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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-Donaldson_87.pdf
    April 23, 2008 - Turnover of executive leadership influenced the pace and intensity of change as priorities became realigned
  2. 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.…
  3. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-10-workflow-mapping.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workflow Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workfow Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facili…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
    April 14, 2004 - Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies 453 Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies Deborah G. Graham, Wilson Pace, Jennifer Kappus, Sherry Holcomb, James M. Galliher, Christine W. Duclos, Aaron J. B…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
    January 01, 2025 - Envisioning Patient Safety in the Year 2025: Eight Perspectives Envisioning Patient Safety in the Year 2025: Eight Perspectives Kerm Henriksen, PhD; Caitlin Oppenheimer, MPH; Lucian L. Leape, MD; Kirk Hamilton, FAIA, FACHA, MS; David W. Bates, MD, MSc; Susan Sheridan, MBA; Mark E. Bruley, CCE; David M. Gaba, MD;…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
    February 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive Care Unit Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD Abstract Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas where errors occur frequently is t…
  7. www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
    January 01, 2024 - The partner members populated six key committees (Executive Steering Committee, HIT Implementation
  8. www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
    August 01, 2016 - ii Contents Executive Summary .............................................................. … List of Peer-Reviewed Journals in Which AHRQ K Awardees Have Published ... 49 iv Executive … Agency for Healthcare Research and Quality Individual Career Development (K) Award Program Contents Executive
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - ii | P a g e Contents Executive Summary ....................................................... … ...................................................................... 1 iii | P a g e Executive … No. 16-0038-1- EF May 2016 www.ahrq.gov Contents Executive Summary Findings and Observations
  10. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
    April 05, 2017 - and to reduce readmissions (Agency for Healthcare Research and Quality [AHRQ], 2011; Massachusetts Executive … working to benchmark State-level readmission rates and to reduce readmissions (AHRQ, 2011; Massachusetts Executive … Am J Nurs 2013; 113(7):55–64. 32 Massachusetts Executive Office of Health and Human Services.
  11. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/reaching-adolescents-full.pdf
    April 01, 2024 - Person-Centered Preventive Healthcare: Reaching Adolescents to Deliver Preventive Services Executive … cognitive developments that start to occur around age 14 or 15 years, with the maturation of higher executive … Preventive Healthcare: Reaching Adolescents to Deliver Preventive Services Contents List of Acronyms Executive
  12. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
    March 01, 2012 - iv Contents Executive Summmary ................................................................ … percent) ............. 29 vi [Page Left Purposely Blank] 1 Executive … Services Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 Contents Executive
  13. www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
    May 01, 2016 - ii | P a g e Contents Executive Summary ....................................................... … ...................................................................... 1 iii | P a g e Executive … No. 16-0038-1- EF May 2016 www.ahrq.gov Contents Executive Summary Findings and Observations
  14. www.ahrq.gov/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf
    June 23, 2023 - .............................................................................................. iv Executive … Task Force UPMC University of Pittsburgh Medical Center VA Veterans Affairs v Executive … https://www.ahrq.gov/news/blog/ahrqviews/ahrq-pcori-collaborate.html Acronyms Executive Summary 1
  15. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
    May 01, 2024 - Chapter 5 - Executive function, theory of mind, and adaptive be- havior.
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
    May 01, 2011 - v Contents Executive Summary ................................................................ … ................................................................57 ES-1 Executive … Independent Consultant in health care safety and quality D, 1, 2, 3 Linda Kenney President, Executive … Director Medically Induced Trauma Support Services D, 1, 2, 3, 4 Marilyn Kramer (MBA) Executive … MD Department of Health Policy and Management Harvard School of Public Health Boston, MA Executive
  17. www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
    May 01, 2011 - v Contents Executive Summary ................................................................ … ................................................................57 ES-1 Executive … Independent Consultant in health care safety and quality D, 1, 2, 3 Linda Kenney President, Executive … Director Medically Induced Trauma Support Services D, 1, 2, 3, 4 Marilyn Kramer (MBA) Executive … MD Department of Health Policy and Management Harvard School of Public Health Boston, MA Executive
  18. www.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
    February 01, 2025 - Diagnostic Safety Centers of Excellence In fiscal year 2022, Congress authorized funding to support AHRQ's research to address failures in the diagnostic process, which may include the establishment of Research Centers of Diagnostic Excellence to develop systems, measures, and new technology solutions to improv…
  19. www.ahrq.gov/sites/default/files/2024-01/wessell-report.pdf
    January 01, 2024 - Final Progress Report: Dissemination of the PPRNet Model for Improving Medication Safety 1. TITLE PAGE Final Progress Report Dissemination of the PPRNet Model for Improving Medication Safety Principal Investigator: Andrea M. Wessell, PharmD Team Members: Steven M. Ornstein, MD Ruth G. Jenkins, PhD Lynne S. Neme…
  20. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
    July 01, 2023 - Rapid Response for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Say: The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also referred to as a rapid response system, for respon…

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