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1841. Simulation-Based Education Improves Patient Safety in Ambulatory Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
      March 12, 2008 - Simulation-Based Education Improves Patient Safety in Ambulatory Care Simulation-Based Education Improves Patient Safety in Ambulatory Care Beth A. LaVelle, PhD, RN, CEN; Joanne J. McLaughlin, MA, BSN, RN Abstract High-fidelity simulations of patient scenarios have been used successfully to promote critical …

1842. Using Home Visits to Understand Medication Errors in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
      May 28, 2008 - Using Home Visits to Understand Medication Errors in Children Using Home Visits to Understand Medication Errors in Children Kathleen E. Walsh, MD, MSc; Christopher J. Stille, MD, MPH; Kathleen M. Mazor, EdD; Jerry H. Gurwitz, MD Abstract Current research methods are not well designed to detect medication e…

1843. 2014-Women-Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
      January 01, 2014 - Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov 2014 National Healthcare Quality and Disparities Report CHARTBOOK ON WOMEN’S HEALTH CARE This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated.…

1844. Asthma Care Quality Improvement: A Workbook for State Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.pdf
      April 01, 2006 - Asthma Care Quality Improvement: A Workbook for State Action Asthma Care Quality Improvement: A Workbook for State Action Prepared by: Karen Ho, M.H.S. Rosanna M. Coffey, Ph.D. DonnaRae Castillo, M.A. U.S. Department of Health and Human Services A…

1845. Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
      January 01, 2024 - Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery Development Validation and Implementation of Customized Checklists for Safe Surgery Atul Gawande, MD, MPH, Principal Investigator Team Members: Alex Arriaga, MD, MPH, ScD Angela Bader, MD, MPH William Berry,…

1846. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
      September 01, 2019 - Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect Part II: Appendixes Appendix A – Differences in Scores Between HSOPS 2.0 and HSOPS 1.0 Appendix B – How T…

1847. Weight Summary (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/functional-specifications.docx
      February 10, 2014 - Weight Summary AHRQ’s Safety Program for Nursing Homes On-Time Pressure Ulcer Healing AHRQ’s Safety Program for Nursing Homes On-Time Pressure Ulcer Healing AHRQ’s Safety Program for Nursing Homes: On-Time Prevention Pressure Ulcer Healing Functional Specifications 1.0. General Information 1.1. Background The On-Time …

1848. Final Progress Report: Improving Pain Management in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jones1-report.pdf
      January 01, 2024 - Final Progress Report: Improving Pain Management in Nursing Homes Final Report Improving Pain Management in Nursing Homes Principal Investigator: Katherine R. Jones Team Members: Investigator: Regina Fink Investigator: Evelyn Hutt Investigator: Ginny Pepper Investigator: Jill Scott Investigator: Lauren Clark Inves…

1849. Final Progress Report: The National Quality Forum National Annual Policy Conference 2006 (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/nishimi-report.pdf
      January 01, 2024 - Final Progress Report: The National Quality Forum National Annual Policy Conference 2006 The National Quality Forum National Annual Policy Conference 2006 Principal Investigator: Robyn Y. Nishimi, PhD Team Members: D. Feeney, L. Gorban, J. Lewis, M. Stegun, L. Thompson 09/30/06 – 09/29/07 Federal Project Offi…

1850. Final Progress Report: Risk Assessment of Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
      January 01, 2025 - Final Progress Report: Risk Assessment of Pediatric Emergency Transfers Risk Assessment of Pediatric Emergency Transfers Final Report AHRQ P20 HS17125-01 Project Period: 09.31.07 – 02.28.09 Principal Investigator: Jane L. Holl, MD, MPH Northwestern University Institute for Healthcare Studies Co- Investigators: D…

1851. Final Progress Report: Triage and Allocation Model for Primary PCI After STEMI (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/concannon-report.pdf
      January 01, 2025 - Final Progress Report: Triage and Allocation Model for Primary PCI After STEMI Final Report Triage and Allocation Model for Primary PCI After STEMI Principal Investigator: Thomas W. Concannon, PhD, MA Team Members: 1. Jason Nelson, MPH (Research Assistant) 2. Harry P. Selker, MD, MSPH (Primary Mento…

1852. Resource List - AHRQ Medical Office Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
      April 01, 2023 - Resource List - AHRQ Medical Office Survey SOPS Medical Office Survey Resource List 1 Improving Patient Safety in Medical Offices: A Resource List for Users of the AHRQ Medical Office Survey on Patient Safety Culture I. Purpose This document provides a list of references to websites and other publicly availab…

1853. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
      September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Issue Brief 23 The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design PATIENT SAFETY e This page intentionally left blank. e Issue Brief 23 The Patient’s Role in Diagn…

1854. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
      September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Issue Brief 23 The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design PATIENT SAFETY e This page intentionally left blank. e Issue Brief 23 The Patient’s Role in Diagn…

1855. AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
      June 01, 2025 - AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Issue Brief 27 This page is intentionally left blank. Issue Brief 27 Understanding the AI Wave: Foundational Knowl…

1856. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
      January 01, 2025 - Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste Transdisciplinary Learning Lab to Eliminate Patient Harm and Reduce Waste Johns Hopkins Medicine Principal Investigator: Adam Sapirstein, MD Project Team Members: Ravi Aron, PhD Noah Barasch, MS Howard Carolan, MBA,…

1857. Department of Health and Human Services National Institutes of Health - National Institute for Research on Safety and Quality (NIRSQ) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
      January 01, 2021 - typically occur when primary care providers refer patients to specialty care or when patients are discharged

1858. Functional Specifications for Pressure Ulcer Healing | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/functional-specs.html
      December 01, 2017 - Functional Specifications for Pressure Ulcer Healing AHRQ’s Safety Program for Nursing Homes: On-Time Prevention These functional specifications will cover the following: General Information Report Specifications Specifications for Each Pressure Ulcer Healing Report 1.0. General Information 1.1. Bac…

1859. Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
      January 01, 2024 - Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) AHRQ Grant Final Progress Report Title of Project: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) Principal Investigator Kevin J. O’Leary, MD, MS – Northwestern Uni…

1860. Measure Inventory for Use with All-Payer Claims Databases (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
      January 01, 2020 - Measure Inventory for Use with All-Payer Claims Databases Final Contract Report Measure Inventory for Use With All-Payer Claims Databases Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. HHSA2902001200003I, Task Order 5 Prepared by: …