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www.ahrq.gov/sites/default/files/2025-05/mello-thoms-report.pdf January 01, 2025 - Final Progress Report: MammoTutor: An Internet-Based Computer Tutoring System to Teach General Radiologists the Early Signs of Breast Cancer
Title of Project:
MammoTutor: An Internet-Based Computer Tutoring System to Teach General 
Radiologists the Early Signs of Breast Cancer
Principal Investigator and Team Member…  
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www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia
5R01HS018413-02 REVISED Tanner CM 
I 
FINAL PROGRESS REPORT
Project Title:
Principal Investigator:
Team Members:
Project Dates:
Federal Project Officer:
Acknowledgment of Agency Support 
and Grant Number:
DIAGNOSTIC ERROR IN DYSTONIA
Tanner, Caroline M., MD, …  
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www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirementapd.html July 01, 2018 - Background Report on 2013 Retirement of Measures from the Child Core Set 
 Appendix D.  
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents 
 
 Background Report on 2013 Retirement of Measures from the Child Core Set 
 Abstract 
 Background 
 Methods 
 Results 
 Conclusions 
 References 
 Appendix A.  
 Appendix B.…  
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism 
 Chapter 6. Track Performance with Metrics 
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents 
 
 Preventing Hospital-Associated Venous Thromboembolism 
 Preface 
 Executive Summary 
 Chapter 1. The Framework for Improvement 
 Chapter 2. Analyze Care Delivery …  
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide6.html May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism 
 Chapter 6. Track Performance with Metrics 
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents 
 
 Preventing Hospital-Associated Venous Thromboembolism 
 Preface 
 Executive Summary 
 Chapter 1. The Framework for Improvement 
 Chapter 2. Analyze Care Delivery …  
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers 
 Appendix A, Pt. 3 
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents 
 
 Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers 
 Executive Summary 
 Chapter 1. Introduction 
 Chapter 2. ST-PRA Developm…  
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www.ahrq.gov/faqs/index.html?page=4 June 12, 2025 - Feedback and communication about incidents. 
 Handoffs. 
 Management support for resident safety. 
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf March 01, 2004 - This new system 
permits pilots to report incidents to their own companies with the same 
limited immunity … Errors, 
incidents and accidents in anaesthetic practice. 
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www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf January 01, 2024 - Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program
Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program
Principal Investigator: David J. Taber, PharmD, MS, BCPS 
Professor 
Medical University of South Carolina 
Department of Surgery 
96 J…  
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www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf January 01, 2024 - 3
FINAL REPORT NARRATIVE
Purpose
Hospital inpatient falls are among the most frequently reported incidents … Each hospital 
has its own form to document fall 
incidents. … Each hospital has its own 
form to document fall incidents. 
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www.ahrq.gov/sites/default/files/2024-04/eskandari-raval-report.pdf January 01, 2024 - Final Progress Report: Illinois Surgical Quality Improvement Collaboration Conference: Venous Thromboembolism
FINAL PROGRESS REPORT
Title of Project:
Illinois Surgical Quality Improvement Collaboration Conference: Venous 
Thromboembolism
Principal Investigator and Team Members:
Mark Eskandari, MD 
Mehul Raval, M…  
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-hospital-survey-workplace-item-set-webcast-wilson-gerdt.pdf January 01, 2022 - community partners, 
hospital-based programs 
and others to prevent 
ongoing or future 
violent incidents 
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html July 01, 2023 - Responding to patient safety incidents: the "seven pillars." 
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators 
How To Improve Hospital Quality and Safety 
 1 Tool D.4i 
Selected Best Practices and Suggestions for Improvement 
PDI 11: Postoperative Wound Dehiscence 
Why focus on postoperative wound dehiscence in…  
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators 
How To Improve Hospital Quality and Safety 
 1 Tool D.4w 
Selected Best Practices and Suggestions for Improvement 
PDI 11: Postoperative Wound Dehiscence 
Why focus on postoperative wound dehiscence in children?…  
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf March 01, 2020 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae
Carbapenem-Resistant Enterobacteriaceae 6-1 
6. Carbapenem-Resistant Enterobacteriaceae
Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H. 
Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D. 
Introduction 
Background 
Carbapenem-resistant Enterobacteria…  
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www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf January 01, 2024 - employed methods that we had developed and tested in previous 
investigations relating to drug-related incidents … Trial Outcomes: The clinical pharmacist investigators identified a total of 192 possible drug-related 
incidents 
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-6.pdf December 14, 2010 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-6
Completed by: 
 Page 1 12/14/2010 
MEASURE SUMMARY  
CHIPRA Core Set Candidate Measures 
A. Control #:  PHP-6 
B. Measure Name:  Adolescent Immunization 
C. Measure Definition 
a. Numerator: Number of adolescents 13 years of age who had one…  
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp6.pdf May 01, 2013 - Volume 6. Concordance Between the Findings of Epidemiological Studies and Randomized Trials in Nutrition: An Empirical Evaluation and Citation Analysis
Technical Review 17 
 
 
Nutritional Research Series 
 
Volume 6: Concordance Between the Findings 
of Epidemiological Studies and Randomized Trials 
in Nutrition: An…  
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www.ahrq.gov/hai/cusp/modules/patient-family-engagement/alt-text-tab.html September 01, 2013 - Responding to patient safety incidents: the ‘seven pillars.’ Qual Saf Health Care 2010;19:e11.