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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors? 53 Do Transient Working Conditions Trigger Medical Errors? Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf, Clay Dunagan, Gary Sorock, Bradley Evanoff Abstract Objective: Organizational factors affecting working conditions for health …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
    January 01, 2004 - Observing Nurse Interaction with Infusion Pump Technologies 349 Observing Nurse Interaction with Infusion Pump Technologies Pascale Carayon, Tosha B. Wetterneck, Ann Schoofs Hundt, Mustafa Ozkaynak, Prashant Ram, Joshua DeSilvey, Brian Hicks, Tanita L. Robert, Myra Enloe, Rupa Sheth, Sade Sobande Abstract…
  3. 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…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
    January 01, 2003 - Outpatient Surgery and Patient Safety—The Patient’s Voice 445 Outpatient Surgery and Patient Safety— The Patient’s Voice Ann Schoofs Hundt, Pascale Carayon, Scott Springman, Maureen Smith, Kelly Florek, Rupa Sheth, Margaret Dorshorst Abstract Four outpatient surgery centers from a large Midwestern communit…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
    April 06, 2008 - Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences Emily B. Devine, PharmD, MBA; Jennifer L. Wilson-Norton, RPh, MBA…
  6. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-5.pdf
    February 02, 2012 - DOI: 10.1542/peds.2011-2654 ; originally published online October 16, 2011; 2011;128;1007Pediatrics Quality Improvement and Management Subcommittee on Attention-Deficit/Hyperactivity Disorder, Steering Committee on of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents ADHD: Clinical Practice Guideli…
  7. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-5.pdf
    February 02, 2012 - ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of ADHD in Children and Adolescents         ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents Subcommittee on Attention-Deficit/Hy…
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-202-fullreport.pdf
    January 01, 2014 - Follow-Up With Patient Family After Developmental Screening Follow-up with Patient Family after Developmental Screening Section 1. Basic Measure Information 1.A. Measure Name Follow-up with Patient Family after Developmental Screening 1.B. Measure Number 0202 1.C. Measure Description Please provide a non-tec…
  9. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
    April 02, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Issue Brief 1 Operational Measurement of Diagnostic Safety: State of the Science PATIENT SAFETY Operational Measurement of Diagnostic Safety: State of the Science Prepared for: Agency for Healthcare Research and Quality 5600 Fishers L…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
    October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Pressure Injury Prevention Program Implementation Guide Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No.: HHSA290201200017I Task Order No. 2 Prepared by: AFYA, Inc. Laurel, MD AHRQ Publ…
  11. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
    April 02, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Issue Brief Operational Measurement of Diagnostic Safety: State of the Science PATIENT SAFETY Operational Measurement of Diagnostic Safety: State of the Science Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lan…
  12. www.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
    November 01, 2016 - Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update August 8, 2013 Download accessible version of slides (PDF, 920 KB) National Quality Strategy: 2013 Annual Progress Report Update [Slide 1] Ann Gordon: Welcome everyone. My name is Ann Gordon and I'll be facilitating…
  13. www.ahrq.gov/workingforquality/events/webinar-2014-qdr-working-together-to-improve-health-care.html
    November 01, 2016 - Webinar Transcript - The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve Health Care May 11, 2015 Download accessible version of slides (PDF, 1.5 MB) The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve…
  14. 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…
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment-guide.pdf
    April 01, 2022 - ICU Assessment Response Guide AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI ICU Assessment Response Guide This guide is intended to be used to respond to and evaluate the intensive care unit (ICU) team’s responses to the ICU assessment. The guide offers an explanation of the…
  16. www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
    January 01, 2024 - Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention TITLE PAGE Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention Principal Investigator: Leigh V. Evans, MD Team Members: Ambrose H.…
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2015_hp-chartbook.pdf
    January 01, 2015 - 2015 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2015 CAHPS Health Plan Survey Database 2015 Chartbook: What Consumers Say About Their Experiences With Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C …
  18. www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
    January 01, 2024 - Final Progress Report: 1. TITLE PAGE Title of Project: Communication Processes, Technology, and Patient Safety in Ambulatory Oncology Settings Principal Investigator: Christopher R. Friese, PhD, RN, AOCN®, FAAN Team Members: Louise Bedard, MSN, MBA Alex J. Fauer, PhD, RN, OCN® Jennifer J. Griggs, MD, MPH, FAC…
  19. www.ahrq.gov/sites/default/files/2024-10/stone-report.pdf
    January 01, 2024 - Final Progress Report: Exploratory Study Using Queuing Theory To Improve Nurse Staffing Effectiveness Title: Exploratory Study Using Queuing Theory to Improve Nurse Staffing Effectiveness Principal Investigator Patricia W. Stone Team Members: Linda Green Haomiao Jia Pam de Cordova Sookyung Hyun Stephanie Goldbe…
  20. www.ahrq.gov/sites/default/files/2024-07/hatlie-report.pdf
    January 01, 2024 - Final Progress Report: Workshop on Consumer Engagement in Selected Patient Safety Topics Workshop on Consumer Engagement in Selected Patient Safety Topics (“Chicago Patient Safety Workshop”) Final Progress Report (filed November 2008) Grant No.: 1R13HSO17605-01 Principal Investigator and Project Team (Steering Co…

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