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  1. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
    May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief PATIENT SAFETY e Issue Brief 17 Cognitive Load Theory and Its Impact on Diagnostic Accuracy This page intentionally left blank. e Issue Brief 17 Cognitive Load Theory and Its Impact on Diagnostic Accuracy Prepared for: Agency for…
  2. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/corebackgrnd.pdf
    January 01, 2013 - The purpose of the measure is to reduce the unnecessary use of antibiotics by ensuring that antibiotics
  3. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 14. Delirium Delirium 14-1 14. Delirium Authors: Lynn Hoffman M.A., M.P.H., Aline Holmes D.N.P., R.N., Jennifer Riggs, Ph.D., R.N., and Stephanie Schneiderman, M.P.P. Introduction Patient safety research and quality improvement efforts have been underway in the delirium harm …
  4. www.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
    January 01, 2024 - Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications R01 HS18372: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications AHRQ Grant Final Progress Report Title of Project: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safet…
  5. www.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
    January 01, 2024 - Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids FINAL PROGRESS REPORT Risk of Acute Asthma Associated with the Pediatric Use of Opioids Principal Investigator: Hua Chen, MD, PhD1 Co-Investigator: Harold J. Farber, MD, MSPH2,3 Organization …
  6. www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
    January 01, 2024 - Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals Implementing a Program of Patient Safety in Small, Rural Hospitals Principal Investigators Katherine J. Jones, PhD, PT, January 2007 – June 20071 Keith J. Mueller, PhD, July 2005 – December 20061 Team Members Anne Skinn…
  7. www.ahrq.gov/sites/default/files/2025-02/dudley-report.pdf
    January 01, 2025 - Final Progress Report: California Intensive Care Outcomes (CALICO) Project Final Report California Intensive Care Outcomes (CALICO) Project Final Report Project Officer: Denise Burgess Project Organization: Philip R Lee Institute for Health Policy Studies, University of California, San Francisco Project…
  8. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-primary-care-physician-reporting.pdf
    December 01, 2016 - Primary Care Physicians' Experiences With and Attitudes Toward Pediatric Quality Reporting QUALITY OF CARE Primary Care Physicians’ Experiences With and Attitudes Toward Pediatric Quality Reporting Joseph S. Zickafoose, MD, MS; Henry T. Ireys, PhD; Adam Swinburn, MPP; Lisa A. Simpson, MB, BCh, MPH From the Mathema…
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2019-nhsops-dbreport-parti-rev091721.pdf
    January 01, 2019 - Nursing Home Survey on Patient Safety Culture: 2019 User Database Report Part I PATIENT SAFETY NURSING HOME SURVEY ON PATIENT SAFETY CULTURE 2019 User Database Report The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Hea…
  10. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
    January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part I SURVEYS ON PATIENT SAFETY CULTURE Nursing Home Survey: 2023 User Database Report Surveys on Patient Safety Culture™ PATIENT SAFETY [This page intentionally left blank] Surveys on Patient Safety CultureTM (SOPS®)…
  11. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
    January 01, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange Overview Resear…
  12. www.ahrq.gov/sites/default/files/2024-01/mcalearney-report.pdf
    January 01, 2024 - Final Progress Report: The Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) The Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) P30 Principal Investigators: Susan Moffatt-Bruce MD, PhD, MBA Chief Executive Officer Royal College of Physicians and Surgeons o…
  13. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
    October 01, 2019 - 2018 National Healthcare Quality and Disparities Report Data Sources 2018 National Healthcare Quality and Disparities Report Data Sources U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov …
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
    December 01, 2020 - 2019 National Healthcare Quality and Disparities Report Data Sources 2019 National Healthcare Quality and Disparities Report Data Sources U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov …
  15. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
    November 11, 2019 - Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults Reducing Adverse Drug Events in Older Adults 9-1 9. Reducing Adverse Drug Events in Older Adults Authors: Tara R. Earl, Ph.D., M.S.W., Nicole D. Katapodis, M.P.H., and Stephanie R. Schneiderman, M.P.P. Reviewers: Scott Winiecki, M.…
  16. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
    March 01, 2020 - Chapter-8 - Diabetes Harms Due to Diabetic Agents 8-1 8. Harms Due to Diabetic Agents Authors: Lisa LeRoy Ph.D., M.B.A., and Sonja Richard, M.P.H. Reviewer: Shelia Roman, M.D. Introduction In this chapter, two different kinds of diabetes patient safety practices are addressed—both intended to improve diabete…
  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/publications/files/interimhacrate2013_0.pdf
    October 27, 2014 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate Page 1 of 26 Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Summary Preliminary estimates for 2013 show a further 9 percent decline in the rate of hospital-acqu…
  19. 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…
  20. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdf
    December 31, 2015 - Pediatric All-Condition Readmission Measure Pediatric All-Condition Readmission Measure Section 1. Basic Measure Information 1.A. Measure Name Pediatric All-Condition Readmission Measure 1.B. Measure Number 0129 1.C. Measure Description Please provide a non-technical description of the measure that conveys…

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