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  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23459-McCarthy-draft-1.pdf
    July 01, 2019 - Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use Title Page EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use Principal Investigator: Danielle M. McCarthy, MD, MS Co-Investigators: Mike S. Wolf, PhD, MPH, Kenzie A. Cameron, PhD, MP…
  2. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/24914-Friese-report.pdf
    August 31, 2020 - Final Progress Report: 1. TITLE PAGE Title of Project: Communication Processes, Technology, and Patient Safety in Ambulatory Oncology Settings Principal Investigator: Christopher R. Friese, PhD, RN, AOCN®, FAAN Team Members: Louise Bedard, MSN, MBA Alex J. Fauer, PhD, RN, OCN® Jennifer J. Griggs, MD, MPH, FAC…
  3. www.ahrq.gov/sites/default/files/2025-04/marin-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization Title of Project: Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilizati…
  4. www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
    January 01, 2024 - Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use Title Page EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use Principal Investigator: Danielle M. McCarthy, MD, MS Co-Investigators: Mike S. Wolf, PhD, MPH, Kenzie A. Cameron, PhD, MP…
  5. www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
    April 01, 2013 - Organizational Embrace of CUSP to Improve Patient Safety (Transcript) March 20, 2012 Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions. At that ti…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
    January 01, 2005 - The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care 247 The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care Kimberly A. Galt, Ann M. Rule, Wendy Taylor, Mark Siracuse, J.D. Bramble, Eugene C. Rich, Wayne Young, Bartholomew Clark, Bruce Hough…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Leonhardt_35.pdf
    March 15, 2008 - Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach Kathryn Kraft Leonhardt, MD, MPH; Patti Pagel, RN; Deborah Bonin, RHIA, CPHQ; D. Paul Moberg, PhD; Mitchell L. Dv…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
    March 28, 2008 - Using Data Mining to Predict Errors in Chronic Disease Care Using Data Mining to Predict Errors in Chronic Disease Care Ryan M. McCabe; Gediminas Adomavicius, PhD; Paul E. Johnson, PhD; Gregory Ramsey; Emily Rund; William A. Rush, PhD; Patrick J. O’Connor, MD, MPH; JoAnn Sperl-Hillen, MD Abstract Develop…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
    April 04, 2008 - Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration Stephanie L. Shimada, PhD; Maria E. Montez-Rath, PhD; Susan A. Loveland, MAT; Shibei Zhao, MPH; Nancy R. Kressin, PhD; A…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
    June 15, 2005 - Developing a Community-Wide Electronic Shared Medication List Developing a Community-Wide Electronic Shared Medication List Ron Stock, MD; Eldon R. Mahoney, PhD; Dawn Gauthier, MIS; Linda Center; Mary Minniti, CPHQ; James Scott, MD; Marc Pierson, MD; Lori Nichols Abstract This study demonstrates the feasib…
  11. www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
    January 01, 2024 - Final Progress Report: 1. TITLE PAGE Title of Project: Communication Processes, Technology, and Patient Safety in Ambulatory Oncology Settings Principal Investigator: Christopher R. Friese, PhD, RN, AOCN®, FAAN Team Members: Louise Bedard, MSN, MBA Alex J. Fauer, PhD, RN, OCN® Jennifer J. Griggs, MD, MPH, FAC…
  12. www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
    January 01, 2025 - Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) Title: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) Principal Investigator: Lance R. Peterson, MD Team Members: Ari Robicsek, MD, Jenni…
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/046-evidence-behind-decolonization-strategies-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention The Evidence Behind Decolonization Strategies for MRSA ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU The Evidence Behind Decolonization 1 Educational Objectives Discuss the imp…
  14. www.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Transitional Care Medication Safety: Stakeholders' Perspectives Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability …
  15. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dxsafety-facilitators-guide.pdf
    February 04, 2022 - TeamSTEPPS for Improving Diagnosis Facilitator's Guide TeamSTEPPS® for Diagnosis Improvement Facilitator’s Guide This page is intentionally blank. Contents Introduction: TeamSTEPPS for Diagnosis Improvement ........................................................1 TeamSTEPPS for Diagnosis Improvement Course …
  16. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
    February 04, 2022 - TeamSTEPPS for Improving Diagnosis Facilitator's Guide TeamSTEPPS® for Diagnosis Improvement Facilitator’s Guide This page is intentionally blank. Contents Introduction: TeamSTEPPS for Diagnosis Improvement ........................................................1 TeamSTEPPS for Diagnosis Improvement Course …
  17. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 10. Harms Due to Opioids Harms Due to Opioids 10-1 10. Harms Due to Opioids Authors: Sarah J. Shoemaker-Hunt Pharm.D., Ph.D., Cori Sheedy Ph.D., and Brandy Wyant, M.P.H., M.S.W. Reviewer: Scott Winiecki, M.D. Introduction Background Prescription opioids are commonly used i…
  18. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2017qdrslides110718.pptx
    January 01, 2018 - 2014 National Healthcare Quality and Disparities Report 2017 National Healthcare Quality and Disparities Report This presentation contains notes. Select View, then Notes page to read them. 1 Key Findings Related to Access and Priorities Access to health care generally did not show significant improvement, but t…
  19. www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
    January 01, 2024 - Adverse events are defined as undesirable or unintended incidents in care that may result in adverse
  20. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
    April 30, 2025 - Results showed that the more effective the coordinating team was, the fewer total and injurious fall incidents

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