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www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety
Title: VTE Safety Toolkit: A Systems Approach to Patient Safety
Principal Investigator: Brenda K. Zierler, PhD1
Team Members:
Ann Wittkowsky, PharmD2
Robb Glenny, MD3
Seth Wolpin, PhD1
Jung-Ah Lee, MN1
Gene Peterson, MD, PhD3
Fre…
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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
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e
Issue Brief 8
Distributed Cognition and the Rol…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
December 01, 2017 - Sustaining Change Webinar Transcript
April 14, 2015
Operator: The following is a recording for [Cathy Drury 00:00:02], with the American Hospital Association in Chicago, for the April National Conference 00:00:06 call on Tuesday, April 14, 2015 at 11 a.m. Central Time. Excuse me everyone. We now have all of …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
April 14, 2015 - April 14, 2015
Sustaining Change
Speaker 1: The following is a recording for [Cathy Drury 00:00:02], with the American Hospital Association in Chicago, for the April National conference 00:00:06 call on Tuesday, April 14, 2015 at 11 a.m. central time. Excuse me everyone. We now have all of our speakers in conference. P…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
January 12, 2021 - Six Building Blocks How-To-Implement Toolkit: Fast Track Approach Guide
A Team-Based Approach to Improving
Opioid Management in Primary Care
Table of Contents
Introduction ......................................................................................................................................1
W…
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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
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e
Issue Brief 8
Distributed Cognition and the Rol…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense
361
Standardizing Medication Error Event
Reporting in the U.S. Department of Defense
Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake
Abstract
Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment-slides.html
April 01, 2018 - Chartbook on Effective Treatment: Slide Presentation
National Healthcare Quality and Disparities Report
Introduction
Cardiovascular Disease .
Cancer .
Chronic Kidney Disease .
Diabetes .
HIV and AIDS .
Mental Health and Substance Abuse .
Musculoskeletal Diseases .
Respiratory Diseases .
…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
September 01, 2015 - Module 15: Preparing and Presenting Performance Data
Primary Care
Practice Facilitation
Curriculum
Module 15: Preparing and Presenting Performance Data
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-rev.pdf
January 01, 2024 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part I
SURVEYS ON PATIENT
SAFETY CULTURE®
2024 MEDICAL OFFICE
USER DATABASE REPORT
Surveys on
Patient Safety
Culture®
e PATIENT
SAFETY
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Surveys on Patient Safety Culture® (SOPS®) …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt1.pdf
January 01, 2016 - 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part I
PATIENT
SAFETY
NURSING
HOME
SURVEY ON
PATIENT SAFETY
CULTURE:
2016 User
Comparative
Database Report
The authors of this report are responsible for its content. Statements in the report should not be
construed as endorsement by the Agency for Health…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-mosops-database-report-part-I.pdf
January 01, 2022 - Surveys on Patient Safety Culture (SOPS®) Medical Office Survey: 2022 User Database Report Part I
SURVEYS
ON PATIENT
SAFETY
CULTURE™
Surveys on
Patient Safety
Culture™
MEDICAL OFFICE SURVEY:
2022 USER DATABASE REPORT
PATIENT
SAFETY
[This page intentionally left blank]
Surveys on Patient Safety Culture…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
January 01, 2025 - SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I
Surveys on Patient Safety Culture® (SOPS®)
Workplace Safety Supplemental Items for
Nursing Homes: 2025 Updated Results
Part I
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Se…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/public-summary-2015-cg-cahps-fedreg.pdf
January 01, 2015 - Summary and Next Steps in Response to Federal Register Notice
Consumer Assessment of Healthcare Providers and Systems
Summary and Next Steps in Response to Federal Register Notice
(FR Doc 2015-00767)
Background and Overview
On January 21, 2015, the Agency for Healthcare Research and Quality (AHRQ) release…
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www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home
TITLE PAGE
AHRQ Final Progress Report
Title: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home
Principle Investigator: Steven M. Handler, MD, PhD
Team Members: Joseph T. Hanlon…
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www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
January 01, 2024 - Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model
Final Progress Report
Brief, Risky, High-Benefit Procedures:
Best Practice Model
Colin F. Mackenzie, MD, Principal Investigator
Co-investigators: Yan Xiao, PhD, Grant Bochicchio, MD,
Peter Hu, MS, CNE, F. Jacob Seagull, PhD…
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www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdf
January 01, 2024 - Final Progress Report: Weekend Effects and the July Phenomenon in Patient Safety
---------------------------------------
Weekend Effects and the July Phenomenon in
Patient Safety
Final Research Report to AHRQ
Principal Investigator: Joel S. Weissman, PhD
February 6, 2006
Co-Investigators and Study Staff (i…
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www.ahrq.gov/sites/default/files/2024-02/wachs2-report.pdf
January 01, 2024 - AHRQ Grant Final Progress Report: Context-Based Hand-Gesture Recognition for the Operating Room
AHRQ Grant Final Progress Report
Title of Project: Context-Based Hand-Gesture Recognition for the Operating Room
Principal Investigator:
Juan P. Wachs, Assistant Professor, School of Industrial Engineering, Purdue U…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-workplace-safety-report-pt1.pdf
January 01, 2025 - SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I
Surveys on Patient Safety Culture® (SOPS®)
Workplace Safety Supplemental Items for
Nursing Homes: 2025 Updated Results
Part I
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Se…