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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
February 21, 2008 - of low health literacy; lack of coordination in
the “hand-off” from the hospital to community care, gaps
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - care at various times throughout the day, often dispersed over several
locations, creating spatial gaps
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
March 01, 2012 - When we
found gaps in these estimates, we performed additional and more focused literature reviews or
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www.ahrq.gov/sites/default/files/2024-12/lin-report.pdf
January 01, 2024 - Final Progress Report: Measurement of Decision Quality in Coronary Artery Disease
Measurement of Decision Quality in Coronary Artery Disease
Grace A. Lin, MD, MAS, Principal Investigator
R. Adams Dudley, MD, MBA, Mentor
Rita F. Redberg, MD, MSc, Co-mentor
Organization: University of California, San Francisco
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia
SAY:
Welcome to this …
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www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
January 01, 2024 - Final Progress Report: Midcoast Maine Patient Safety and IT Integration
Title: Midcoast Maine Patient Safety and IT Integration
Principal Investigator: Maureen Buckle y, PhD, RN – Vice President of Patient
Care
Team Members:
Northeast Health and Partner Organizations
Donna Deblois, MS, RN – Executive Dire…
-
www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
January 01, 2024 - Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment
Final Progress Report
1.0 TITLE PAGE
Oral Chemotherapy Safety in Ambulatory Oncology:
A Proactive Risk Assessment
Principal Investigator
Saul N. Weingart, MD, PhD
Co-Investigators
Maureen Connor, RN, MPH
Syl…
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www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
January 01, 2024 - Final Progress Report: Profiling the Needs of Dying Children
FINAL PROGRESS REPORT
Title of Project: Profiling the Needs of Dying Children
Principal Investigator: Chris Feudtner, MD, PhD, MPH
Organizations: The University of Washington (2000-2002) and
The Children's Hospital of Philadelphia (2002-2006)
Date…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
December 01, 2017 - Presentation: Auditing Your Briefings and Debriefings
Auditing Your Briefings and
Debriefings Process
AHRQ Safety Program for Surgery
Implementation
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program for Surgery – Implementation
SAY:
Let’s continue our discussion around briefings and debriefings. T…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/3-are-you-ready/cahps-ambulatory-care-guide-section-3.pdf
May 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Are You Ready To Improve?
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 3: Are You Ready To Improve?
Visit the AHRQ Website for the full Guide.
May 2017 (updated)
https://www.ahrq.gov/cahps/quality-improve…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
January 01, 2004 - Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation?
291
Can an Academic Health Care
System Overcome Barriers to
Clinical Guideline Implementation?
Debra Quinn, Mary Cooper, Lynn Chevalier,
Jerry Balentine, Lawrence Kadish, Steven Walerstein,
Fredric Weinbaum, Mark Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs
VHA’s National Falls Collaborative and
Prevention Programs
Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN;
Julia Neily, MS, MPH; James P. Bagian, MD, PE
Abstract
Falls are a high-volume, high-cost problem in he…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption
Implementation of Systems Redesign:
Approaches to Spread and Sustain Adoption
Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD;
Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS;
Bradley N. Do…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
April 30, 2025 - ■ Another project filled medical literature gaps regarding how SDM relates to health disparities … development activities resulted in contributions to the medical literature that fills
some of the gaps
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
June 01, 2023 - With Outpatient
Decision Support
2000-
2003
$1,614,021 Purpose: (1) Improve understanding of the gaps
-
www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
January 01, 2024 - Our project addressed current medication safety gaps by first
prospectively identifying NH residents
-
www.ahrq.gov/sites/default/files/2024-11/wakefield2-report.pdf
January 01, 2024 - this study was designed to make a significant contribution to
understanding VOs by addressing several gaps
-
www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
January 01, 2024 - During the analysis of the FMEA ratings, variability and gaps in ratings suggested a problem with the
-
www.ahrq.gov/sites/default/files/2024-07/jerant-report.pdf
January 01, 2024 - The research summarized in this final report begins to fill these important research gaps.
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-26-ehr-and-mu.pdf
September 01, 2015 - Flow sheets can be used
to organize patient information, identify gaps in patient care, and suggest