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  1. View Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-nw.pdf
    June 02, 2025 - View Survey Healthy Hearts Northwest Practice Survey …
  2. 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…
  3. 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.…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. 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…
  10. 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 …
  11. 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: …
  12. 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:…
  13. 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…
  14. 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,…
  15. 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…
  16. 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…
  17. 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. …
  18. 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
  19. 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
  20. 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

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