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2341. Final Progress Report: Understanding the implementation of new practices in healthcare organizations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
      January 01, 2024 - Final Progress Report: Understanding the implementation of new practices in healthcare organizations 1. Title Page Title of Project: Understanding the implementation of new practices in healthcare organizations Principal Investigator and Team Members: Ingrid M. Nembhard, PhD (P.I.) Elizabeth H. Bradley, PhD (Me…

2342. AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Medical-Office-Users-Guide-2021.pdf
      January 01, 2021 - AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide USER’S GUIDE MEDICAL OFFICE SURVEY ON PATIENT SAFETY CULTURE PATIENT SAFETY AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human …

2343. Patient Self-Management Support Programs: An Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ptmgmt/ptmgmt.pdf
      November 01, 2007 - Patient Self-Management Support Programs: An Evaluation Final Contract Report ______________________________________________________________________________ Patient Self-Management Support Programs: An Evaluation Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health an…

2344. Person-Centered Preventive Healthcare: Engaging in Challenging Conversations about Screening (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdf
      May 01, 2024 - Person-Centered Preventive Healthcare: Engaging in Challenging Conversations about Screening Person-Centered Preventive Healthcare: Engaging in Challenging Conversations about Screening Prepared for Agency for Healthcare Research and Quality Center for Evidence and Practice Improvement Prepared by …

2345. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
      June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative 133 Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative Daniel M. Harris, John M. Westfall, Douglas H. Fernald, Christine W. Duclos, David R. West, Linda Niebauer, Linda Ma…

2346. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
      January 01, 2004 - Creating a Culture of Patient Safety through Innovative Hospital Design 425 Creating a Culture of Patient Safety through Innovative Hospital Design John G. Reiling Abstract When SynergyHealth, St. Joseph’s Hospital of West Bend, Wisconsin, decided to relocate and build an 82-bed acute care facility, we reco…

2347. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      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…

2348. Making Health Care Safer II, Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
      March 01, 2013 - Making Health Care Safer II, Executive Summary Evidence-Based Practice Evidence-based Practice Program The Agency for Healthcare Research and Quality (AHRQ), through its Evidence- based Practice Centers (EPCs), sponsors the development of evidence reports and technology assessments to assist public- and priv…

2349. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
      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, …

2350. Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
      March 26, 2008 - Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse…

2351. Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
      January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging Agency for Healthcare Quality and Research Research Grant Final Report December 5, 2024 Watchful Waiting as a Strategy for Reducing Low-valu…

2352. CAHPS Survey Administration: What We Know and Potential Research Questions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/research/survey-administration-literature-review.pdf
      October 01, 2017 - CAHPS Survey Administration: What We Know and Potential Research Questions CAHPS Survey Administration: What We Know and Potential Research Questions October 2017 The content of this document may be used and reprinted without permission except for the following: Federal Government logos, items noted …

2353. Assemble the Team and Engage Leadership for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
      May 01, 2017 - Assemble the Team and Engage Leadership for Perinatal Safety AHRQ Safety Program for Perinatal Care Assemble the Team and Engage Leadership for Perinatal Safety AHRQ Publication No. 17-0003-2-EF May 2017 SAY: The Assemble the Team and Engage Leadership module of the AHRQ Safety Program for Perinatal Care a…

2354. 2022 National Healthcare Quality and Disparities Report Detailed Methods for Medical Expenditure Panel Survey Tables (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-mepsmethods.pdf
      December 01, 2022 - 2022 National Healthcare Quality and Disparities Report Detailed Methods for Medical Expenditure Panel Survey Tables 2022 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT DETAILED METHODS FOR MEDICAL EXPENDITURE PANEL SURVEY TABLES Background The Medical Expenditure Panel Survey (MEPS) is designed to provid…

2355. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults-references.html
      September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults References Previous Page   Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Unique Challenges in Approaching Diagnostic Safety in Older Ad…

2356. White Paper - Redefining Primary Care for the 21st Century (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/white_paper.pdf
      January 01, 2020 - White Paper - Redefining Primary Care for the 21st Century White Paper Redefining Primary Care for the 21st Century Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2010-00004-I/ 290-32009-T …

2357. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
      January 01, 2024 - Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home Project Title: Enhancing the Safety of Warfarin in the Nursing Home Principal Investigator: Jerry H. Gurwitz, MD Principal Team Members: Jerry Gurwitz, MD; Terry S. Field, DSc; Jennifer Tjia, MD, MSCE; Kathleen M. Mazor, EdD; Leslie R. Ha…

2358. Final Progress Report: Patient Partnerships To Improve Safety in the Clinic Setting: Creating an accurate medication list through a patient-centered approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/leonhardt-report.pdf
      January 01, 2024 - Final Progress Report: Patient Partnerships To Improve Safety in the Clinic Setting: Creating an accurate medication list through a patient-centered approach Patient Partnerships to Improve Safety in the Clinic Setting: Creating an accurate medication list through a patient-centered approach Principal Investigat…

2359. PowerPoint Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supln-slides.pdf
      January 24, 2025 - PowerPoint Presentation AcademyHealth State-University Partnership Learning Network (SUPLN) Web Conference Findings from the CHIPRA Quality Demonstration Grant Program September 17, 2015 Teleconference Instructions Please make sure your computer is linked to your phone:  A box should appear on …

2360. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      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…