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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide2.html
August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
2. Developing and Running a State-Based Extension Program To Support QI in Primary Care
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Table of Contents
Developing and Sustaining State-Based Infrastructure To Support Primary C…
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www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
January 01, 2024 - Final Progress Report: Developing Best Practices for Patient Safety
Developing Best Practices for Patient Safety
Laurence Baker, PI
Sara Singer, Co-PI
Jeff Geppert, Co-Investigator
Bruce Spurlock, Consultant
David Classen, Consultant
Stanford University Center for Health Policy
August 2000 - August 2004
Federal P…
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign
1P20HS017118-01 Meghan M. Dierks, MD Beth Israel Deaconess Medical Center
Title of Project:
Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and
Redesign
Principal Investigator and Team …
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www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care
PROL IN HOME HEALTH CARE
Title: Process Reliability and Organizational Learning in Home Health Care
Principal Investigator and Team Members:
Michael P. Silver, MPH Principal Investigator
Cher Edmonds Study Coordinator
Robert…
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www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
January 01, 2024 - Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety
FINAL PROGRESS REPORT
PROJECT TITLE: A PILOT STUDY FOR INTEGRATING FACILITY INFORMATION WITH
HEALTHCARE INFORMATION TO IMPROVE PATIENT SAFETY
PRINCIPAL INVESTIGATOR: DR C. J. ANUMBA (Penn…
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www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
January 01, 2024 - Final Progress Report: Profiling the Needs of Dying Children
FINAL PROGRESS REPORT
Title of Project: Profiling the Needs of Dying Children
Principal Investigator: Chris Feudtner, MD, PhD, MPH
Organizations: The University of Washington (2000-2002) and
The Children's Hospital of Philadelphia (2002-2006)
Date…
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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS)
MALPRACTICE INSURERS’ MEDICAL ERROR
SURVEILLANCE AND PREVENTION STUDY (MIMESPS)
Principal Investigator: David M. Studdert, LLB, ScD
Team Members:
Harvard School of Public Health:
Allison Nagy, BA
Ann Louise Puo…
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www.ahrq.gov/sites/default/files/publications/files/finalsummary.pdf
February 21, 2016 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
The National Evaluation of the
CHIPRA Quality Demonstration Grant Program
Key Lessons from the National
Evaluation of the CHIPRA Quality
Demonstration Grant Program
FINAL SUMMARY
This report was prepared for the Agen…
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www.ahrq.gov/funding/policies/polnotice/index.html
February 01, 2025 - AHRQ Grants Policy Notices
Policy notices inform applicants about current and changing grant policies and procedures.
NIH Guide Notices Select Year: 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2011 | Archive 2025 Date Title 1/22/25 …
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www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
January 01, 2024 - Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF)
Project Title: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF)
Grant Number: 5R18HS026156-04 Project/Grant Period: 08-01/2018-05/31/2022
Principal Investig…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-c.html
July 01, 2021 - Appendix C. Detailed Descriptions of Agency Research Portfolios
Health Services and Primary Care Research Study: Comprehensive Report
Below we describe in more detail the individual HSR and PCR portfolios of the federal operating divisions in-scope of the study, including both extramural research (i.e., grant…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
April 01, 2025 - Improving Healthcare Safety by Enhancing Healthcare Facility Design
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Healthcare Facility Design
Overview
Research has shown that optimizing the physical, functional, and aesthetic details of healthcare facilitiesi
(e.g., units,…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
March 01, 2004 - Identifying Barriers to the Success of a Reporting System
167
Identifying Barriers to the Success
of a Reporting System
Michelle L. Harper, Robert L. Helmreich
Abstract
Spurred by a controversial report from the Institute of Medicine on the prevalence
of medical error, To Err Is Human, the medical profe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
February 19, 2008 - Creating Safety in the Testing Process in Primary Care Offices
Creating Safety in the Testing Process
in Primary Care Offices
Nancy C. Elder, MD, MSPH; Timothy R. McEwen; John M. Flach, PhD;
Jennie J. Gallimore, PhD
Abstract
Background: The testing process in primary care is complex, and it varies from o…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Serious Reportable Adverse Events in Health Care
339
Serious Reportable Adverse
Events in Health Care
Kenneth W. Kizer, Melissa B. Stegun
Abstract
Health care errors resulting in patient harm are a leading cause of morbidity and
mortality in the United States, although there is no national reporting of such…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization
Using an Anonymous Web-Based
Incident Reporting Tool to Embed the
Principles of a High-Reliability Organization
Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA;
Christine P…
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www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Community Connections
Linking Primary Care Patients to Local Resources
for Better Management of Obesity
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health…
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www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
November 01, 2017 - Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions
FINAL REPORT
Estimating the Additional Hospital Inpatient
Cost and Mortality Associated With
Selected Hospital-Acquired Conditions
PREPARED FOR:
Agency for Healthcare Resear…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
November 01, 2017 - Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions
FINAL REPORT
Estimating the Additional Hospital Inpatient
Cost and Mortality Associated With
Selected Hospital-Acquired Conditions
PREPARED FOR:
Agency for Healthcare Resear…
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www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
January 01, 2024 - Final Progress Report: Understanding the implementation of new practices in healthcare organizations
1. Title Page
Title of Project: Understanding the implementation of new practices in healthcare organizations
Principal Investigator
and Team Members:
Ingrid M. Nembhard, PhD (P.I.)
Elizabeth H. Bradley, PhD (Me…