMarch 27, 2019 - Evaluation of medication errors at the transition of care from an ICU to non-ICU location. March 27, 2019 Tully AP, Hammond DA, Li C, et al. Evaluation of Medication Errors at the Transition of Care From an ICU to Non-ICU Location. Crit Care Med. 2019;47(4):543-549. doi:10.1097/CCM.0000000000003633. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46155/psn-pdfDecember 21, 2017 - A national implementation project to prevent catheter- associated urinary tract infection in nursing home residents. December 21, 2017 Mody L, Greene T, Meddings J, et al. A National Implementation Project to Prevent Catheter-Associated Urinary Tract Infection in Nursing Home Residents. JAMA Intern Med. 2017;177(8… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42566/psn-pdfSeptember 11, 2013 - Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. September 11, 2013 Weingart SN, Carbo AR, Tess A, et al. Using a Patient Internet Portal to Prevent Adverse Drug Events. J Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e31829e4b95. https://psnet.ahrq.gov/issue/using-pat… -
AHRQ Organization Chart (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/orgchart/organizationchart-020525.pdfFebruary 01, 2025 - AHRQ Organization Chart Office of Extramural Research, Education and Priority Populations Francis D. Chesley, Jr., M.D. Director Directs the scientific review process for grants and contracts, manages Agency research training programs, evaluates the scientific contribution of proposed and ongoing research an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43262/psn-pdfApril 06, 2015 - Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. April 6, 2015 Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. Ann Surg. 2015;261(5):831-838. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47092/psn-pdfOctober 13, 2018 - Organizational response to known medical errors: does peer review protection impede improvement? October 13, 2018 Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1062860618769429. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47457/psn-pdfJanuary 17, 2019 - Developing a reporting culture: learning from close calls and hazardous conditions. January 17, 2019 Developing a reporting culture: Learning from close calls and hazardous conditions. Sentinel Event Alert. 2018;(60):1-8. https://psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41405/psn-pdfDecember 30, 2014 - Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. December 30, 2014 Gurses AP, Kim G, Martinez EA, et al. Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary appr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73707/psn-pdfSeptember 15, 2021 - Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety. September 15, 2021 Pilosof NP, Barrett M, Oborn E, et al. Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety. Int… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/858171/psn-pdfDecember 13, 2023 - Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. December 13, 2023 Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41813/psn-pdfJuly 02, 2014 - The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. July 2, 2014 Foster S, Manser T. The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. Acad Med. 2012;87(8):1105-24. doi:10.1097/ACM.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853427/psn-pdfJanuary 01, 2024 - Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis. September 13, 2023 Bell SK, Harcourt K, Dong J, et al. Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/856584/psn-pdfJanuary 01, 2024 - Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). November 29, 2023 Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors analysis of nonprocedural signific… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44249/psn-pdfFebruary 12, 2019 - Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. February 12, 2019 Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2015. AHRQ Publication No. 15-0041-EF. https://psnet.ahrq.gov/issue/community-pharmacy-survey-patient-saf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39892/psn-pdfSeptember 20, 2011 - How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data. September 20, 2011 Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients' propensity to sue and their assessment of pro…
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