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  1. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - Module 4: Event Reporting, Event Investigation and Analysis AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process. Slide 1 Say: Obje…
  2. www.ahrq.gov/patient-safety/settings/emergency-dept/frequent-use.html
    July 01, 2017 - Characteristics of Frequent Users of Three Hospital Emergency Departments Julius Cuong Pham, M.D., Ph.D.; Jamil D. Bayram, M.D., M.P.H., E.M.D.M., M.Ed., Ph.D.-c; Dina K. Moss, M.P.A. Contents Introduction Study Overview Findings Discussion and Implications References Introduction The emergency …
  3. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Human_Resources_Transcript_2011_02_01.pdf
    January 01, 2011 - Human Resources Issues Human Resources Issues February 2012  Podcast Speaker Wendy Leebov, Ed.D., CEO Leebov Golde & Associates Moderator Lise Rybowski, Consultant, CAHPS User Network; President, The Severyn Group Presentation Available https://www.cahps.ahrq.gov/News-and-Events/Podcasts.aspx Li…
  4. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
    November 01, 2014 - The teams began developing new policies and procedures to reduce variation for perineal care for patients
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
    February 23, 2008 - Qualitative data analysis for health services research: Developing taxonomy, themes, and theory.
  6. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-section-2.pdf
    January 01, 2020 - definitions articulated are well-recognized and used in the United States and serve as a basis for developing
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
    July 01, 2023 - Williams is developing postpartum hemorrhage due to uterine atony given her significant, active vaginal … WIlliams is developing postpartum hemorrhage due to uterine atony given her significant, active vaginal
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
    July 01, 2023 - Williams is developing postpartum hemorrhage due to uterine atony given her significant, active vaginal … WIlliams is developing postpartum hemorrhage due to uterine atony given her significant, active vaginal
  9. www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/systems/index.html
    December 01, 2012 - Systems Change: Treating Tobacco Use and Dependence Based on the Public Health Service (PHS) Clinical Practice Guideline—2008 Update Systems change describes specific strategies that health care administrators, managed care organizations, and purchasers of health plans can implement to treat tobacco dependenc…
  10. www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf2.html
    June 01, 2022 - Section 2. Implementing Recommendations in Academic Curricula Implementing USPSTF Recommendations into Health Professions Education This document was developed as part of an Agency for Healthcare Research and Quality (AHRQ) initiative to increase the use of the U.S. Preventive Services Task Force (USPSTF) rec…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
    June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Ray R. Maddox, PharmD; Harold Oglesby…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_3.pdf
    October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #3: Fairview Health Services New Models of Primary Care Workforce and Financing Case Example Fairview Health Services3 New Models of Primary Care Workforce and Financing Case Example #3: Fairview Health Services …
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
    January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors 39 An Analysis of Nurses’ Cognitive Work: A New Perspective for Understanding Medical Errors Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson, Jennifer Sledge, Clay Dunagan, Bradley Evanoff Abstract He…
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-mepsmethods.pdf
    January 01, 2020 - 2018 National Healthcare Quality and Disparities Report Detailed Methods for the Medical Expenditure Panel Survey 2018 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT DETAILED METHODS FOR THE MEDICAL EXPENDITURE PANEL SURVEY U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Health…
  15. www.ahrq.gov/sites/default/files/2025-07/fenton2-report.pdf
    January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging Principal Investigator: Joshua J. Fenton, MD, MPH Team Members: Anthony Jerant. MD Camille Cipri, BS Melissa Gosdin, PhD Daniel Tancredi, PhD Guibo Xing, P…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
    January 10, 2005 - Cost Effectiveness of a Multifaceted Program for Safe Patient Handling 347 Cost Effectiveness of a Multifaceted Program for Safe Patient Handling Kris Siddharthan, Audrey Nelson, Hope Tiesman, FangFei Chen Abstract Objective: The Patient Safety Center in the Veterans Health Administration (VHA) introduced …
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
    April 14, 2004 - Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies 453 Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies Deborah G. Graham, Wilson Pace, Jennifer Kappus, Sherry Holcomb, James M. Galliher, Christine W. Duclos, Aaron J. B…
  18. www.ahrq.gov/patient-safety/resources/continuing-ed/moc-ha.html
    October 01, 2020 - Health Assessment Recertification Project for Diversely Trained Clinicians (MOC Part IV & PA-QI) AHRQ presents the following suite of quality improvement learning modules for clinicians to earn board-specific recertification.   User-Friendly Recertification Health Assessment Project for Diverse Clinicians —…
  19. Impoving Diagnosis (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/Improving_diagnosis_flyer.pdf
    April 01, 2019 - Impoving Diagnosis Improving Diagnosis Diagnostic error is a significant and under-recognized threat to patient safety. ■ Diagnostic errors affect more than 12 million Americans each year and may seriously harm approximately 4 million. ■ Fifty-five percent of patients said diagnostic errors were a chief conce…
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/45-iscr-pathway-audit-tool.xlsx
    June 01, 2023 - Introduction The compliance tracking sheet is located in the other tab of this Excel file AHRQ Pub. No. 23-0052 June 2023 &G Audit Tool Purpose of this tool: To support your hospital’s AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) implementation, your hospital should begin r…

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