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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Gershon_88.pdf
January 01, 2012 - Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings
Home Health Care Patients and Safety Hazards
in the Home: Preliminary Findings
Robyn R.M. Gershon, MT, MHS, DrPH; Monika Pogorzelska, MPH;
Kristine A. Qureshi, RN, DNSc; Patricia W. Stone, PhD; Allison N. Canton, BA;
Stephanie M.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
January 01, 2005 - Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation
379
Re-engineering the Hospital
Discharge: An Example of a
Multifaceted Process Evaluation
David Anthony, VK Chetty, Anand Kartha, Kathleen McKenna,
Maria Rizzo DePaoli, Brian Jack
Abstract
Introduction: The transfe…
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www.ahrq.gov/sites/default/files/2024-02/wachs1-report.pdf
January 01, 2024 - A conjugation of these three approaches was used to
design and implement our touchless system in the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
December 01, 2014 - Improving the Emergency Department Discharge Process: Environmental Scan Report
Improving the Emergency
Department Discharge Process:
Environmental Scan Report
The authors of this report are responsible for its content. Statements in the report
should not be construed as endorsement by the Agency for Healthcare…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pdf
June 16, 2016 - National Healthcare Quality and Disparities Report (QDR): Care Coordination Chartbook
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
CHARTBOOK
ON
CARE
COORDINATION
National Healthcare Quality and Disparities Report
This document is in the public domain and…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-mepsmethods.pdf
December 23, 2020 - 2019 National Healthcare Quality and Disparities Report: Detailed Methods for the Medical Expenditure Panel Survey
2019 NATIONAL HEALTHCARE
QUALITY AND DISPARITIES REPORT
Detailed Methods for the Medical Expenditure
Panel Survey
U.S. DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Agency for Healthcare …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
April 02, 2008 - Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet)
Development of a Web-Based Patient Safety
Resource: AHRQ Patient Safety Network (PSNet)
Niraj L. Sehgal, MD, MPH; Sumant R. Ranji, MD; Kaveh G. Shojania, MD;
Russ J. Cucina, MD, MS; Erin E. Hartman, MS; Lorri Zipperer, MA; Rob…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - A System to Describe and Reduce Medical Errors in Primary Care
A System to Describe and Reduce Medical Errors in
Primary Care
Victoria Kaprielian, MD; Truls Østbye, MD, PhD; Samuel Warburton, MD;
Devdutta Sangvai, MD, MBA; Lloyd Michener, MD
Abstract
Although much attention has been focused on finding wa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
October 01, 2015 - Background for AHRQ Quality Indicators
Tool A.2 Slide ‹#›
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool A.2 Slide ‹#›
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
AHRQ Quality Indicators Toolkit
Prepared by RAND and …
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www.ahrq.gov/sites/default/files/2024-09/segall-report.pdf
January 01, 2024 - Final Progress Report: Workload effects on response time to life-threatening arrhythmias
Workload effects on response time to life-threatening arrhythmias
Principal investigator: Noa Segall, PhD
Team members: Christopher Granger, MD
Melanie Wright, PhD
Gene Hobbs, CHT
Alberto Bonifacio, RN, BSN, MHA, CEN
Jeffr…
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www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
January 01, 2024 - Final Progress Report: Validation of an Innovative Approach to Error Reduction
Final Progress Report
Validation of an Innovative Approach To Error Reduction
Principal Investigator: David Blumenthal, MD, MPP
Team Members:
Carlos A. Camargo, Jr., MD, DrPH (Massachusetts General Hospital)
Paul D. Cleary, PhD (Yale…
-
www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
January 01, 2025 - Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience
28 November 2009
Title of Project Creating Safe Ambulatory Care: The Path to Resilience
Principal Investigator Christopher Nemeth, PhD
Team Members James Walter, MD
Robert Wears, MD, MS
Richard Cook, MD
Organization The University of Ch…
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www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients
FINAL REPORT
Agency for Healthcare Research and Quality
Title of Project:
Enhancing The Disclosure Of Medical Errors To Patients
Principal Investigator and Team Members:
Thomas H. Gallagher, MD
Carolyn Prouty, DVM
Mary Lucas
Organizati…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-references.pdf
October 23, 2013 - References
References
1. Berry JG, Toomey SL, Zaslavsky AM, Jha AK, Nakamura MM, Klein DJ, Feng JY,
Shulman S, Chiang VK, Kaplan W, Hall M, Schuster MA. Pediatric readmission
prevalence and variability across hospitals. JAMA. 2013;309(4):372–380.
2. Pelletier AJ, Mansbach JM, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/rf-engagement-slides-spanish.pptx
June 02, 2025 - Módulo 5: Participación de los residentes y familiares
Módulo 5: Participación de los residentes y familiares
Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI
Kit de herramientas de seguridad para cuidados a largo plazo
AHRQ Pub. No. 16(17)-0003-03-EF
Marzo de 2017
Participación de los reside…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - Communication: Severe Hypertension - PowerPoint Presentation
Communication
Severe Hypertension
Module 3 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 3 of the SPPC-II Teamwork Toolkit. In this module we will talk about communication and the various t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
April 23, 2004 - Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office
101
Best Practices in Medication Safety:
Areas for Improvement in the Primary
Care Physician’s Office
Kimberly A. Galt, Ann M. Rule, Bartholomew E. Clark,
James D. Bramble, Wendy Taylor, Kevin G. Moores
Abst…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
March 04, 2016 - The Michigan Pediatric Safety Collaboration developed a multistep process to implement
standards
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www.ahrq.gov/sites/default/files/2024-09/halpern-report.pdf
January 01, 2024 - Final Progress Report: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity
Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity
Principal Investigator: Scott D. Halpern, M.D., Ph.D.
Perelman School of Medicine, University of Pennsylvania
Other key team …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
387
The Incident Decision Tree: Guidelines for
Action Following Patient Safety Incidents
Sandra Meadows, Karen Baker, Jeremy Butler
Abstract
The National Patient Safety Agency has developed the Incident Decision Tree to
hel…