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  1. www.ahrq.gov/sites/default/files/2024-01/soumerai-report.pdf
    January 01, 2024 - Final Progress Report: RCT to Reduce Prescribing Errors in Hypertension Principal Investigator: Soumerai, Stephen B. AHRQ GRANT FINAL PROGRESS REPORT RCT TO REDUCE PRESCRIBING ERRORS IN HYPERTENSION Principal Investigator: Stephen B. Soumerai, ScD Team Members: Ken Kleinman, ScD Sumit R. Majumdar, MD, MPH I…
  2. www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
    January 01, 2024 - Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care Title of Project: Prescribing Errors in Ambulatory Pediatric Care Principal Investigator and Team Members: Basco, William T. = PI Simpson, Kit = Mentor Hulsey, Thomas = Mentor, Director of Masters Degree Program Ebeling, Myla = Co-investig…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-StJacques_105.pdf
    March 29, 2008 - Improving Perioperative Patient Safety Through the Use of Information Technology 1 Improving Perioperative Patient Safety Through the Use of Information Technology Paul J. St. Jacques, MD; Michael N. Minear Abstract The perioperative care process is a unique and challenging environment. Perioperative …
  4. www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Error Disclosure Training and Organizational Culture Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability System in M…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
    April 04, 2008 - A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care Ranjit Singh, MA, MB, BChir (Cantab.), MBA; Wilson Pace, MD; Ashok Singh, MA, MB, BChir (Cantab); Chester Fox, MD; Gurdev Singh, MSc…
  6. www.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
    January 01, 2003 - Patient Monitors in Critical Care: Lessons for Improvement Patient Monitors in Critical Care: Lessons for Improvement Frank A. Drews, PhD Abstract Unexpected incidents are common in intensive care medicine. One means of detecting, diagnosing, and treating these events is use of physiologic displays that sho…
  8. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight09.pdf
    September 08, 2015 - How are CHIPRA quality demonstration States supporting the use of care coordinators? Evaluation Highlight No. 9 The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for chil…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
    January 01, 2003 - Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting 173 Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting Andrew C. Seger, Tejal K. Gandhi, Carol Hope, J. Marc Overhage, Michael D. Murray, David Weber, Julie Fiskio, Evgenia Teal,…
  10. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
    June 18, 2024 - NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Act…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
    March 14, 2008 - Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial Peter M. Layde, MD, MSc; Linda N. Meurer…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/video-transcript-spanish.docx
    June 02, 2025 - ( PREVENIR HAIs Infeccones relacionadas con los cuidados de salud )Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI Kit de herramientas de seguridad para cuidados a largo plazo ( PREVENIR HAIs Infeccones relacionadas con los cuidados de salud ) Módulo 3: Potenciación del personal . Transcri…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/estimating-costs-primary-care-transformation.pdf
    July 31, 2015 - medical activities (blood pressure, weight, injections and vaccinations) Participation in clinical decisions
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
    December 01, 2023 - through measurement and transparency by publicly displaying data to help consumers make more informed decisions … the Hospital OQR Program provides CMS with data to help Medicare beneficiaries make more informed decisions
  15. www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
    January 01, 2024 - Final Progress Report: A National Report of Nursing Home Quality Measures and Information Technology 1 Project Title: A National Report of Nursing Home Quality Measures and Information Technology Principal Investigator Gregory L. Alexander, PhD, RN, FAAN Professor University of Missouri Sinclair School of N…
  16. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
    March 01, 2020 - Chapter-2 - Failure-To-Rescue Failure To Rescue 2-1 2. Failure To Rescue Authors: Kendall K. Hall, M.D., M.S., Andrea Lim, and Bryan Gale, M.A. Introduction Background Failure to rescue (FTR) is failure or delay in recognizing and responding to a hospitalized patient experiencing complications from a disease p…
  17. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
    January 01, 2023 - Network of Patient Safety Databases Chartbook, 2023 Network of Patient Safety Databases Chartbook, 2023 This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook, 2023. R…
  18. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/recent-insights-transcript.pdf
    January 01, 2020 - Recent Insights into CAHPS Survey Modes and Response Rates  Recent Insights into CAHPS Survey Modes and Response Rates November 2019 Webcast Speakers Caren Ginsberg, Ph.D., CPXP, CAHPS and SOPS Programs, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality, Rockville, …
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
    April 01, 2019 - CHIPRA 194: Overuse of Imaging for the Evaluation of Children With Primary Headache Report 1 Overuse of Imaging for the Evaluation of Children with Primary Headache Section 1. Basic Measure Information 1.A. Measure Name Overuse of Imaging for the Evaluation of Children with Primary Headache 1.B. Measure Numbe…
  20. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
    November 01, 2019 - Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Report Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure Section 1. Basic Measure Information 1.A. Measure Name Ove…

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