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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Learning From Defects SAY: Welcome to this presentation on Learning From Defects as part of an o…
  2. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
    January 01, 2025 - SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I Surveys on Patient Safety Culture® (SOPS®) Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Se…
  3. www.ahrq.gov/sites/default/files/2024-01/field-report.pdf
    January 01, 2024 - Final Progress Report: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and Safety AHRQ Grant Final Progress Report Field, Terry S. Grant Award Number: R18HS017906 TITLE PAGE Title of Project: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and Safety Principal Investigator: Ter…
  4. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2015_hp-chartbook.pdf
    January 01, 2015 - 2015 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2015 CAHPS Health Plan Survey Database 2015 Chartbook: What Consumers Say About Their Experiences With Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C …
  5. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2018_hpchartbook.pdf
    January 01, 2018 - 2018 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2018 CAHPS Health Plan Survey Database 2018 Chartbook: What Consumers Say About Their Experiences With Their Health Plans and Medical Care The content of this document may be used and reprinted without permission except for the following: Fe…
  6. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_cg_cahps_chartbook.pdf
    January 01, 2016 - 2016 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2016 CAHPS Clinician & Group Survey Database 2016 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices The content of this document may be used and reprinted without permi…
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-workplace-safety-report-pt1.pdf
    January 01, 2025 - SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I Surveys on Patient Safety Culture® (SOPS®) Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Se…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
    January 01, 2003 - Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project 283 Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project Nancy E. Donaldson, Rosemary K. Plank, Ann Williamson, J…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
    April 07, 2008 - TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety Heidi B. King, MS, CHE; James Battles, PhD; David P. Baker, PhD; Alexander Alonso, PhD; Eduardo Salas, PhD; John Webster, MD, MBA; Lauren Toomey, RN,…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
    April 19, 2008 - Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance Akira Nishisaki, MD; Louis Scrattish, MD; John Boulet, PhD; Mandip Kalsi, MD;…
  11. www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
    January 01, 2024 - places ever greater cognitive demands on clinicians.100,101 Research has also shown that increasing documentation … Measurement of clinical documentation burden among physicians and nurses using electronic health records
  12. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
    March 01, 2020 - barriers to implementation included: • Pharmacists not adhering to study protocols.1 • Inadequate documentation
  13. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-webcast.pdf
    October 01, 2017 - CAHPS Moving Forward: Innovations in Tools and Research CAHPS® Moving Forward: Innovations in Tools and Research October 2017  Webcast Speakers Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality Ron Hays, PhD, Adjunct Res…
  14. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/healthy-aging-roundtable.pdf
    September 08, 2022 - Optimizing Health and Function as We Age: Roundtable Report Optimizing Health and Function as We Age Roundtable Report e Optimizing Health and Function as We Age Roundtable Report Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services Contract No. 75Q80122…
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-2.pdf
    September 01, 2011 - ADAPT to Adult-Focused Health Care ADolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care Detailed Measure Specifications Center of Excellence for Pediatric Quality …
  16. www.ahrq.gov/sites/default/files/publications/files/ccreroadmap.pdf
    July 01, 2013 - Clinical-Community Relationships Evaluation Roadmap Clinical-Community Relationships Evaluation Roadmap Clinical-Community Relationships Evaluation Roadmap Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 ww…
  17. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp4.pdf
    February 01, 2012 - Nutritional Research Series - Volume 4: Effects of Eicosapentanoic Acid and Docosahexanoic Acid on Mortality Across Diverse Settings: Systematic Review and Meta-Analysis of Randomized Trials and Prospective Cohorts Technical Review 17 Nutritional Research Series Volume 4: Effects of Eicosapentanoic Aci…
  18. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
    January 01, 2023 - Network of Patient Safety Databases Chartbook, 2023 Network of Patient Safety Databases Chartbook, 2023 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, 2023. R…
  19. www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
    January 01, 2013 - for examples of quality improvement strategies, AHRQ had to limit its search to only projects with documentation
  20. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
    January 17, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults PATIENT SAFETY e Issue Brief 22 State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults This page intentionally left blank. e Issue Brief 22 State of the Science and Future Directions…

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