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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
    April 07, 2008 - Pillars of a Smart, Safe Operating Room Pillars of a Smart, Safe Operating Room F. Jacob Seagull, MD; Gerald R. Moses, PhD; Adrian E. Park, MD Abstract Major gains in patient safety can be achieved through development of innovative approaches to the care of surgical patients. Investigators and clinicians have…
  2. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/pbrn/pbrn-final-synthesis-report.pdf
    September 01, 2025 - This publication focused on defining area-based socioeconomic indicators for monitoring healthcare disparities
  3. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 14. Delirium Delirium 14-1 14. Delirium Authors: Lynn Hoffman M.A., M.P.H., Aline Holmes D.N.P., R.N., Jennifer Riggs, Ph.D., R.N., and Stephanie Schneiderman, M.P.P. Introduction Patient safety research and quality improvement efforts have been underway in the delirium harm …
  4. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
    August 01, 2025 - AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Supporting Measure Implementation Overview Measure implementation is a fundamental component of delivering high-quality healthcare ser…
  5. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
    December 17, 2019 - Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache Section 1. Basic Measure Information 1.A. Measure Name Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache 1.B. Measure Num…
  6. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
    April 05, 2017 - Pediatric Lower Respiratory Infection Readmission Measure Pediatric Lower Respiratory Infection Readmission Measure Section 1. Basic Measure Information 1.A. Measure Name Pediatric Lower Respiratory Infection Readmission Measure 1.B. Measure Number 0131 1.C. Measure Description Please provide a non-technic…
  7. www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Universal ICU Decolonization Toolkit: An Enhanced Protocol HAIs Healthcare- Associated Infections Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov PREVENT Universal ICU Decolonization: An Enhanced Protocol …
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pptx
    September 19, 2015 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012 Part 3: Trends in Access and Priorities of the National Quality Strategy National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics 1 2014 QDR Chartbooks 2014 QDR …
  9. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 16. Venous Thromboembolism Venous Thromboembolism 16-1 16. Venous Thromboembolism Eleanor Fitall, M.P.H., and Kendall K. Hall, M.D., M.S. Introduction Background Venous thromboembolism (VTE) is a disorder that includes deep vein thrombosis (DVT) and pulmonary embolism (PE). …
  10. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
    March 01, 2020 - Chapter-7 - Harm Due to Anticoagulants Harms Due to Anticoagulants 7-1 7. Harms Due to Anticoagulants Authors: Sarah J. Shoemaker-Hunt, Ph.D., Pharm.D., and Brandy Wyant, M.P.H. Introduction Anticoagulants are a critical therapy in the prevention and treatment of various types of thromboembolic disorders. Key in…
  11. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
    July 25, 2018 - SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript July 2018 https://www.ahrq.gov/sops/index.html 1 New AHRQ SOPS Health IT Patient Safety Supplemental Items for Hospitals July 25, 2018 – Webcast Transcript Speakers: Joann Sorr…
  12. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
    June 01, 2020 - SOPS™ 101 Webcast Transcript November 2018 https://www.ahrq.gov/sops/index.html 1 Understanding SOPS Surveys: A Primer for New Users October 23, 2018 – Webcast Transcript Speakers: Laura Gray, M.P.H. Senior Study Director User Network for the AHRQ Surveys on Patient Safety C…
  13. www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
    November 01, 2016 - Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health August 6, 2015 Download accessible version of slides (PDF, 1.1 MB) The National Quality Strategy: Best Practices to Improve Community Health. August 6, 2015 [Slide 1] Operator:  Ladies and gentlemen, than…
  14. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
    June 01, 2022 - Understanding SOPS Surveys: A Primer for New Users (Webcast) Transcript Understanding SOPS Surveys: A Primer for New Users February 19, 2020 – Webcast Transcript Speakers: Naomi Yount, Ph.D. Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS), Westat (Moderator) Laura Gra…
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/046-evidence-behind-decolonization-strategies-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention The Evidence Behind Decolonization Strategies for MRSA ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU The Evidence Behind Decolonization 1 Educational Objectives Discuss the imp…
  16. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/burnout-in-primary-care.pdf
    February 01, 2023 - Burnout in Primary Care: Assessing and Addressing it in Your Practice 1 NATIONAL CENTER FOR EXCELLENCE IN PRIMARY CARE RESEARCH BURNOUT IN PRIMARY CARE ASSESSING AND ADDRESSING IT IN YOUR PRACTICE Burnout is a serious and growing problem in primary care practices. Burnout is a workplace-based condition where p…
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_cg_cahps_chartbook.pdf
    January 01, 2016 - 2016 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2016 CAHPS Clinician & Group Survey Database 2016 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices The content of this document may be used and reprinted without permi…
  18. www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
    January 01, 2024 - Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use Title Page EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use Principal Investigator: Danielle M. McCarthy, MD, MS Co-Investigators: Mike S. Wolf, PhD, MPH, Kenzie A. Cameron, PhD, MP…
  19. www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
    January 01, 2024 - Final Progress Report: ESDP in Community Hospitals Holland R03 Final Report 1 Title Page Include the following: •Title of Project. ESDP in Community Hospitals •Principal Investigator Diane E. Holland, PhD, RN Team Members. Cheryl Brandt, PhD, RN, Co-I Vy Nguyen, Study Coordinator Adriana Delgado, MAdm, CCRP, St…
  20. www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
    January 01, 2024 - Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention Labor and Delivery Nurse Staffing: A Patient Safety Intervention Team members: Barbara L. Wilson, PhD, RN Principal Investigator (PI) Associate Professor University of Utah College of Nursing Barbara.wilson@nurs.utah.edu R…

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