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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/white_paper.pdf
    January 01, 2020 - White Paper - Redefining Primary Care for the 21st Century White Paper Redefining Primary Care for the 21st Century Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2010-00004-I/ 290-32009-T …
  2. www.ahrq.gov/sites/default/files/2025-04/elder-report.pdf
    January 01, 2025 - Final Progress Report: Patient Safety and the Primary Care Testing Process Final Report 1. Title page Patient Safety and the Primary Care Testing Process PI: Nancy C. Elder, MD, MSPH Department of Family and Community Medicine University of Cincinnati PO Box 670582 3235 Eden Ave, 142 HPB Cincinnati, OH 45267…
  3. www.ahrq.gov/sites/default/files/2024-07/col-report.pdf
    January 01, 2024 - Final Progress Report: Incorporating Temporary Health States into Decision Support AHRQ Grant Final Progress Report Title Page Title of Project: Incorporating Temporary Health States into Decision Support Final Report submitted by: Maine Medical Center 22 Bramhall Street Portland, ME 04102 Principal Investigator…
  4. www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
    January 01, 2024 - Final Progress Report: Accountability and Health Safety – A Statewide Approach Revised FINAL PROGRESS REPORT 5U18HS011918-03 TITLE: Accountability and Health Safety – A Statewide Approach PRINCIPAL INVESTIGATOR: Ke…
  5. www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
    January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety Title: VTE Safety Toolkit: A Systems Approach to Patient Safety Principal Investigator: Brenda K. Zierler, PhD1 Team Members: Ann Wittkowsky, PharmD2 Robb Glenny, MD3 Seth Wolpin, PhD1 Jung-Ah Lee, MN1 Gene Peterson, MD, PhD3 Fre…
  6. www.ahrq.gov/sites/default/files/2024-11/kizer-report.pdf
    January 01, 2024 - Final Progress Report:: The National Quality Forum – Annual Meeting 2003 THE NATIONAL QUALITY FORUM ANNUAL MEETING 2003 PRINCIPAL INVESTIGATOR: KENNETH W. KIZER, MD, MPH TEAM MEMBERS: C. BOCK, L. GORBAN, J. LEWIS, R. NISHIMI, E. POWER, M. STEGUN, L. THOMPSON 9/20/2003 – 9/19/2004 FEDERAL PROJECT OFFICE…
  7. References (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
    January 01, 2017 - References Summary Continuous or frequent intermittent suctioning of subglottic secretions, via an endotracheal tube (ETT) specially designed with a dorsal lumen to accommodate this, is associated with up to a 50 percent decreased incidence of aspiration and ventilator-associated pneumonia (VAP). Guidelines support …
  8. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4c.html
    August 01, 2021 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 4: Defining Language Need and Categories for Collection, cont. Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary …
  9. www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
    January 01, 2024 - Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults AHRQ Grant Final Progress Report Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid- Related Hospitalizations in Older Adults Principal Investigat…
  10. www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
    January 01, 2025 - Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) 1. Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) Principal Investigator and Team Members/Organization: Min J. Joo, MD, MPH, Department of Medicine, College of Medi…
  11. www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
    January 01, 2024 - Final Progress Report: Developing a patient-centered model of the risk of perioperative complications in spine surgery Developing a patient-centered model of the risk of perioperative complications in spine surgery John Ratliff, MD, PI Team members: Summer Han, PhD Richard Olshen, PhD Lu Tian, PhD Paola Suarez …
  12. www.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
    January 01, 2024 - Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) Advancing Patient Safety Innovation in Rheumatology (ASPIRE) Principal Investigator: Jinoos Yazdany, MD, MPH Co-investigators: Gabriela Schmajuk, MD, MSc Urmimala Sarkar, MD, MPH R. Adams Dudley, MD, MBA Stephen Shiboski, PhD De…
  13. www.ahrq.gov/sites/default/files/2025-04/rising-report.pdf
    January 01, 2025 - Final Progress Report: Promoting Safe Care Transitions: Simulation-Based Mastery Learning to Improve Communication in Times of Diagnostic Uncertainty Title Page TITLE: Promoting safe care transitions: Simulation-based mastery learning to improve communication in times of diagnostic uncertainty PRINCIPAL INVESTIG…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
    February 01, 2004 - Learning from Errors in Ambulatory Pediatrics 355 Learning from Errors in Ambulatory Pediatrics Julie J. Mohr, Carole M. Lannon, Kathleen A. Thoma, Donna Woods, Eric J. Slora, Richard C. Wasserman, Lynne Uhring Abstract Background: Approximately 70 percent of pediatric care occurs in ambulatory settings, …
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Schillinger.pdf
    January 01, 2004 - Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance 199 Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance Dean Schillinger, Eddie Machtinger, Frances Wang, Maytrella Rodriguez, Andrew Bindman Objective: Mis…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
    March 15, 2004 - A Study of Adverse Occurrences and Major Functional Impairment Following Surgery 275 A Study of Adverse Occurrences and Major Functional Impairment Following Surgery Mary Rojas, Alan Silver, Christine Llewellyn, Lenora Rances Abstract Objective: The authors sought to ascertain whether adverse occurrences (AOs…
  17. www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
    January 01, 2025 - Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network Rachel A. Umoren, MBBCh, MS Mega…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
    January 01, 2004 - Creating a Culture of Patient Safety through Innovative Hospital Design 425 Creating a Culture of Patient Safety through Innovative Hospital Design John G. Reiling Abstract When SynergyHealth, St. Joseph’s Hospital of West Bend, Wisconsin, decided to relocate and build an 82-bed acute care facility, we reco…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
    January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach 241 Diagnostic Failure: A Cognitive and Affective Approach Pat Croskerry Abstract Diagnosis is the foundation of medicine. Effective treatment cannot begin until an accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of clinic…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
    January 01, 2003 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities 395 Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities Sharon Conrow Comden, David Marx, Margaret Murphy-Carley, Misti Hale Abstract Objectives: State agenc…

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