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www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors
Final Progress Report
Reducing Harm to Patients from Diagnostic Errors
Eta S. Berner, EdD, Principal Investigator
Team Members:
Marcie H. Battles, MS, Project Assistant
Mark L. Graber, MD, Consultant
Gordon D. Schiff, MD, Consultant
Pat …
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www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
January 01, 2025 - Confidentiality: Client files were open on the counselor’s desk when the “client” was brought into the
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www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
January 01, 2025 - Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors
Principal Investigator/Program Director (Last, first, middle): Greenes, David S.
Automated Lab Test Follow-up to Reduce Medical Errors
Principal Investigator: David S. Greenes, MD
Department of Medicine, Children’s Hospital Boston
Team …
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www.ahrq.gov/sites/default/files/2025-03/smith2-report.pdf
January 01, 2025 - Final Progress Report: A Study of Narrative as the Cognitive Process Underlying Diagnostic Reasoning
A Study of Narrative as the Cognitive Process Underlying Diagnostic Reasoning
PI: Curtis Scott Smith, MD
Team: Chris Francovich, EdD
Magdalena Morris, RN, MSN
Andrew Turner, PhD
Bruce Robbins, PhD
Lynne Robins, …
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www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
January 01, 2025 - Final Progress Report: Center for Safety In Emergency Care
Center for Safety In Emergency Care
Final Progress Report
Principal Investigator
Robert L Wears, MD, MS
Team Members
Christopher Beach, MD
Ravi Behara, PhD
Patrick Croskerry, MD, PhD
Shawna J Perry, MD
Marc Shapir…
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www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
January 01, 2025 - Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience
28 November 2009
Title of Project Creating Safe Ambulatory Care: The Path to Resilience
Principal Investigator Christopher Nemeth, PhD
Team Members James Walter, MD
Robert Wears, MD, MS
Richard Cook, MD
Organization The University of Ch…
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www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008
The National Quality Forum
Fall Policy Conference 2008
Principal Investigator: Dwight McNeil
Team Members: S. Callahan, L. Gorban,
D. McNeill, and B. Yelin
9/30/08-9/29/09
Federal Project Official: Karen Ho
Supported by: Agen…
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www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care
PROL IN HOME HEALTH CARE
Title: Process Reliability and Organizational Learning in Home Health Care
Principal Investigator and Team Members:
Michael P. Silver, MPH Principal Investigator
Cher Edmonds Study Coordinator
Robert…
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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…
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www.ahrq.gov/sites/default/files/2025-02/lofland-report.pdf
January 01, 2025 - Final Progress Report: Patient Focused Outcomes: Quality of Life and Lost Productivity
PATIENT FOCUSED OUTCOMES: QUALITY OF LIFE AND LOST PRODUCTIVITY
Jennifer H. Lofland, PharmD, MPH, PhD Principal Investigator1, David B. Nash, MD,
MBA Co-Mentor1, Donald Steinwachs, PhD Co-Mentor2, Kevin D. Frick, PhD Thesis
Advi…
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www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
January 01, 2025 - Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care
ST-PRA IN HOME HEALTH CARE
Title: Sociotechnical Probabilistic Risk Assessment in Home Health Care
Principal Investigator and Team Members:
Michael P. Silver, MPH Principal Investigator
Cher Edmonds, Study Coordinator
Robert Fer…
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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…
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www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
January 01, 2025 - Final Progress Report: Improving Patient Safety by Examining Pathology Errors
Improving Patient Safety by Examining Pathology Errors
Principal Investigator: Stephen S. Raab, MD
Team Members: Dana M. Grzybicki, MD, PhD, Michael J. Becich, MD, PhD, Janine E. Janosky, PhD, Dilip
Gupta, MD, Richard J. Zarbo, MD, DMD, …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sfmeasures.pdf
June 02, 2025 - IMPLEMENT California Asthma QI Collaborative
IMPLEMENT California Asthma QI Collaborative
11
REQUIRED MEASURES numbered 1 - 4
Measures 1 – 4 are for children/adolescents between the ages of 3-21
# Measure name Definition for Data Collection; Excl…
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www.ahrq.gov/sites/default/files/2025-03/rinke-report.pdf
January 01, 2025 - Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics
1. TITLE PAGE
Reducing Diagnostic Errors in Primary Care Pediatrics
Principal Investigator: Michael L. Rinke, MD, PhD
Co-Investigators: David G. Bundy, MD, Hardeep Singh, MD, MPH, MPH, Moonseong Heo, PhD,
Jason S. Adelman, MD, MS, Heathe…
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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…
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www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
January 01, 2025 - Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism
Short-term Clinical Deterioration After Acute Pulmonary Embolism
Anthony J. Weekes, MD, MSc (Principal Investigator), Jason T. Nomura, MD, Dasia Esener,
MD, Jeremy S. Boyd, MD, Patrick M. Ockerse, MD, Stephen Leech, MD,
H. J…
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www.ahrq.gov/sites/default/files/2025-04/castro-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022
Title Page – Final Progress Report
Title: Diagnostic Error in Medicine Conference 2020-2022
Principal Investigator: Gerry Castro, PhD, MPH
Team Members:
2022 Conference Chairs, Co-chairs and Planning Commitee members
Andrew Olson…
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www.ahrq.gov/sites/default/files/2025-03/toledo-report.pdf
January 01, 2025 - Final Progress Report: Reducing the Risk of Preventable Postpartum Lower Extremity Nerve Injuries
Title Page
Title of Project: Reducing the risk of preventable postpartum lower extremity nerve
injuries
Principal Investigator and Team Members: Paloma Toledo, MD, MPH; William A.
Grobman, MD, MBA; Julia Lee, PhD; …
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www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
January 01, 2025 - Final Progress Report: Comprehensive Pediatric Hypertension Diagnosis and Management
1. TITLE PAGE
Comprehensive Pediatric Hypertension Diagnosis and Management
Principal Investigator: Michael L. Rinke, MD, PhD
Co-Investigators: David G. Bundy, MD, MPH, Tammy M. Brady, MD, PhD, Beth Tarini, MD,
Katherine E. Twomb…