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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
    March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs VHA’s National Falls Collaborative and Prevention Programs Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN; Julia Neily, MS, MPH; James P. Bagian, MD, PE Abstract Falls are a high-volume, high-cost problem in he…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
    July 01, 2003 - Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors 185 Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors Emily Beth Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless, Thomas K. Hazlet, R…
  3. 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…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
    March 31, 2004 - Creating a Curriculum for Training Health Profession Faculty Leaders 299 Creating a Curriculum for Training Health Profession Faculty Leaders Pamela H. Mitchell, Lynne S. Robins, Douglas Schaad Abstract Objectives: An interprofessional, collaborative group of educators, patient safety officers, and Federal …
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
    April 14, 2008 - Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration Robert R. Campbell, JD, MPH, PhD; An…
  6. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 9: Using Appreciative Inquiry with Practices Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facilitation Curriculum Module 9: Using Appreciative Inquiry with Practices …
  7. www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
    January 01, 2024 - Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study AHRQ grant final progress report TITLE The Effect of EMR on Medication Safety: A SPUR-Net Study PRINCIPAL INVESTIGATORS AND TEAM MEMBERS Principal Investigator: Grace M. Kuo, PharmD, MPH Study Co-Investigators: Jeffrey R. Steinbauer,…
  8. www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
    January 01, 2024 - Final Progress Report: Are Volume Standards Accurate Measures? FINAL PROGRESS REPORT: ARE VOLUME STANDARDS ACCURATE MEASURES? Principal Investigator: Laurent G. Glance, M.D. Co-Investigators: Andrew W. Dick, Ph.D. Turner M. Osler, M.D. Dana B. Mukamel, Ph.D. Organization: University of Rochester School of Medic…
  9. www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
    January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety Final Progress Report Title: Effects of Extended Work Hours on ICU Patient Safety Principal Investigator: Charles A. Czeisler, Ph.D., M.D. Organization: Brigham and Women's Hospital Co-Investigators: Christopher P. Landrigan, M.D., M.P.H.…
  10. www.ahrq.gov/sites/default/files/2024-02/gandhi-report.pdf
    January 01, 2024 - Final Progress Report: Improving Safety and Quality with Outpatient Order Entry Grant Final Report Grant ID: 5R01HS015226-03 Improving Safety and Quality with Outpatient Order Entry Inclusive dates: 09/03/04 - 08/31/08 Principal Investigator: Tejal K. Gandhi, MD, MPH Team members: Eric G. Poon, MD, MPH Thomas D.…
  11. www.ahrq.gov/sites/default/files/2024-01/magid-report.pdf
    January 01, 2024 - Final Report: Improving Drug Safety Final Report: Improving Drug Safety PI: David Magid, MD, MPH Co-PI: Marsha Raebel, PharmD Project Manager: David Brand, MSPH Project Staff: Bates, David, MD Chester, Elizabeth, PharmD Glasgow, Russell, PhD Nelson, Kent, PharmD Palen, Ted, MD, PhD Platt, Richard, MD, MSc…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
    January 01, 2004 - Quantitative and Qualitative Analysis of Medication Errors: The New York Experience 131 Quantitative and Qualitative Analysis of Medication Errors: The New York Experience Elizabeth Duthie, Barbara Favreau, Angelo Ruperto, Janet Mannion, Ellen Flink, Ruth Leslie Abstract Objectives: In June 2000, the New Yo…
  13. www.ahrq.gov/sites/default/files/2024-02/vaughan-report.pdf
    January 01, 2024 - Final Progress Report: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department) Title: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department) PI: E. Camille Vaughan, MD, MS Team Members Emory/Grady: Ann…
  14. www.ahrq.gov/healthsystemsresearch/hspc-research-study/impacts.html
    June 01, 2020 - 5. Impacts of Federally Funded HSR and PCR Health Services and Primary Care Research Study: Comprehensive Report Health services and primary care in the United States are complex, multilevel, and layered systems in which the process of change is not always well understood, and effecting positive change often …
  15. www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
    June 01, 2020 - Appendix B. Detailed Research Domain Framework Definitions and Classification Rules Health Services and Primary Care Research Study: Comprehensive Report This appendix provides the following supplementary information on the research domain framework and environmental scan and portfolio analysis results: D…
  16. www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-a.html
    June 01, 2020 - Appendix A. Details on Scan Data Set, Manual Reviews, Algorithm Classification Methods, and Supplemental Scan Results Health Services and Primary Care Research Study: Comprehensive Report This appendix provides additional information about the data set, methods, and results used in the environmental scan to s…
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/compare/CAHPS-Database-2013-HP-Chartbook.pdf
    January 01, 2013 - 2012 Chartbook: What Patients Say About Their Health Care Providers and Clinics THE CAHPS DATABASE 2013 CAHPS Health Plan Survey Database 2013 Chartbook: What Consumers Say About Their Experiences with Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westa…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation SAY: This module introduces and provides evidence for the lung protective low tidal volume strategy, and offers recommendation…
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-fullreport.pdf
    July 01, 2017 - Pediatric Medical Complexity Algorithm Pediatric Medical Complexity Algorithm Section 1. Basic Measure Information 1.A. Measure Name Pediatric Medical Complexity Algorithm 1.B. Measure Number 0141 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it measure…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
    January 01, 2013 - Return on Investment Tool Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool F.1 Return on Investment Estimation What is the purpose of this tool? When your hospital invests in a new program, quality improvement intervention, or technology, leaders often need to kn…

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