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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14253-Carayon-draft-1.pdf
December 01, 2006 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors
Medication Error Reduction, Technologies, and Human
Factors Final Report
Pascale Carayon, PI,
Tosha B. Wetterneck, co-PI
Roger Brown Professor, UW School of Nursing
Pascale Carayon Principal investigator; Professor, Department of
…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/11093-Jones-draft-1.pdf
December 31, 2004 - 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…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/comments/prp-wound-care-comments.pdf
September 01, 2020 - Platelet-Rich Plasma for Wound Care in the Medicare Population: Disposition of Comments
Research Review Disposition of Comments Report
Research Review Title: Platelet-Rich Plasma for Wound Care in the Medicare Population
Draft report available for public comment from June 23, 2020 to July 14, 2020.
Citation: Qu…
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www.ahrq.gov/sites/default/files/2024-10/barnes-report.pdf
January 01, 2024 - Final Progress Report: Improving Safe Use of Direct Oral Anticoagulants: A Population Health Approach
TITLE PAGE
Project Title: Improving Safe Use of Direct Oral Anticoagulants: A Population Health Approach
Principal Investigator: Geoffrey Douglas Barnes, BS, MD, MS
Team members:
Michael Dorsch, PharmD, MS, Co-In…
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www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
January 01, 2024 - Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery
Development Validation and Implementation of Customized Checklists
for Safe Surgery
Atul Gawande, MD, MPH, Principal Investigator
Team Members:
Alex Arriaga, MD, MPH, ScD
Angela Bader, MD, MPH
William Berry,…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
May 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Determining Where to Focus Efforts to Improve Patient Experience
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 5: Determining Where to Focus Efforts to Improve
Patient Experience
Visit the AHRQ Website for…
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www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
January 01, 2024 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors
Medication Error Reduction, Technologies, and Human
Factors Final Report
Pascale Carayon, PI,
Tosha B. Wetterneck, co-PI
Roger Brown Professor, UW School of Nursing
Pascale Carayon Principal investigator; Professor, Department of
…
-
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…
-
www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
January 01, 2025 - Final Progress Report: The National Quality Forum Annual Meeting 2004
THE NATIONAL QUALITY FORUM
ANNUAL MEETING 2004
PRINCIPAL INVESTIGATOR: KENNETH W. KIZER, MD, MPH
TEAM MEMBERS: C. BOCK, L. GORBAN, J. LEWIS, R. NISHIMI, E.
POWER, M. STEGUN, L. THOMPSON
4/20/2004 – 10/07/2004
FEDERAL PROJECT OFFICER: EDW…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
July 01, 2023 - PowerPoint Presentation
SPPC-II
Toolkit
Obstetric Hemorrhage Scenarios
Safety Program for Perinatal Care II Teamwork Toolkit
AHRQ Pub. No. 23-0046
July 2023
Frontline
SPPC-II
SCRIPT
In this handout we have compiled all of the case scenarios presented in the SPPC-II Teamwork Toolkit for AIM’s Obstetric Hemorrhage …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/excelling_cahps_lessons_medicaid_webinar_transcript.pdf
January 01, 2016 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans
Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans
March 2015 Webcast
Speakers
Stacia Cohen, RN, MBA, Vice President, Medicare Stars Center of Excellence, BCBS of Minnesota,
Eagan, MN
Christopher Seller…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
September 01, 2021 - Prescribing information also tends to be quite accurate
because the consequences of errors or missing
-
www.ahrq.gov/sites/default/files/publications/files/chipra-final-report_0.pdf
February 21, 2016 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report
Contract Final Report
National Evaluation of the CHIPRA Quality
Demonstration Grant Program: Final Project Report
Prepared for:
Agency for Healthcare Research and Quality
Rockville, MD
Contract HHSA29020090002191
…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
March 01, 2020 - presumably is associated with lower overall hospital costs
for the stays.8
14.3.3.4 Unintended Consequences
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - Policymakers and regulators can appreciate the unanticipated consequences of
particular enforcement … presents information about the prevalence of polypharmacy
and unnecessary medication use, negative consequences
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
January 01, 2024 - Patient
record review of the incidence, consequences, and causes of diagnostic adverse events. … Misdiagnosis of obstetrical cases
and the clinical and cost consequences to patients: a cross-sectional
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/24630-Jones-report.pdf
November 15, 2017 - Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer
Final Progress Report
Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer
Principal Investigator:
Katherine J. Jones, PT, PhD1
Co-Investigators:
MARobin High, MBA, 1
Roni Reiter-P…
-
www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
January 01, 2024 - Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer
Final Progress Report
Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer
Principal Investigator:
Katherine J. Jones, PT, PhD1
Co-Investigators:
MARobin High, MBA, 1
Roni Reiter-P…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/coordinating-care-for-adults-with-complex-care-needs-white-paper.pdf
January 01, 2012 - Coordinating Care for Adults With Complex Care Needs in the Patient-Centered Medical Home: Challenges and Solutions - (WHITE PAPER)
Coordinating Care for
Adults With Complex Care
Needs in the Patient-
Centered Medical Home:
Challenges and Solutions
WHITE PAPER
Agency for Healthcare Research and Quality
Prevention/…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/actioniii-2016-summaries-revised.pdf
January 01, 2016 - more
likely to die from CAP.4
Failure to properly diagnose this condition can result in serious consequences