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  1. www.ahrq.gov/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf
    June 23, 2023 - Subject matter experts were invited to present and participate in panel discussions at each workshop
  2. www.ahrq.gov/sites/default/files/2024-01/lannon2-report.pdf
    January 01, 2024 - Final Progress Report: Pursuing Perfection in Pediatric Therapeutics Title Page • Title of Project: PURSUING PERFECTION IN PEDIATRIC THERAPEUTICS • Principal Investigator and Team Members: CAROLE MARIE LANNON, MD, MPH; Peter Margolis, MD, PhD; Michael Seid, PhD; Jeffrey Anderson, MD, MPH, MBA; Patrick Brady, MD, MS…
  3. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-refs.html
    August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions References Previous Page   Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Approaching Diagnostic Safety Unique to Children Pediatric Diagnostic Safety R…
  4. www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
    January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging Agency for Healthcare Quality and Research Research Grant Final Report December 5, 2024 Watchful Waiting as a Strategy for Reducing Low-valu…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
    February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator 395 From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth, Debora A. Paterniti, William Dager, …
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
    January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach 241 Diagnostic Failure: A Cognitive and Affective Approach Pat Croskerry Abstract Diagnosis is the foundation of medicine. Effective treatment cannot begin until an accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of clinic…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
    January 01, 2003 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities 395 Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities Sharon Conrow Comden, David Marx, Margaret Murphy-Carley, Misti Hale Abstract Objectives: State agenc…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
    April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
    January 01, 2004 - Financial and Demographic Influences on Medicare Patient Safety Events 437 Financial and Demographic Influences on Medicare Patient Safety Events Didem Bernard, William E. Encinosa Abstract Background: The hospital market is stratified between the “have” and the “have not” hospitals. Whether financial dis…
  10. www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…
  11. www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
    January 01, 2024 - Final Progress Report: Accountability and Health Safety – A Statewide Approach Revised FINAL PROGRESS REPORT 5U18HS011918-03 TITLE: Accountability and Health Safety – A Statewide Approach PRINCIPAL INVESTIGATOR: Ke…
  12. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…
  13. www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
    January 01, 2025 - Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) 1. Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) Principal Investigator and Team Members/Organization: Min J. Joo, MD, MPH, Department of Medicine, College of Medi…
  14. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
    June 27, 2024 - Research on Person-Centered Care National Center for Excellence in Primary Care Research Presents Research on Person-Centered Care June 27, 2024 Presented by: Ian Hargraves, PhD Alex Krist, MD, MPH Zsolt Nagykáldi, PhD Moderated by: Maya Gerstein, DrPH 1 NCEPCR Webinar Series The views expressed in th…
  15. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2014cahpshealthplanchartbook.pdf
    October 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2014 CAHPS Health Plan Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shalle…
  16. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-child-hcahps-chartbook.pdf
    January 01, 2024 - 2024 Child HCAHPS Survey Database Chartbook The Consumer Assessment of Healthcare Providers and Systems (CAHPS)® Child Hospital Survey Database 2024 Chartbook Authors: Teresa Dodson, M.A. Joshua Rubin Jack Vallentine Naomi Yount, Ph.D. Dale Shaller, M.P.A. Prepared by: Westat 1600 Research Boulevard …
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_hp-chartbook.pdf
    January 01, 2014 - 2014 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2014 CAHPS Health Plan Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shalle…
  18. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-child-hcahps-chartbook.pdf
    January 01, 2023 - 2023 Child HCAHPS Survey Database Chartbook The CAHPS® Child Hospital Survey Database 2023 Chartbook Authors: Teresa Dodson, M.A. Joshua Rubin Jack Vallentine Naomi Yount, Ph.D. Dale Shaller, M.P.A. Prepared by: Westat 1600 Research Boulevard Rockville, Maryland 20850-3129 AHRQ Contract Number: GS-…
  19. www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
    January 01, 2025 - Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab • Title of Project: Connected Emergency Care (CEC) Patient Safety Learning Lab • Principal Investigators: Jeremiah S. Hinson, MD, PhD, and Scott R. Levin, PhD • Team Members: Jeremiah Hinson, MD, PhD, Scott Levin, PhD, Eili Klein, Ph…
  20. www.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/research/survey-administration-literature-review.pdf
    October 01, 2017 - CAHPS Survey Administration: What We Know and Potential Research Questions CAHPS Survey Administration: What We Know and Potential Research Questions October 2017 The content of this document may be used and reprinted without permission except for the following: Federal Government logos, items noted …

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