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  1. www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
    January 01, 2024 - Final Progress Report: Patient-Centric Risk Model for Medication Safety During Care Transitions Final Progress Report of “Patient-Centric Risk Model for Medication Safety During Care Transitions” 1. TITLE PAGE Project Title: Patient-Centric Risk Model for Medication Safety During Care Transitions Principal Investi…
  2. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
    January 01, 2021 - AHRQ Hospital Survey 2.0 User's Guide PATIENT SAFETY HOSPITAL SURVEY ON PATIENT SAFETY CULTURE VERSION 2.0 USER'S GUIDE AHRQ Hospital Survey on Patient Safety Culture Version 2.0: User’s Guide Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fisher…
  3. www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
    January 01, 2024 - Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) Grant Final Report Grant ID: R01HS015164 Toward an Optimal Patient Safety Information System (TOPSIS) Inclusive Dates: 09/30/04 - 03/31/08 Principal Investigator: Richard Koss, MA Team Members: Stacey…
  4. www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
    January 01, 2024 - Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth 1 AHRQ Final Progress Report Title: What about mom? Using Administrative Data to Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth Principal In…
  5. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 4. Suntown Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case 3.…
  6. www.ahrq.gov/sites/default/files/2025-03/sarkar3-report.pdf
    January 01, 2025 - Final Progress Report: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco Ambulatory Safety CEnter for iNnovaTion (ASCENT) Final Progress Report TITLE PAGE Title: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco A…
  7. www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
    January 01, 2024 - Denominators may be for periods ranging from a month (to capture frequent events) to a year (for events that happen
  8. www.ahrq.gov/data/apcd/envscan/findings.html
    July 01, 2022 - Crossing State lines for care may happen more often in small States with limited provider workforces
  9. www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
    January 01, 2024 - But the alternative to ST-PRA is to assume the system is safe, wait for events to happen, investigate
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/mednetresourceguide/mednetresourcedguide.pdf
    October 01, 2014 - Act: Determine changes to be made and decide what will happen in the next cycle. Figure 1.
  11. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
    January 01, 2025 - It also indicates that culture change to shift such dynamics can happen but takes time, training, and
  12. www.ahrq.gov/sites/default/files/publications/files/prioritization-report_0.pdf
    January 01, 2020 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Final Contract Report Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Prepared for: Agency for Healthcare Research and …
  13. www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
    March 01, 2025 - AHRQ Summit to Address Emergency Department Boarding 2 AHRQ Summit to Address Emergency Department Boarding Technical Report e AHRQ Summit to Address Emergency Department Boarding Technical Report Prepared by Robin M. Weinick, PhD Resonant, LLC Sean Bruna, PhD, MA, MA Agen…
  14. www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
    January 01, 2013 - Summary Background Report on 2013 Retirement of Measures from the Child Core Set Summary Report Background Report on 2013 Retirement of CHIPRA Measures from the Child Core Set Prepared for: Agency for Healthcare Research and Quality Rockville, MD Prepared by: RTI International Resear…
  15. www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
    January 01, 2024 - Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care O’Connor, Patrick J. Final Report MOVES: Patient-Based Strategy to Reduce Errors in Diabetes Care Patrick J. O’Connor MD MPH, Principal Investigator Research Team Members: JoAnn Sperl-Hillen MD, Paul E. Johnson PhD†, William A. …
  16. www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
    January 01, 2024 - Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics 1. Title: Surveillance for Adverse Drug Events in Ambulatory Pediatrics Principal Investigator(s): Thomas C. Bailey (07/15/09—02/28/11) Peter M. Kilbridge (09/01/07—07/14/09) Team Members: Laura A. Noirot Richard M. Reichley …
  17. www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-executive-summary.pdf
    October 19, 2021 - AHRQ Subcommittee of the National Advisory Council on Healthcare Quality Measurement: Executive Summary AHRQ SUBCOMMITTEE OF THE NATIONAL ADVISORY COUNCIL ON HEALTHCARE QUALITY MEASUREMENT EXECUTIVE SUMMARY - 1 - …
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
    May 01, 2017 - something that I just knew was going to be the best thing for our unit and our patients, so I made it happen
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
    May 01, 2017 - something that I just knew was going to be the best thing for our unit and our patients, so I made it happen
  20. www.ahrq.gov/ncepcr/reports/primary-care-research/results.html
    January 01, 2024 - Yes, CMS and others contributed, but they were the knowledge engine that helped to make that happen.

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