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  1. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 3. Grand Hospital Center Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Ca…
  2. www.ahrq.gov/patient-safety/reports/engage/references.html
    May 01, 2023 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families References Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Env…
  3. www.ahrq.gov/sites/default/files/2025-04/newman-toker2-report.pdf
    January 01, 2025 - Final Progress Report: Automated Medical Interviewing for Diagnostic Decision Support in the Emergency Department FINAL PROGRESS REPORT TITLE PAGE (1R03HS017755-01, PI Newman-Toker) Title: Automated Medical Interviewing for Diagnostic Decision Support in the Emergency Department Principal Investigator: David E. …
  4. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
    September 01, 2015 - Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings Primary Care Practice Facilitation Curriculum Module 22: Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings Agency for Healthcare Research and Quality Advancing Excellence in Heal…
  5. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/Final_Using_the_CAHPS_Database_Webcast_Transcript.pdf
    January 01, 2014 - Using the CAHPS Database to Compare, Report, and Improve Organizational Performance Using the CAHPS Database to Compare, Report, and Improve Organizational Performance January 2014  Webcast Speakers Janice Ricketts, Senior Study Director, CAHPS Database, Westat, Rockville, MD Deborah Kilstein, BSN, MBA, Vice…
  6. www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
    March 11, 2022 - Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes Issue Brief 7 Improving Education—A Key to Better Diagnostic Outcomes PATIENT SAFETY e This page intentionally left blank. e Issue Brief 7 Improving Education—A Key to Better Diagnostic Outcomes Prepared for: Agency for Healthcare…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
    May 01, 2004 - Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability 7 Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability Peter E. Rivard, A. Rani Elwy, Susan Loveland, Shibei Zhao, Dennis Tsilimingras, Anne Elixhauser, Patrick S. R…
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
    March 01, 2020 - Chapter-8 - Diabetes Harms Due to Diabetic Agents 8-1 8. Harms Due to Diabetic Agents Authors: Lisa LeRoy Ph.D., M.B.A., and Sonja Richard, M.P.H. Reviewer: Shelia Roman, M.D. Introduction In this chapter, two different kinds of diabetes patient safety practices are addressed—both intended to improve diabete…
  9. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-v-a.pdf
    June 25, 2014 - Attachments 5.1 through 5.5         ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents SUBCOMMITTEE ON ATTENTION-DEFICIT/HYPERACTIVITY DISORDER, STEERING COMMITTEE ON QUALITY IMPROVEMENT AND MANAGEMENT P…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
    November 30, 2013 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1 On-Time Preventable Hospital and ED Visits: Reports AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits Training Slide 1: Introduction to Preventable Hospital and ED Visits Reports …
  11. www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
    January 01, 2024 - Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics 1. Title: Surveillance for Adverse Drug Events in Ambulatory Pediatrics Principal Investigator(s): Thomas C. Bailey (07/15/09—02/28/11) Peter M. Kilbridge (09/01/07—07/14/09) Team Members: Laura A. Noirot Richard M. Reichley …
  12. www.ahrq.gov/sites/default/files/2024-07/ashton-report.pdf
    January 01, 2024 - Final Progress Report: Racial and Ethnic Variations in Medical Interactions Title of Project Racial and Ethnic Variations in Medical Interactions Principal Investigator and Team Members Carol M. Ashton, MD, MPH (PI), Tracie C. Collins, MD, MPH, Coreen Domingo, MPH, Howard S. Gordon, MD…
  13. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
    March 01, 2012 - Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers Final Contract Report Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers Final Contract Report Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers Pre…
  14. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-screening-toolkit.pdf
    April 01, 2025 - Steps for Increasing Urinary Incontinence Screening: A Guide for Primary Care Practices April 2025 Steps for Increasing Urinary Incontinence Screening A Guide for Primary Care Practices 2 Introduction ............................................................................................................…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/functspecs.pdf
    March 22, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 1 AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 1. General Information 1.1. Background The Agency for Health Care Research and Quality (AHRQ) developed…
  16. 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 …
  17. www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
    January 01, 2024 - Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies Final Report: Using Risk Models to Improve Safety with Dispensing High-Alert Medications in Community Pharmacies Principal Investigator: Michael R. Cohen, RPh, MS, ScD Team Members: Judy L. Smetzer, R…
  18. www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
    January 01, 2024 - Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety Risk Models to Improve Long-term Care Medication Safety Principal Investigator: Grant Higginson, MD, MPH Team Members: Sharon Conrow Comden, Margaret Murphy Carley, Megan Hornby, Linda Kirschbaum, David Marx, Misti Hale, Joel Young, Lyn…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
    April 23, 2004 - Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office 101 Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office Kimberly A. Galt, Ann M. Rule, Bartholomew E. Clark, James D. Bramble, Wendy Taylor, Kevin G. Moores Abst…
  20. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Appendix A. Grantee Profiles Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned Fro…

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