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  1. www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
    January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System Principal Investigator: David G. Bundy, MD, MPH Team Members: Marlene R. Miller, MD, MSc Michael L. Rinke, M…
  2. www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
    January 01, 2025 - Final Progress Report: Center for Safety In Emergency Care Center for Safety In Emergency Care Final Progress Report Principal Investigator Robert L Wears, MD, MS Team Members Christopher Beach, MD Ravi Behara, PhD Patrick Croskerry, MD, PhD Shawna J Perry, MD Marc Shapir…
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
    July 01, 2023 - Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation SPPC-II Toolkit Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage Module 1 of 8 AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Thank you for participating in …
  4. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6a.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 6. Implementation (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Evidenc…
  5. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-consolidated-slides.pptx
    May 11, 2023 - Implementing Hybrid Cardiac Rehabilitation to Expand Access and Capacity Implementing Hybrid Cardiac Rehabilitation to Expand Access and Capacity   IMPORTANT NOTE RE: ACCESSING LINKS in the PPT presentation: Links embedded in SLIDE portion are hyperlinks Links shown in the NOTES portion must be copied into a…
  6. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-2-team-leadership-facilitator-guide.pdf
    June 02, 2025 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 2 Video-Based Simulation: Facilitator Guide Team Leadership Briefs, Huddles, and Debriefs TeamSTEPPS Training Curriculum …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.docx
    March 06, 2013 - Strategy 1: Working with Patients & Families as Advisors (Tool 9) Patient and Family Advisor Orientation Manual Strategy 1: Working with Patients & Families as Advisors (Tool 9) [Type text] [Type text] [Type text] Strategy 1: Working With Patients & Families as Advisors (Tool 9) Guide to Patient and Family Engagem…
  8. www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
    September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Issue Brief 15 Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error PATIENT SAFETY e This page intentionally left blank. e Issue Brief 15 Strategies for I…
  9. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa2.pdf
    January 01, 2018 - 2018 National Healthcare Quality and Disparities Report: Appendix A 2018 National Healthcare Quality and Disparities Report | A.2-1 APPENDIX A. LIST OF MEASURES AND SUMMARY OF RESULTS FOR FIGURES A.2. Quality Trends Measures included in Figure 33: Number and percentage of all quality measures that were improving,…
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI What Are the 4 Es? Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide What Are the 4 Es? SAY: This presentation reviews the 4 Es, a framework to guide the implementation…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
    June 12, 2008 - Improving the Value of Patient Safety Reporting Systems Improving the Value of Patient Safety Reporting Systems Peter J. Pronovost, MD, PhD; Laura L. Morlock, PhD; J. Bryan Sexton, PhD; Marlene R. Miller, MD, MSc; Christine G. Holzmueller, BLA; David A. Thompson, DNSc, MS; Lisa H. Lubomski, PhD; Albert W. Wu, M…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
    March 27, 2008 - High-Hanging Fruit: Improving Transitions in Health Care High-Hanging Fruit: Improving Transitions in Health Care Shawna J. Perry, MD; Robert L. Wears, MD, MS; Emily S. Patterson, PhD Abstract Discussions about enhancing the safety of transitions in health care have been disjointed. Respected health care …
  13. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Practice and Quality Improvement Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primar…
  14. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case1.html
    November 01, 2014 - Further, the ER staff or patient flow coordinator had to call around to find beds instead of having patients … including process improvement staff, an assistant nurse manager, a system administrator, and a clerical coordinator
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
    January 01, 2015 - Appendix F. Interventions Guide to Improving Patient Safety in Primary Care Settings b…
  16. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-Compendium-TechDoc-update.pdf
    January 01, 2018 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Department of Heal…
  17. www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/qdr-blackhealth-slides.html
    November 01, 2020 - Chartbook on Black Health Care: Slide Presentation National Healthcare Quality and Disparities Report Contents Introduction Part 1: Overviews of the Report and the Black Population Part 2: Trends in Priorities of the Heckler Report Part 3: Trends in Access and Priorities of the National Quality Strate…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
    June 01, 2023 - Improving Surgical Care and Recovery Core and Surgery Specific Pathways Worksheet Use this worksheet to develop enhanced recovery pathways for use at your hospital. The information in this tool is based on evidence reviews (see appendix) conducted by the National Project Team at the American College of Surgeons and Jo…
  19. www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-executive-summary.pdf
    October 19, 2021 - AHRQ Subcommittee of the National Advisory Council on Healthcare Quality Measurement: Executive Summary AHRQ SUBCOMMITTEE OF THE NATIONAL ADVISORY COUNCIL ON HEALTHCARE QUALITY MEASUREMENT EXECUTIVE SUMMARY - 1 - …
  20. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/womenhealth/2014nhqdr-womenhealth.pptx
    January 01, 2020 - Slide 1 National Healthcare Quality and Disparities Report Chartbook on Women’s Health Care September 2015 This presentation contains notes. Select View, then Notes page to read them. 1 Organization of the Chartbook on Women’s Health Care Part of a series related to the National Healthcare Quality and Disparities …

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