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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - actions will plug those holes, reengineer the system to catch holes before they line up, and end system gaps
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
March 01, 2017 - Once a facility identifies the gaps in care, then it can identify evidence-based practices to implement
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015447-gunter-final-report-2008.pdf
January 01, 2008 - technical assessment was to obtain a realistic understanding of the
capabilities, limitations and gaps
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
March 01, 2023 - .
• Failure to do a full walk-through to identify gaps, bottlenecks, and optimal
location of devices
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/Final_Using_the_CAHPS_Database_Webcast_Transcript.pdf
January 01, 2014 - Using the CAHPS Database to Compare, Report, and Improve Organizational Performance
Using the CAHPS Database to Compare, Report, and Improve Organizational
Performance
January 2014 Webcast
Speakers
Janice Ricketts, Senior Study Director, CAHPS Database, Westat, Rockville, MD
Deborah Kilstein, BSN, MBA, Vice…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs020846-fricton-final-report-2016.pdf
January 01, 2016 - Decision Support to Improve Dental Care for Medically Compromised Patients - Final Report
AHRQ Final Report
1. TITLE PAGE
Project Title: Decision Support to Improve Dental Care for Medically
Compromised Patients
Principal Investigator: James Fricton DDS, MS
Team Members: Neil …
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017261-schillinger-final-report-2011.pdf
January 01, 2011 - Harnessing Health IT for Self-Management and Medication Activation in a Medicaid Plan
Grant Final Report
Grant ID: 1 R18 HS17261
Harnessing Health IT for Self-Management and
Medication Activation in a Medicaid Plan
Inclusive project dates: 09/01/07 - 08/31/11
Principal Investigator:
D…
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www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
September 01, 2016 - Biosketches
Jason Adelman, MD, MS
Chief Patient Safety Officer and Associate Chief Quality Officer
Columbia University Medical Center/New York-Presbyterian Hospital
Dr. Adelman is the Chief Patient Safety Officer and Associate Chief Quality Officer at Columbia University Medical Center/NewYork-Presbyter…
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psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - In Conversation with Edwin Boudreaux about Suicide
Prevention
March 24, 2025
Boudreaux E, Gale B, Mossburg SE. In Conversation with Edwin Boudreaux about Suicide Prevention.
PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
Editor’s note: Edwin Boudre…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026704-ahmad-final-report-2023.pdf
January 01, 2023 - Implementation of Electronic Health Screening in Primary Care to Improve STI Testing - Final Report
AHRQ Grant Final Progress Report
Title of Project:
Implementation of Electronic Health Screening in Primary Care to Improve STI Testing
Principal Investigator
Fahd Ahmad, MD, MSCI
Team Members
Viani…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026172-obrien-final-report-2022.pdf
January 01, 2022 - Prevent Diabetes Mellitus (PreDM) Clinical Decision Support Intervention in Community Health Centers – Final Report
TITLE: Prevent Diabetes Mellitus (PreDM) Clinical Decision Support Intervention in Community
Health Centers
PRINCIPAL INVESTIGATOR AND TEAM MEMBERS: Matthew J. O’Brien1,2; Maria C.
Vargas1,2; Rona…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/simulation/simulation-issue-brief.pdf
July 01, 2024 - Issue Brief: Simulation To Improve Patient Safety: Getting Started
Issue Brief
Simulation To Improve Patient Safety:
Getting Started
e PATIENT
SAFETY
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e
Issue Brief
Simulation To Improve Patient Safety:
Getting Started
Prepared for:
Agency for Healthcare Research …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
January 01, 2004 - Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause?
371
Does Medical Error Disclosure
Violate the Medical Malpractice
Insurance Cooperation Clause?
John D. Banja
Abstract
Medical malpractice insurance policies customarily contain a “cooperation”
clause requiring ins…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
March 01, 2004 - The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium
33
The San Diego Center for Patient Safety:
Creating a Research, Education, and
Community Consortium
Nancy Pratt, Kelly Vo, Theodore G. Ganiats, Matthew B. Weinger
Abstract
In response to the Agency for Healthca…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
February 01, 2020 - Section 3: Are You Ready To Improve?
July 2015
Contents
3.A. Cultivating and Supporting QI Leaders
3.B. Organizing for Quality Improvement
3.C. Training Staff in QI Concepts and Techniques
3.D. Paying Attention to Customer Service
3.E. Recognizing and Rewarding Success
References
Download Se…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture
Improving Patient Safety in Community Pharmacies: A
Resource List for Users of the AHRQ Community
Pharmacy Survey on Patient Safety Culture
I. Purpose
This document provide…
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psnet.ahrq.gov/perspective/adverse-events-dentistry
December 22, 2020 - Adverse Events in Dentistry
December 22, 2020
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Kalenderian E, Walji MF, Fitall E, et al. Adverse Events in Dentistry. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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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-Williams_115.pdf
June 19, 2008 - The Rural Physician Peer Review Model©: A Virtual Solution
The Rural Physician Peer Review Model©:
A Virtual Solution
Josie R. Williams, MD; Kathy K Mechler, MS, RN, CPHQ; R.B. Akins; John R. Holcomb, MD;
Laura K. Gelderd, RN, BSN; R. Kim Clay; Tracy L. Adams; Janine C. Edwards, PhD
Abstract
Evaluating …
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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-Regenstein_54.pdf
May 08, 2008 - Hospital Language Services: Quality Improvement and Performance Measures
Hospital Language Services: Quality
Improvement and Performance Measures
Marsha Regenstein, PhD, MCP; Jennifer Huang, MS; Catherine West, MS, RN;
Holly Mead, PhD; Jennifer Trott, MPH; Melissa Stegun, MA
Abstract
For a growing segment…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025238-xie-final-report-2020.pdf
January 01, 2020 - Development of a Clinical Decision Support Tool for Facilitating Naturalistic Decision-Making and Improving Blood Culture Utilization - Final Report
Development of a Clinical Decision Support Tool for Facilitating Naturalistic Decision-Making and
Improving Blood Culture Utilization
Progress Report (4/1/2019…