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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-nw.pdf
June 02, 2025 - View Survey
Healthy Hearts Northwest Practice Survey
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
January 01, 2003 - What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare
423
What Happens After a Patient Safety Event?
Medical Expenditures and Outcomes
in Medicare
William E. Encinosa, Fred J. Hellinger
Abstract
Objective: To estimate the impact of potentially preventable adverse event…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
September 01, 2023 - NPSD Data Spotlight: Patterns of Fall Interventions
Patterns of Fall
Interventions
NPSD Data Spotlight:
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. Suggested citation: NPSD Data Spotlight: Patterns of Fall
Interventions, 2023.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
January 01, 2004 - Creating a Culture of Patient Safety through Innovative Hospital Design
425
Creating a Culture of Patient Safety through
Innovative Hospital Design
John G. Reiling
Abstract
When SynergyHealth, St. Joseph’s Hospital of West Bend, Wisconsin, decided to
relocate and build an 82-bed acute care facility, we reco…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
January 01, 2004 - Observing Nurse Interaction with Infusion Pump Technologies
349
Observing Nurse Interaction with
Infusion Pump Technologies
Pascale Carayon, Tosha B. Wetterneck, Ann Schoofs Hundt,
Mustafa Ozkaynak, Prashant Ram, Joshua DeSilvey, Brian Hicks,
Tanita L. Robert, Myra Enloe, Rupa Sheth, Sade Sobande
Abstract…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study
35
Decision Support System Design and
Implementation for Outpatient Prescribing:
The Safety in Prescribing Study
Adrianne C. Feldstein, David H. Smith, Nan R. Robertson,
Christine A. Kovach, Stephen B…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
January 01, 2004 - “Near-miss” Reporting System Development and Implications for Human Subjects Protection
181
“Near-miss” Reporting System
Development and Implications
for Human Subjects Protection
Harvey J. Murff, Daniel W. Byrne, Paul A. Harris,
Daniel J. France, Christa Hedstrom, Robert S. Dittus
Abstract
Background: 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/vol3/Advances-Davis_60.pdf
April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures
Failure Modes and Effects Analysis Based on
In Situ Simulations: A Methodology to Improve
Understanding of Risks and Failures
Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…
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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-Woods_78.pdf
July 23, 2008 - Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions
Improving Clinical Communication and Patient
Safety: Clinician-Recommended Solutions
Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Denise Angst, PhD, RN;
Susan C. Echiverri, MD; Daniel Johnson, MD; David F. Soglin, MD; Gop…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
January 01, 2023 - Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths
Consumer Assessment of Healthcare Providers and Systems (CAHPS®)
2023 Research Meeting Summary
Patient Experience, Patient Safety,
and Provider Well-Being:
Associations and Paths for Quality Improvement
January 2024
i
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
January 01, 2020 - Measure Inventory for Use with All-Payer Claims Databases
Final Contract Report
Measure Inventory for Use With All-Payer
Claims Databases
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No. HHSA2902001200003I, Task Order 5
Prepared by:
…
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www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
January 01, 2024 - Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS)
Final Report to Agency for Healthcare Research and Quality
Title of Project: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS)
Principal Investigator: Jeffrey L. Schnipper, MD, MPH
Team Members:…
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www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
January 01, 2024 - Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer
Final Progress Report
Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer
Principal Investigator:
Katherine J. Jones, PT, PhD1
Co-Investigators:
MARobin High, MBA, 1
Roni Reiter-P…
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www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
January 01, 2024 - Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community
TITLE PAGE
Medication List Consistency When Patients Transition from Hospital to Community
Principal Investigator: Korey A. Kennelty
Team Mentors: Betty Chewning, Amy Kind, David Kreling,
Dave Mott, Beth Martin,…
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www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
January 01, 2024 - Final Progress Report: Improving Patient Safety by Reducing Medication Errors
Improving Patient Safety by Reducing Medication Errors
Brian Strom, MD, MPH, Principal Investigator:
Director, Administrative Core; Director, Data Collection Core
Harold I. Feldman, MD, MSCE: Co-Principal Investigator; Co-Director, Ad…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
June 01, 2020 - 6. Research Gaps and Prioritization of Federally Funded HSR and PCR
Health Services and Primary Care Research Study: Comprehensive Report
One of the study’s key research questions focuses on identifying research gaps—understudied or underfunded areas in HSR and PCR that, if addressed, would move the fields fo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians
15
Implementing Safety Cultures in Medicine:
What We Learn by Watching Physicians
Timothy J. Hoff, Henry Pohl, Joel Bartfield
Abstract
This study explores the workplace dynamics associated with physicians and
medical mistakes. …
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
July 01, 2024 - partnerships, or form new partnerships, to
prioritize, develop, and implement SDOH interventions and define
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www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
January 01, 2024 - Population and intervention:
The project team planned to define a population of hospitalized PLWH, with
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
January 01, 2025 - relational interactions, could capture communication
events between physicians and nurses and help define … used those results, plus survey data, and preliminary
viewing of videos of neonatal resuscitations to define