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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
    January 01, 2004 - Financial and Demographic Influences on Medicare Patient Safety Events 437 Financial and Demographic Influences on Medicare Patient Safety Events Didem Bernard, William E. Encinosa Abstract Background: The hospital market is stratified between the “have” and the “have not” hospitals. Whether financial dis…
  2. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…
  3. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
    September 01, 2023 - NPSD Data Spotlight: Patterns of Fall Interventions Patterns of Fall Interventions NPSD Data Spotlight: This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: NPSD Data Spotlight: Patterns of Fall Interventions, 2023.…
  4. www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
    January 01, 2025 - Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab • Title of Project: Connected Emergency Care (CEC) Patient Safety Learning Lab • Principal Investigators: Jeremiah S. Hinson, MD, PhD, and Scott R. Levin, PhD • Team Members: Jeremiah Hinson, MD, PhD, Scott Levin, PhD, Eili Klein, Ph…
  5. 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…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
    February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator 395 From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth, Debora A. Paterniti, William Dager, …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
    February 20, 2008 - The Patient Safety Education Project: An international Collaboration The Patient Safety Education Project: An International Collaboration Linda Emanuel, MD, PhD; Merrilyn Walton, PhD; Martin Hatlie, JD; Denys Lau, PhD; Tim Shaw, PhD; Joel Shalowitz, MD, MBA; John Combes, MD Abstract The Patient Safety Edu…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
    September 01, 2008 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety Brenda K. Zierler, PhD; Ann Wittkowsky, PharmD; Gene Peterson, MD, PhD; Jung-Ah Lee, MN; Courtney Jacobson, BA; Robb Glenny, MD; Fred Wolf, PhD; Lynne Robin…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
    June 02, 2025 - The system then determines the shift from fall time of day with consideration of the shifts used at
  10. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-transcript.pdf
    January 01, 2017 - Rybowski, Slide 38 Another consideration during the administration process is the use of invitation
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/quickref/tobaqrg.pdf
    April 01, 2009 - Is gender a consideration There is evidence that NRT can be effective with in selecting a medication
  12. www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
    August 01, 2016 - AHRQ Individual Research Career Development (K) Award Program AGENCY FOR HEALTHCARE RESEARCH AND QUALITY INDIVIDUAL RESEARCH CAREER DEVELOPMENT (K) AWARD PROGRAM Evaluation Report Evaluation Report Agency for Healthcare Research and Quality Individual Career Development (K) Award Program Prepa…
  13. www.ahrq.gov/sites/default/files/publications2/files/diagnostic-safety-issue-brief-test-result-communication.pdf
    July 01, 2024 - Diagnostic Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act PATIENT SAFETY e Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act This page intentionally left blank. e Issue Brief 19 Electronic Test Result Communication …
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-full-report.pdf
    February 01, 2020 - Communication of Weight Classification for Children Who Are Overweight or Obese 1 Communication of Weight Classification for Children Who Are Overweight or Obese Section 1. Basic Measure Information 1.A. Measure Name Communication of Weight Classification for Children Who Are Overweight or Obese 1.B. Measu…
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-bmi-parent-full-report.pdf
    February 01, 2020 - CHIPRA Measure 240: Parent Report of Discussion of Weight Concerns for Child 1 Parent Report of Discussion of Weight Concerns for Child Section 1. Basic Measure Information 1.A. Measure Name Parent Report of Discussion of Weight Concerns for Child 1.B. Measure Number 0240 1.C. Measure Description Ple…
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-fullreport.pdf
    February 01, 2020 - Hypertension Screening for Children Who Are Overweight or Obese: Report 1 Hypertension Screening for Children Who Are Overweight or Obese Section 1. Basic Measure Information 1.A. Measure Name Hypertension Screening for Children Who Are Overweight or Obese 1.B. Measure Number 0232 1.C. Measure Description P…
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
    April 01, 2018 - We recommend careful consideration and monitoring of this issue on a small scale before a large-scale
  18. www.ahrq.gov/sites/default/files/2024-01/fernandez-report.pdf
    January 01, 2024 - Final Progress Report: Improving patient safety through leadership and team performance in simulations 1R18HS020295 Final Progress Report: Fernandez R, PI Title of Project: Improving patient safety through leadership and team performance in simulations Principal Investigator and Team Members: Fernandez, R (PI); Ko…
  19. www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
    December 01, 2017 - Emergency Department and Catheter Insertion Webinar Transcript Paul Tedrick AHA – Chicago September 10, 2013 11:00 AM CT Operator: This is a recording of the Paul Tedrick conference with the American Hospital Association on September 10 th , 2013, at 11:00AM Central Time. Ladies and gentlemen, thank yo…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
    September 10, 2013 - Paul Tedrick AHA – Chicago September 10, 2013 11:00AM CT Operator: This is a recording of the Paul Tedrick conference with the American Hospital Association on September 10th, 2013, at 11:00AM Central Time. Ladies and gentlemen, thank you for your patience in holding. We now have your presenters in conference. Plea…

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