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  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room Patient Identification Errors in the Operating Room 11-1 11. Patient Identification Errors in the Operating Room Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H. Introduction In the first Making Health Care Safer …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
    January 01, 2002 - Organizational Climate, Stress, and Error in Primary Care: The MEMO Study 65 Organizational Climate, Stress, and Error in Primary Care: The MEMO Study* Mark Linzer, Linda Baier Manwell, Marlon Mundt, Eric Williams, Ann Maguire, Julia McMurray, Mary Beth Plane* Abstract Background: The impact of organizatio…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
    January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator 39 Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objective: Evaluate the A…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
    January 01, 2003 - The Use of Surgical Simulators to Reduce Errors 165 The Use of Surgical Simulators to Reduce Errors Marvin P. Fried, Richard Satava, Suzanne Weghorst, Anthony Gallagher, Clarence Sasaki, Douglas Ross, Mika Sinanan, Hernando Cuellar, Jose I. Uribe, Michael Zeltsan, Harman Arora Abstract The training of…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
    January 01, 2021 - Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard rds Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard Carolyn E. Aydin, PhD; Linda Burnes Bolton, DrPH, RN, FAAN; Nancy Donaldson, DNSc, RN, FAAN; Diane Storer Brown, PhD, RN, FN…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
    April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care Minding the Gaps: Creating Resilience in Health Care Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD; Richard Cook, MD Abstract Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
    March 03, 2008 - The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems Gregg S. Meyer, MD, MSc; David F. Torchiana, MD; Deborah Colton; James Mountford, MB, BCh; Elizabeth Mort, MD; Sarah Lenz; Nancy Gagliano, MD; Elizabet…
  8. www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
    July 01, 2010 - Ambulatory Safety and Quality Program: Health IT Portfolio AHRQ’s Ambulatory Safety and Quality Program: Health IT Portfolio P R O G R A M B R I E F The mission of AHRQ is to improve the quality, safety, efficiency, and effectiveness of health care by: • Using evidence to improve health care. • Improving health …
  9. www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
    January 01, 2024 - Final Progress Report: Drug-Drug Interaction Clinical Decision Support Conference Series Drug-Drug Interaction Clinical Decision Support Conference Series Investigators: Daniel C. Malone, RPh, PhD, Principal Investigator Mary L. Brown, PhD, Co-Investigator Lisa E. Hines, PharmD, Co-Investigator Amy Grizzle, Pha…
  10. www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
    January 01, 2025 - Final Progress Report: NPSF Joint Medical-Legal Conference at SMU Final Progress Report NPSF Joint Medical-Legal Conference at SMU October 27 – 29, 2003 Principal Investigator: John J. Nance, JD Team members: Thomas Wm. Mayo, JD Robert Krawisz Deborah Cummins, PhD Organization: National Patient Safety Found…
  11. www.ahrq.gov/sites/default/files/2025-02/lofland-report.pdf
    January 01, 2025 - Final Progress Report: Patient Focused Outcomes: Quality of Life and Lost Productivity PATIENT FOCUSED OUTCOMES: QUALITY OF LIFE AND LOST PRODUCTIVITY Jennifer H. Lofland, PharmD, MPH, PhD Principal Investigator1, David B. Nash, MD, MBA Co-Mentor1, Donald Steinwachs, PhD Co-Mentor2, Kevin D. Frick, PhD Thesis Advi…
  12. www.ahrq.gov/sites/default/files/2024-07/madison-report.pdf
    January 01, 2024 - Final Progress Report: Stakeholder Summit: Setting a Quality Improvement Research Agenda To Leverage HIT/HIM in Rural America Setting a Quality Improvement Research Agenda to Leverage HIT/HIM in Rural America A National Stakeholder Summit April 22 - 23, 2010 Alexandria, VA Final Progress Report Principal Inv…
  13. www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
    January 01, 2025 - Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners FINAL PROGRESS REPORT Bridging the Gap between EMS and Health Services Research: A Conference for Researchers an d Practitioners Project Team Members* Derek DeLia, PhD, Principal …
  14. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results-appendix.pdf
    January 01, 2025 - 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results: Appendix—Results by Respondent Characteristics 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results Appendix—Results by Respondent Characteristics Prepar…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
    July 18, 2008 - Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies John S. Webster, MD, MBA; Heidi B. …
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti.pdf
    January 01, 2019 - Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part I 2019 User Database Report Community Pharmacy Survey on Patient Safety Culture The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Health…
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
    April 01, 2018 - Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease 1 Appropriate Emergency Department Pain Assessment for Children with Sickle Cell Disease Section 1. Basic Measure Information 1.A. Measure Name Appropriate Emergency Department Pain Assessment for Children with Sickle Cell D…
  18. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
    December 01, 2021 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part I SURVEYS ON PATIENT SAFETY CULTURE™ Surveys on Patient Safety Culture™ Ambulatory Surgery Center Survey: 2021 User Database Report e PATIENT SAFETY [This page is intentionally left blank] Surveys o…
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti-rev091721.pdf
    January 01, 2019 - Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part I 2019 User Database Report Community Pharmacy Survey on Patient Safety Culture The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Health…
  20. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/CaseStudyPatientExperience_July2011FINAL_revised20110728.pdf
    July 01, 2011 - This emphasis has helped to support the practice manager by signaling a wider commitment to the goal … Survey data helped to corroborate the existence of a problem.

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