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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
    June 02, 2025 - Overview Slide AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Facilitator Training: Overview of On-Time This version of the On-Time Facilitator Training Overview is for training Facilitators who have not had pressure ulcer prevention training. If they h…
  2. www.ahrq.gov/downloads/pub/advances2/vol4/Advances-Loux_36.pdf
    March 15, 2008 - Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine Stephenie Loux, MS; Robert Coleman, BS; Matthew Ralston, MD; Andrew Coburn, PhD Abs…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Loux_36.pdf
    March 15, 2008 - Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine Stephenie Loux, MS; Robert Coleman, BS; Matthew Ralston, MD; Andrew Coburn, PhD Abs…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-electronic-reports.pdf
    February 10, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Electronic Reports On-Time Existing Pressure Ulcers Report Table 1: Sample On-Time Existing Pressure Ulcers Report On-Time Existing Pressure Ulcers Report Unit: A Date: 02/10/14 Resident Name (last, first) Room Number Days …
  5. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication-references.html
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act References Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. Da…
  6. www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
    January 01, 2024 - Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care Title of Project: Prescribing Errors in Ambulatory Pediatric Care Principal Investigator and Team Members: Basco, William T. = PI Simpson, Kit = Mentor Hulsey, Thomas = Mentor, Director of Masters Degree Program Ebeling, Myla = Co-investig…
  7. www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
    December 01, 2017 - Optimize Briefings and Debriefings: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Optimize Briefings and Debriefings Say: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement are a big part of this project. Evidence supports that addre…
  8. www.ahrq.gov/healthsystemsresearch/hspc-research-study/references.html
    June 01, 2020 - References Health Services and Primary Care Research Study: Comprehensive Report 42 CFR 67.13, 42 CFR 67.13, Public Health Service Act. 42 U.S.C. ch. 6A § 201 et seq. 42 U.S.C. 299 et seq, “Healthcare Research and Quality Act of 1999. S.580.” AcademyHealth, “HSRProj,” undated. As of October 3, 2019: ht…
  9. www.ahrq.gov/research/findings/final-reports/ssi/ssiapv.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix V. JAMIA Draft Manuscript Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administ…
  10. www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Chapter 2. ST-PRA Development Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-…
  11. www.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Antimicrobial Prophylaxis: Part 2 Beyond the Basics Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Antimicrobial Prophylaxis: Part 2, Beyond the Basics SAY: This pr…
  13. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
    September 01, 2022 - Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis 1 PATIENT SAFETY e Issue Brief 9 Improved Diagnostic Accuracy Through Probability-Based Diagnosis This page intentionally left blank. e Issue Brief 9 Improved Diagnostic Accuracy…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
    January 01, 2004 - Methodological Challenges in Describing Medication Dosing Errors in Children 213 Methodological Challenges in Describing Medication Dosing Errors in Children Heather McPhillips, Christopher Stille, David Smith, John Pearson, John Stull, Julia Hecht, Susan Andrade, Marlene Miller, Robert Davis Abstract Alth…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
    January 07, 2005 - From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice 441 From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice Veronica F. Nieva, Robert Murphy, Nancy Ridley, Nancy Donaldson, John Combes, Pamela Mitchell, Christine Kovner…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Dutta.pdf
    January 01, 2003 - SimCare: A Model for Studying Physician Decisionmaking Activity 179 SimCare: A Model for Studying Physician Decisionmaking Activity Pradyumna Dutta, George R. Biltz, Paul E. Johnson, JoAnn M. Sperl-Hillen, William A. Rush, Jane E. Duncan, Patrick J. O’Connor Abstract A major factor that contributes to th…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
    June 19, 2008 - The Rural Physician Peer Review Model©: A Virtual Solution The Rural Physician Peer Review Model©: A Virtual Solution Josie R. Williams, MD; Kathy K Mechler, MS, RN, CPHQ; R.B. Akins; John R. Holcomb, MD; Laura K. Gelderd, RN, BSN; R. Kim Clay; Tracy L. Adams; Janine C. Edwards, PhD Abstract Evaluating …
  18. www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
    January 01, 2024 - Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) Lambert, Bruce L. 5U18HS016973-04 FINAL REPORT UIC CENTER FOR EDUCATION AND RESEARCH ON THERAPEUTICS Tools for Optimizing Prescribing, Monitoring and Education (TOP-…
  19. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 4. Suntown Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case 3.…
  20. www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
    January 01, 2024 - Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System Evaluate the Effects of the Massachusetts Reporting System Principal Investigator: Nancy Ridley, M.S. Associate Commissioner, Massachusetts Department of Public Health Co-Investigators (alphabetically): Paul Dreyer, Ph.D. Massachuset…

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