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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/vol1/Advances-Kellie_30.pdf
    April 21, 2008 - Patient Safety Learning Pilot: Narratives from the Frontlines Patient Safety Learning Pilot: Narratives from the Frontlines Shirley E. Kellie, MD, MSc; James B. Battles, PhD; Nancy M. Dixon, PhD; Harold S. Kaplan, MD; Barbara Rabin Fastman, MHA Abstract Although patient safety experts have focused on event…
  2. www.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
    April 29, 2021 - SDOH Environmental Scan - Updated April 29, 2021 Overview Scan Overview: AHRQ conducted an environmental scan of social determinants of health (SDOH) data sources to inform the development of AHRQ’s SDOH beta data files publicly released in December 2020. AHRQ is publicly releasing the environmental scan as a resour…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
    January 01, 2004 - The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis 121 The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis Robert L. Phillips, Susan M. Dovey, John S. Hickner, Deborah Graha…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
    February 06, 2008 - Improving Patient Safety Through Provider Communication Strategy Enhancements Improving Patient Safety Through Provider Communication Strategy Enhancements Catherine Dingley RN, PhD, FNP; Kay Daugherty RN, PhD; Mary K. Derieg RN, DNP; Rebecca Persing, RN, DNP Abstract The purpose of this study was to devel…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
    June 15, 2005 - Developing a Community-Wide Electronic Shared Medication List Developing a Community-Wide Electronic Shared Medication List Ron Stock, MD; Eldon R. Mahoney, PhD; Dawn Gauthier, MIS; Linda Center; Mary Minniti, CPHQ; James Scott, MD; Marc Pierson, MD; Lori Nichols Abstract This study demonstrates the feasib…
  6. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
    February 04, 2022 - These events are excellent learning opportunities for team members.
  7. www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
    January 01, 2025 - The inter- observer reliability for the detection of errors was excellent (K=0.89).31 After the home
  8. www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/measures-rapid-scan-report.pdf
    April 10, 2025 - N=77 available for test-retest produced an ICC of 0.89, considered excellent Examples of Use for
  9. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
    January 01, 2020 - Redesigning Systems To Improve Teamwork and Quality for Hospitalized Patients: RESET Project Implementation Guide REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients: RESET Project Implementation Guide Prepared by the RESET Investigators Version 2.0: September 2019 Funded by …
  10. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
    April 01, 2018 - Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool 1 Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool Section 1. Basic Measure Information 1.A. Measure Name Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool 1.B. Measure Number 0143 1.C. Measure Description …
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
    November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
    August 01, 2010 - Strategy 3: Nurse Bedside Shift Report Implementation Handbook Strategy 3: Nurse Bedside Shift Report (Implementation Handbook) Guide to Patient and Family Engagement Nurse Bedside Shift Report Implementation Handbook Strategy 3: Nurse Bedside Shift Report (Implementation Handbook) Guide to Patie…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
    December 01, 2017 - Improving Your Laboratory Testing Process Toolkit c IMPROVING YOUR LABORATORY TESTING PROCESS A Step-by-Step Guide for Rapid- Cycle Patient Safety and Quality Improvement Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov PATIENT SAFETY IMPROVING YOUR …
  14. www.ahrq.gov/sites/default/files/2024-02/schnipper2-report.pdf
    January 01, 2024 - Final Progress Report: Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2) 1 | P a g e Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2) Principal Investigator: Jeffrey L. Schnipper, MD, MPH Team Members: Harry Reyes Nieva, MAS; Me…
  15. www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
    January 01, 2024 - AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements AHRQ GRANT FINAL PROGRESS REPORT Title: Improving Patient Safety through Provider Communication Strategy Enhancements Principal Investigator: Kay Daugherty, RN, PhD Team Members: Catherine Dingley, RN, F…
  16. www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
    July 01, 2022 - USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities 2 This tool is voluntary and not related to any interim, final, or enjoined Centers for Medicare & Medicaid Services (CMS) rules or regulation…
  17. www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
    January 01, 2025 - Final Progress Report: Incident Reporting Practices in Nursing Homes FINAL PROGRESS REPORT Incident Reporting Practices in Nursing Homes PI: Nicholas G. Castle, Ph.D.1 1. University of Pittsburgh A610 Crabtree Hall Graduate School of Public Health 130 DeSoto Street, Pittsburgh, PA 15261 Telephone: (412) 383-7…
  18. www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
    January 01, 2024 - Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children Title Page Application title: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children Principal investigator: Charles G. Macias, MD, MPH Co-investigator: Evaline Alessandrini, MD,…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
    November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five sample reports are provided here. The reports are: • High-Risk Transfer Report (a medium-risk rep…
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
    September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Facilitator’s Guide AHRQ Pub No. 15-0073-4-EF September 2015 Contents Introduction 5 Using This Guide 5 Preparing for a Session 5 Delivering the Session 6 Module 1: Overview 7 Potential Questions To Ask Before …

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