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  1. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
    January 01, 2013 - Section 5, Tables 8 and 9 …
  2. www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
    January 01, 2025 - After obtaining PCP informed consent and prior to patient recruitment, a 1-hour educational session
  3. www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
    January 01, 2024 - Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS Project Title: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (Tailoring Interventions for Patient Safety) Principal Investigator and Team Members. Patricia C. Dykes, An…
  4. www.ahrq.gov/sites/default/files/2024-01/lannon2-report.pdf
    January 01, 2024 - effectively execute on QI activities: 1) an “Introduction to Quality Improvement” overview webinar (1 hour
  5. 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…
  6. www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
    January 01, 2024 - This was a 1-hour, web-based training session that was specifically designed for healthcare providers
  7. www.ahrq.gov/sites/default/files/2024-03/bruzzese2-report.pdf
    January 01, 2024 - Getting consistent health messages out in the world of the 24‐hour news cycle, blogs, social media and
  8. 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…
  9. www.ahrq.gov/patient-safety/reports/hotline/eval4.html
    May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events IV. Evaluation Aims, Methods, and Results Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for …
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
    February 01, 2004 - Learning from Errors in Ambulatory Pediatrics 355 Learning from Errors in Ambulatory Pediatrics Julie J. Mohr, Carole M. Lannon, Kathleen A. Thoma, Donna Woods, Eric J. Slora, Richard C. Wasserman, Lynne Uhring Abstract Background: Approximately 70 percent of pediatric care occurs in ambulatory settings, …
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
    January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach 241 Diagnostic Failure: A Cognitive and Affective Approach Pat Croskerry Abstract Diagnosis is the foundation of medicine. Effective treatment cannot begin until an accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of clinic…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
    April 20, 2004 - Prior to the BCMA reimplementation, all staff attended a 3-hour joint classroom session in which the
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
    April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…
  14. www.ahrq.gov/patient-safety/reports/hotline/design2.html
    May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events II. Hotline Design and Development Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - Module 1 What we have learned from patients and families after a serious harm event is that every hour
  16. www.ahrq.gov/sites/default/files/2024-01/joseph2-report.pdf
    January 01, 2024 - Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit Final Progress Report 1. TITLE PAGE Grant Number: 5R13HS021824-03 FAIN: R13HS021824 Principal Investigator: Anjali Joseph Project Title: Developing and disseminating a Patient Safety Risk Assessment (PSRA) toolkit …
  17. www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
    January 01, 2024 - Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community TITLE PAGE Medication List Consistency When Patients Transition from Hospital to Community Principal Investigator: Korey A. Kennelty Team Mentors: Betty Chewning, Amy Kind, David Kreling, Dave Mott, Beth Martin,…
  18. www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
    January 01, 2025 - We conducted 20 semi­ structured interviews (1 hour in length, in person or by telephone) during the
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/011-blood-culture-webinar-slides.pptx
    October 01, 2024 - Definition: One or more skin commensals are found in only one of a series of blood cultures within a 24-hour
  20. www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
    January 01, 2025 - presence of a residency program, fellowship training program, case mix, and presence of in-hospital 24-hour

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