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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Assemble the Team and Engage Leadership for Perinatal Safety Assemble the Team and Engage Leadership for Perinatal Safety SAY: The Assemble the Team and Engage Leadership module of the AHRQ Safety Program for Perinatal Care addresses team composition within the labor and delivery…
  2. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
    July 01, 2023 - Assemble the Team and Engage Leadership for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Assemble the Team and Engage Leadership for Perinatal Safety Say: The Assemble the Team and Engage Leadership module of the AHRQ Safety Program for Perinatal Care addresses tea…
  3. www.ahrq.gov/sites/default/files/2025-07/fenton2-report.pdf
    January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging Principal Investigator: Joshua J. Fenton, MD, MPH Team Members: Anthony Jerant. MD Camille Cipri, BS Melissa Gosdin, PhD Daniel Tancredi, PhD Guibo Xing, P…
  4. www.ahrq.gov/sites/default/files/2024-10/klein-report.pdf
    January 01, 2024 - Final Progress Report: Validity assessment of a real-time indicator of attentional load and task-induced fatigue in the MIS environment Final Progress Report to the Agency for Healthcare Research and Quality Title of Project Validity assessment of a real-time indicator of attentional load and task-induced fatigue i…
  5. www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
    January 01, 2024 - Final Progress Report: Impact of state policies on nursing home patient safety culture Title of Project: Impact of state policies on nursing home patient safety culture Principal Investigator: Yue Li, Ph.D., University of Rochester Team Members: Helena Temkin-Greener, Ph.D., University of Rochester Xueya Cai, Ph…
  6. www.ahrq.gov/sites/default/files/2024-02/vaughan-report.pdf
    January 01, 2024 - Final Progress Report: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department) Title: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department) PI: E. Camille Vaughan, MD, MS Team Members Emory/Grady: Ann…
  7. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-implementation-guide.pdf
    June 02, 2025 - 1 TAKEheart - Troubleshooting Your Automatic Referral System Implementation Guide - Module 7 Purpose and Overview This implementation guide is designed to help you think through the steps you can take to troubleshoot a successful automatic referral (AR) order set for your hospital/health system. …
  8. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap2.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Appendix: State Overviews (continued) Previous Page   Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program Section 2: Engagi…
  9. www.ahrq.gov/sites/default/files/2024-03/kaminski-report.pdf
    January 01, 2024 - Final Progress Report: Assessing Barriers to ADA Guideline Adherence AHRQ FINAL Project Report Title Page: “Assessing Barriers to ADA Guideline Adherence” Principal Investigator and Team Members: Mitchell A. Kaminski, M.D., Principal Investigator Chairman, Department of Family Medicine Crozer-Chester …
  10. www.ahrq.gov/sites/default/files/2024-07/ferguson2-report.pdf
    January 01, 2024 - Final Progress Report: Distance Management of High-Risk Obstetrical Patients Project Title: Distance Management of High-Risk Obstetrical Patients Candice Ferguson, MSPH Woman’s Hospital, BR Project Director Stephanie Anderson, BS, CPA Woman’s Hospital, BR Investigator Kim Duplechain…
  11. www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
    January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) MALPRACTICE INSURERS’ MEDICAL ERROR SURVEILLANCE AND PREVENTION STUDY (MIMESPS) Principal Investigator: David M. Studdert, LLB, ScD Team Members: Harvard School of Public Health: Allison Nagy, BA Ann Louise Puo…
  12. www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
    January 01, 2024 - Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment Final Progress Report 1.0 TITLE PAGE Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment Principal Investigator Saul N. Weingart, MD, PhD Co-Investigators Maureen Connor, RN, MPH Syl…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_3.pdf
    October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #3: Fairview Health Services New Models of Primary Care Workforce and Financing Case Example Fairview Health Services3 New Models of Primary Care Workforce and Financing Case Example #3: Fairview Health Services …
  14. www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
    January 01, 2024 - Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety FINAL PROGRESS REPORT PROJECT TITLE: A PILOT STUDY FOR INTEGRATING FACILITY INFORMATION WITH HEALTHCARE INFORMATION TO IMPROVE PATIENT SAFETY PRINCIPAL INVESTIGATOR: DR C. J. ANUMBA (Penn…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
    December 01, 2017 - Presentation: Auditing Your Briefings and Debriefings Auditing Your Briefings and Debriefings Process AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Implementation SAY: Let’s continue our discussion around briefings and debriefings. T…
  16. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care Final Report This page is intentionally blank. Potentially Preventable Readmissions: Conceptual Framewo…
  17. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-mepsmethods.pdf
    January 01, 2020 - 2018 National Healthcare Quality and Disparities Report Detailed Methods for the Medical Expenditure Panel Survey 2018 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT DETAILED METHODS FOR THE MEDICAL EXPENDITURE PANEL SURVEY U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Health…
  18. www.ahrq.gov/patient-safety/reports/liability/mincer.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming t…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
    January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors 39 An Analysis of Nurses’ Cognitive Work: A New Perspective for Understanding Medical Errors Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson, Jennifer Sledge, Clay Dunagan, Bradley Evanoff Abstract He…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
    May 06, 2008 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA; Christine P…

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