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  1. 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…
  2. 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…
  3. 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 …
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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, …
  9. 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 . …
  10. 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 …
  11. 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 [This page intentionally left blank] Surveys on Patient Safety Culture® (SOPS®) …
  12. 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…
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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…

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