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4201. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
      January 01, 2024 - Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home Project Title: Enhancing the Safety of Warfarin in the Nursing Home Principal Investigator: Jerry H. Gurwitz, MD Principal Team Members: Jerry Gurwitz, MD; Terry S. Field, DSc; Jennifer Tjia, MD, MSCE; Kathleen M. Mazor, EdD; Leslie R. Ha…

4202. Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
      January 01, 2024 - Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety PI: Guise, J-M FINAL GRANT REPORT Title: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety Grant Award #: 5U18HS015800-02 Grantee Institution: Oregon Health & Science University…

4203. Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
      January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety Title: VTE Safety Toolkit: A Systems Approach to Patient Safety Principal Investigator: Brenda K. Zierler, PhD1 Team Members: Ann Wittkowsky, PharmD2 Robb Glenny, MD3 Seth Wolpin, PhD1 Jung-Ah Lee, MN1 Gene Peterson, MD, PhD3 Fre…

4204. 2022 National Healthcare Quality and Disparities Report Detailed Methods for Medical Expenditure Panel Survey Tables (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-mepsmethods.pdf
      December 01, 2022 - 2022 National Healthcare Quality and Disparities Report Detailed Methods for Medical Expenditure Panel Survey Tables 2022 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT DETAILED METHODS FOR MEDICAL EXPENDITURE PANEL SURVEY TABLES Background The Medical Expenditure Panel Survey (MEPS) is designed to provid…

4205. Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
      January 01, 2024 - Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) Advancing Patient Safety Innovation in Rheumatology (ASPIRE) Principal Investigator: Jinoos Yazdany, MD, MPH Co-investigators: Gabriela Schmajuk, MD, MSc Urmimala Sarkar, MD, MPH R. Adams Dudley, MD, MBA Stephen Shiboski, PhD De…

4206. 2014 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2014cahpshealthplanchartbook.pdf
      October 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2014 CAHPS Health Plan Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shalle…

4207. 2014 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_hp-chartbook.pdf
      January 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2014 CAHPS Health Plan Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shalle…

4208. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention: Targeting SSI Antimicrobial Perioperative Prophylaxis: Part 2 Beyond the Basics Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Pro…

4209. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
      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…

4210. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
      January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors? 53 Do Transient Working Conditions Trigger Medical Errors? Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf, Clay Dunagan, Gary Sorock, Bradley Evanoff Abstract Objective: Organizational factors affecting working conditions for health …

4211. Making Health Care Safer II, Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
      March 01, 2013 - Making Health Care Safer II, Executive Summary Evidence-Based Practice Evidence-based Practice Program The Agency for Healthcare Research and Quality (AHRQ), through its Evidence- based Practice Centers (EPCs), sponsors the development of evidence reports and technology assessments to assist public- and priv…

4212. Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
      January 01, 2025 - Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network Rachel A. Umoren, MBBCh, MS Mega…

4213. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
      June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative 133 Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative Daniel M. Harris, John M. Westfall, Douglas H. Fernald, Christine W. Duclos, David R. West, Linda Niebauer, Linda Ma…

4214. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
      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…

4215. The Patient Safety Education Project: An international Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
      February 20, 2008 - The Patient Safety Education Project: An international Collaboration The Patient Safety Education Project: An International Collaboration Linda Emanuel, MD, PhD; Merrilyn Walton, PhD; Martin Hatlie, JD; Denys Lau, PhD; Tim Shaw, PhD; Joel Shalowitz, MD, MBA; John Combes, MD Abstract The Patient Safety Edu…

4216. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
      September 01, 2008 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety Brenda K. Zierler, PhD; Ann Wittkowsky, PharmD; Gene Peterson, MD, PhD; Jung-Ah Lee, MN; Courtney Jacobson, BA; Robb Glenny, MD; Fred Wolf, PhD; Lynne Robin…

4217. Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2022 Virtual Research Meeting Summary: Assessing Patient Experience for Insights into Enhancing Equity in Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-virtual-research-meeting-summary_2022.pdf
      January 01, 2022 - Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2022 Virtual Research Meeting Summary: Assessing Patient Experience for Insights into Enhancing Equity in Healthcare Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2022 Virtual Research Meeting Summary: Assessing Patient Experience …

4218. AHRQ Comparative Health System Performance Initiative: Program Overview and Accomplishments, 2015-2020 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
      January 01, 2021 - AHRQ Comparative Health System Performance Initiative: Program Overview and Accomplishments, 2015-2020 AHRQ Comparative Health System Performance Initiative: Program Overview and Accomplishments, 2015-2020 US DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane …

4219. Final Progress Report: Consumer-Led Workshop To Advance Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
      January 01, 2024 - Final Progress Report: Consumer-Led Workshop To Advance Patient Safety Report to the Agency for Healthcare Research & Quality from the Consumer-Led Workshop to Advance Patient Safety1 (October 16-18, 2003, Houston, TX) Prepared on Behalf of Workshop Participants by Jonathan Peck, Institute for Alternative Futu…

4220. Universal ICU Decolonization: An Enhanced Protocol (pdf file)
      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 …