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  1. www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
    August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study PATIENT SAFETY e Issue Brief 20 Learning from AHRQs’ Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study This page intentionally left blank. e Issue Brief 2…
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/122-unit-level-gap-analysis.pdf
    June 02, 2025 - Gap Analysis for MRSA Prevention (Unit-Level) AHRQ Safety Program for MRSA Prevention Gap Analysis for MRSA Prevention (Unit-Level) ICU & Non-ICU Please indicate which of the following methicillin-resistant Staphylococcus aureus (MRSA) preve…
  3. www.ahrq.gov/sites/default/files/2024-01/greenfield-report.pdf
    January 01, 2024 - Final Report: Collaborative Clinical Culture and Quality of Care Title of Project: Collaborative Clinical Culture and Quality of Care Principal Investigator and Team Members Sheldon Greenfield, Principal Investigator Sherrie H. Kaplan, Co-Principal Investigator Douglas Roblin, Co-Principal Investigator Norma Te…
  4. www.ahrq.gov/sites/default/files/2025-04/graber-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference Final Progress Report Grant Number 1R13HS018321-01 Project Period 8/1/2009 - 1/31/2010 Conference: Diagnostic Error In Medicine PI: Mark L. Graber, MD SUMMARY: This grant was used in support of “Diagnostic Error in Medicine – 2009,” a 2-day confer…
  5. www.ahrq.gov/sites/default/files/2024-01/pliego-report.pdf
    January 01, 2024 - Close-Out Report: Improving Resuscitation Team Response to Inpatient Critical Events by Simulation Grant Number: U18 HS16634-01 Grant Period: 9-30-2006 to 10-1-2008 No-cost extension: 10-1-2008 to 9-30-2009 Reporting Period: Close-Out Report Title of Project: Improving Resuscitation Team Response to Inpatient Cri…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
    January 01, 2025 - Table of Contents: Volume 1. Assessment Contents Volume 1. Assessment Prologue: Laying the Foundation Kerm Henriksen Looking Forward, Benefiting from the Past Envisioning Patient Safety in the Year 2025: Eight Perspectives Kerm Henriksen, Caitlin Oppenheimer, Lucian Leape, et al. What Exactly Is Patien…
  7. www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-2.pdf
    March 01, 2018 - Summary of 2nd Comparative Health Systems Performance Initiative Workshop ISSUE BRIEF A Summary of the Second Annual Workshop of AHRQ’s Comparative Health System Performance Initiative Summary As part of the Comparative Health System Performance (CHSP) Initiative, the Agency for Healthcare Research and Qual…
  8. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-systems.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Healthcare Systems and Infrastructure Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in P…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
    January 01, 2025 - Table of Contents: Volume 4. Technology and Medication Safety Contents Volume 4. Technology and Medication Safety Prologue: Technology and Medication Safety Mary L. Grady Health Information Technology “Safeware”: Safety-Critical Computing and Health Care Information Technology Robert L. Wears, Nancy G. Lev…
  10. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
    January 17, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare October Meeting Summary Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to co…
  11. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Management of a Resident With a Suspected Respiratory Tract Infection Long-Term Care Slide Title and Commentary Slide Number and Slide Management of a Resident With a Suspected Respiratory Tract Infection Long-Term Care SAY: Welcome to this presentation, ti…
  12. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Changing the System To Improve Patient Safety Long-Term Care Slide Title and Commentary Slide Number and Slide Changing the System To Improve Patient Safety SAY: Hello, and welcome to this presentation: “Changing the System To Improve Patient Safety.” Sl…
  13. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-slides.pptx
    September 01, 2022 - The Never Antibiotics Diagnoses: Influenza and RSV – Slides AHRQ Safety Program for Improving Antibiotic Use The “Never Antibiotics” Diagnoses: Influenza and RSV Ambulatory Care AHRQ Pub. No. 17(22)-0030 September 2022 Influenza and RSV AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care 1 Obje…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_preeclampsia.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Preeclampsia/Seizure In Situ Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Preeclampsia/Seizure In Situ Simulation Sample Scenario for Preeclampsia/Seizure In Situ Simulation Purpose of the tool: The Preeclampsia/Seizure In Situ Simu…
  15. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-preeclampsia.html
    July 01, 2023 - Sample Scenario for Preeclampsia and Seizure In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Preeclampsia/Seizure In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in t…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Shoulder Dystocia Labor and Delivery Unit Safety—Shoulder Dystocia Purpose of the tool: This tool describes the key perinatal safety elements related to the saf…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations AHRQ Safety Program for Perinatal Care Establishing a Program of In Situ Simulations AHRQ Publication No. 17-0003-22-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care In Situ Simulation…
  18. www.ahrq.gov/research/findings/final-reports/ssi/ssiref.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection References Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter 2. Dete…
  19. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-slides.pptx
    November 01, 2019 - Acute Care Behavior Change Theory for Antibiotic Stewardship Leaders Making Effective Behavior Changes Around Antibiotic Prescribing Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Safety Program for Improving Antibiotic Use – Acute Care Behavior Changes …
  20. www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-learningcollab.pdf
    September 01, 2025 - Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Learning Collaborative Report Person-Centered Care Planning for Persons With Multiple Chronic Conditions Learning Collaborative Report Executive Summary Background and Objectives Person-centered care planning (PCCP) is “a process…

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