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  1. 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.…
  2. 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…
  3. 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
  4. 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…
  5. 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…
  6. 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 …
  7. 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…
  8. 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…
  9. 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 …
  10. 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…
  11. 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…
  12. 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…
  13. 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…
  14. References (pdf file)

    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, …
  15. 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…
  16. 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…
  17. 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…
  18. 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
  19. 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 …
  20. 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…

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