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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
    January 01, 2003 - Clinical Inertia and Outpatient Medical Errors 293 Clinical Inertia and Outpatient Medical Errors Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush, George Biltz Abstract Clinical inertia is defined as lack of treatment intensification in a patient not at evidence-based goals for …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
    July 18, 2008 - Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies John S. Webster, MD, MBA; Heidi B. …
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
    July 02, 2008 - What Exactly Is Patient Safety? What Exactly Is Patient Safety? Linda Emanuel, MD, PhD; Don Berwick, MD, MPP; James Conway, MS; John Combes, MD; Martin Hatlie, JD; Lucian Leape, MD; James Reason, PhD; Paul Schyve, MD; Charles Vincent, MPhil, PhD; Merrilyn Walton, PhD Abstract We articulate an intellectual h…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
    October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Paul Hougland, MD; Jonathan Nebeker, MS, MD; Steve Pickard, MBA; Mark Van Tuinen, PhD; Carol Masheter, PhD; Su…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
    January 29, 2008 - Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety Thomas R. Cunningham, MS, and E. Scott Geller, PhD Abstract Medical errors continue t…
  6. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
    October 01, 2014 - Treating Tobacco Use and Dependence Quick Reference Guide for Clinicians This Quick Reference Guide for Clinicians presents summary points from the Clinical Practice Guideline. The guideline provides a description of the development process, thorough analysis and discussion of the available research, critical…
  7. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys-webcast-transcript.pdf
    January 01, 2018 - Understanding CAHPS Surveys: A Primer For New Users Webcast Transcript Understanding CAHPS Surveys: A Primer for New Users January 2018  Webcast Speakers Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality Dale Shaller, M…
  8. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
    September 02, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief Issue Brief 10 Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators PATIENT SAFETY e This page intentionally left blank. e Issue Brief 10 Reinforcing the Va…
  9. www.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
    July 01, 2021 - 3. Breadth and Focus Areas of Federal Agency Research Portfolios in HSR and PCR Health Services and Primary Care Research Study: Comprehensive Report This chapter addresses the study’s first key question: What is the breadth and focus of federally funded HSR and PCR? There are two main components to this chap…
  10. www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
    December 01, 2017 - Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) Webinar Transcript AHA – Chicago June 3, 2014 Onboarding Webinar 5 12:00 PM CT Operator: The following is a recording of the Paul Tedrick Onboarding Webinar 5 call with the American Hospital Association on Tuesday, J…
  11. Paul Tedrick (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
    June 03, 2014 - Paul Tedrick AHA – Chicago June 3, 2014 Onboarding Webinar 5 12:00 PM CT Operator: The following is a recording of the Paul Tedrick Onboarding Webinar 5 call with the American Hospital Association on Tuesday, June 3, 2014 at 12:00 p.m. Central Time. Excuse me, everyone. We now have all of our speakers in conference.…
  12. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-26-ehr-and-mu.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 26: An Introduction to Electronic Health Records and Meaningful Use Primary Care Practice Facilitation Curriculum Module 26: An Introduction to Electronic Health Records and Meaningful Use Agency for Healthcare Research and Quality Advancing Excelle…
  13. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-test-result-communication-apb.pdf
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act - Appendix B. Included Studies AHRQ Publication No. 24-0010-4-EF July 2024 Electronic Test Result Communication in the Era of the 21st Century Cures Act Appendix B. Included Studies Type of Data Collection First Author Last Name…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/mowebinar_2014transcript.pdf
    January 01, 2014 - Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture Webinar Transcript Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture September 16, 2014 – Webinar Transcript Speakers Theresa Famolaro, MPS, Database Manager, AHRQ Surveys on Patient Safety Culture, Westat, …
  15. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
    December 01, 2023 - 2023 National Healthcare Quality and Disparities Report Data Sources 2023 National Healthcare Quality and Disparities Report Data Sources U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov …
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
    July 01, 2015 - Appendix C: The Health Care Safety Hotline: Operations Manual Appendix C. Operations Manual The Health Care Safety Hotline: Operations Manual Denise D. Quigley, RAND Corporation Shaela Moen, RAND Corporation Robert Giannini, ECRI Institute Lauren Hunter, RAND Corporation Operations Ma…
  17. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
    December 01, 2022 - 2022 National Healthcare Quality and Disparities Report Data Sources 2022 National Healthcare Quality and Disparities Report Data Sources U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov AHRQ Publication No. 22(23)-00…
  18. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
    December 31, 2021 - 2021 National Healthcare Quality and Disparities Report Data Sources 2021 National Healthcare Quality and Disparities Report Data Sources U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov …
  19. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
    January 01, 2019 - Network of Patient Safety Databases Chartbook, 2019 Network of Patient Safety Databases Chartbook, 2019 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, 2019. Rockvi…
  20. www.ahrq.gov/news/newsroom/ahrq-stats.html
    January 01, 2025 - AHRQ Stats New data nuggets from AHRQ News Now posted weekly to highlight AHRQ statistical reports on health care trends. Adverse Drug Events Involving Hypoglycemic Agents In 2021, 7.5 percent of Hispanic patients, 6.6 percent of Black patients, 6.2 percent of patients with an “other” or unknown race, and 4.0…

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