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www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
January 01, 2024 - Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study
AHRQ grant final progress report
TITLE
The Effect of EMR on Medication Safety: A SPUR-Net Study
PRINCIPAL INVESTIGATORS AND TEAM MEMBERS
Principal Investigator: Grace M. Kuo, PharmD, MPH
Study Co-Investigators: Jeffrey R. Steinbauer,…
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www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
January 01, 2024 - Final Progress Report: Medication Reconciliation: A Team Approach
AHRQ Small Conference Grant Final Report
Title of Project: Medication Reconciliation: A Team Appr oach
Principal Investigator: Jeffrey L . Greenwald, MD, FHM
Team Members: Jeffrey L. Greenwald, MD, FHM (SHM), PI and Conference Chair; …
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www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care
PROL IN HOME HEALTH CARE
Title: Process Reliability and Organizational Learning in Home Health Care
Principal Investigator and Team Members:
Michael P. Silver, MPH Principal Investigator
Cher Edmonds Study Coordinator
Robert…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
December 01, 2017 - PowerPoint Presentation: Learn From Defects for Sustainability
Sustainability: Learning From Defects
AHRQ Safety Program for Surgery
Sustainability
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program for Surgery – Sustainability
SAY:
This module will review some concepts from Learning From Defects Th…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation
SAY:
This module introduces and provides evidence for the lung protective low tidal volume strategy, and offers recommendation…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
July 23, 2010 - Strategy 3: Bedside Shift Report (Tool 3)
Insert hospital logo here
Nurse Bedside
Shift Report Training
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 3: Nurse Bedside Shift Report (Tool 3)
Guide to Patient & Family Engagement
If you have conducted trainings for other strategies in …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1.html
March 01, 2018 - Improving Patient Safety in Long-Term Care Facilities
Module 1. Detecting Change in a Resident's Condition
Previous Page Next Page
Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating C…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator
39
Readmissions for Selected Infections
Due to Medical Care: Expanding the
Definition of a Patient Safety Indicator
Brian Gallagher, Liyi Cen, Edward L. Hannan
Abstract
Objective: Evaluate the A…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/3-are-you-ready/cahps-ambulatory-care-guide-section-3.pdf
May 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Are You Ready To Improve?
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 3: Are You Ready To Improve?
Visit the AHRQ Website for the full Guide.
May 2017 (updated)
https://www.ahrq.gov/cahps/quality-improve…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/recruitment-and-retention-toolkit.pdf
January 01, 2019 - Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit
Recruitment and Retention
of Primary Care Practices
in Quality Improvement
Initiatives: A Toolkit
Effectively engaging practices in a primary care quality improvement (QI) initiative, including
both the initi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
January 01, 2004 - The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data
195
The Impact of a Web-based Reporting
System on the Collection of Medication
Error Occurrence Data
William J. Rudman, Jessica H. Bailey, Carol Hope,
Paula Garrett, C. Andrew Brown
Abstract
This paper examin…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
September 01, 2005 - Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative
105
Using Reported Primary Care
Errors to Develop and Implement
Patient Safety Interventions: A
Report from the ASIPS Collaborative
David R. West, John M. Westfall, Rodrigo Araya-G…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
July 01, 2003 - Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors
185
Preparing for Ambulatory Computerized
Prescriber Order Entry by Evaluating
Preimplementation Medication Errors
Emily Beth Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless,
Thomas K. Hazlet, R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
February 19, 2008 - Creating Safety in the Testing Process in Primary Care Offices
Creating Safety in the Testing Process
in Primary Care Offices
Nancy C. Elder, MD, MSPH; Timothy R. McEwen; John M. Flach, PhD;
Jennie J. Gallimore, PhD
Abstract
Background: The testing process in primary care is complex, and it varies from o…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
January 01, 2021 - Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard
rds
Beyond Nursing Quality Measurement:
The Nation’s First Regional Nursing Virtual Dashboard
Carolyn E. Aydin, PhD; Linda Burnes Bolton, DrPH, RN, FAAN;
Nancy Donaldson, DNSc, RN, FAAN; Diane Storer Brown, PhD, RN, FN…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
January 01, 2025 - Envisioning Patient Safety in the Year 2025: Eight Perspectives
Envisioning Patient Safety in the Year 2025:
Eight Perspectives
Kerm Henriksen, PhD; Caitlin Oppenheimer, MPH; Lucian L. Leape, MD; Kirk Hamilton,
FAIA, FACHA, MS; David W. Bates, MD, MSc; Susan Sheridan, MBA; Mark E. Bruley, CCE;
David M. Gaba, MD;…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Serious Reportable Adverse Events in Health Care
339
Serious Reportable Adverse
Events in Health Care
Kenneth W. Kizer, Melissa B. Stegun
Abstract
Health care errors resulting in patient harm are a leading cause of morbidity and
mortality in the United States, although there is no national reporting of such…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
March 03, 2008 - The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems
The Use of Modest Incentives to Boost Adoption of
Safety Practices and Systems
Gregg S. Meyer, MD, MSc; David F. Torchiana, MD; Deborah Colton;
James Mountford, MB, BCh; Elizabeth Mort, MD; Sarah Lenz;
Nancy Gagliano, MD; Elizabet…