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www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
January 01, 2024 - Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety
FINAL PROGRESS REPORT
PROJECT TITLE: A PILOT STUDY FOR INTEGRATING FACILITY INFORMATION WITH
HEALTHCARE INFORMATION TO IMPROVE PATIENT SAFETY
PRINCIPAL INVESTIGATOR: DR C. J. ANUMBA (Penn…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
July 01, 2023 - Implementing the SPPC‐II Teamwork Toolkit
Hospital AIM
Team
Leads
SPPC‐II
Implementing the
SPPC‐II Teamwork Toolkit
Module 7 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 7 of the SPPC‐II Teamwork Toolkit. In this module, we’ll discuss
tactics and planning for the SPPC‐II Teamwork Toolkit implementation…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
July 01, 2023 - Implementing the SPPC-II Teamwork Toolkit
Hospital AI
Tea
Lea
SPPC‐
M
m
ds
II
Implementing the
SPPC‐II Teamwork Toolkit
Module 7 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 7 of the SPPC‐II Teamwork Toolkit. In this module, we’ll discuss
tactics and planning for the SPPC‐II Teamwork Toolkit implement…
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
April 01, 2025 - Improving Healthcare Safety by Enhancing Healthcare Facility Design
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Healthcare Facility Design
Overview
Research has shown that optimizing the physical, functional, and aesthetic details of healthcare facilitiesi
(e.g., units,…
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www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html
March 01, 2021 - Meeting Minutes, November 2020
Minutes from the November 10, 2020, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
( Virtual Meeting )
Contents
Summary
Call to Order and Approval of July 14, 2020, Meeting Summary
Overview and Recent AHRQ Accomplishments
AHRQ …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
January 10, 2005 - Cost Effectiveness of a Multifaceted Program for Safe Patient Handling
347
Cost Effectiveness of a Multifaceted
Program for Safe Patient Handling
Kris Siddharthan, Audrey Nelson, Hope Tiesman, FangFei Chen
Abstract
Objective: The Patient Safety Center in the Veterans Health Administration
(VHA) introduced …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
January 01, 2003 - The Use of Surgical Simulators to Reduce Errors
165
The Use of Surgical Simulators
to Reduce Errors
Marvin P. Fried, Richard Satava, Suzanne Weghorst,
Anthony Gallagher, Clarence Sasaki, Douglas Ross,
Mika Sinanan, Hernando Cuellar, Jose I. Uribe,
Michael Zeltsan, Harman Arora
Abstract
The training of…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
April 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety
269
The University of Wisconsin-Madison
Multidisciplinary Graduate
Certificate in Patient Safety
Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski,
Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
February 19, 2008 - Creating Safety in the Testing Process in Primary Care Offices
Creating Safety in the Testing Process
in Primary Care Offices
Nancy C. Elder, MD, MSPH; Timothy R. McEwen; John M. Flach, PhD;
Jennie J. Gallimore, PhD
Abstract
Background: The testing process in primary care is complex, and it varies from o…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
March 21, 2008 - Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study
Medication Management Transactions and Errors
in Family Medicine Offices: A Pilot Study
John Lynch, MPH; Jonathan Rosen, MD; H. Andrew Selinger, MD; John Hickner, MD, MSc
Abstract
Objective: The objective of this study wa…
-
www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
January 01, 2025 - Final Progress Report: The National Quality Forum National Annual Policy Conference 2007
The National Quality Forum
National Annual Policy Conference 2007
Principal Investigator: Dianne Feeney
Team Members: L. Gorban, B. Theil, L. Murray, L.
Thompson
08/01/07– 07/31/08
Federal Project Officer: Kare…
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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…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults
Reducing Adverse Drug Events in Older Adults 9-1
9. Reducing Adverse Drug Events in Older Adults
Authors: Tara R. Earl, Ph.D., M.S.W., Nicole D. Katapodis, M.P.H., and Stephanie R. Schneiderman, M.P.P.
Reviewers: Scott Winiecki, M.D…
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-summitsummary.pdf
September 01, 2025 - Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Summit Summary Report
Person-Centered Care Planning for
Persons With Multiple Chronic
Conditions
Summit Summary Report
Executive Summary
Background and Objectives
Person-centered care planning (PCCP) is “a process of active
co…
-
www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
July 01, 2022 - Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events
Measure DX:
A Resource to Identify, Analyze, and
Learn From Diagnostic Safety Events
PATIENT
SAFETY
e
This page is intentionally blank.
Measure Dx
A Resource To Identify, Analyze, and Learn From
Diagnostic Safety Events
…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdf
May 01, 2024 - Person-Centered Preventive Healthcare: Engaging in Challenging Conversations about Screening
Person-Centered Preventive Healthcare:
Engaging in Challenging Conversations about Screening
Prepared for
Agency for Healthcare Research and Quality
Center for Evidence and Practice Improvement
Prepared by …
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
July 01, 2022 - Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events
Measure DX:
A Resource to Identify, Analyze, and
Learn From Diagnostic Safety Events
PATIENT
SAFETY
e
This page is intentionally blank.
Measure Dx
A Resource To Identify, Analyze, and Learn From
Diagnostic Safety Events
…
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www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging
Agency for Healthcare Quality and Research
Research Grant Final Report
December 5, 2024
Watchful Waiting as a Strategy for Reducing Low-valu…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/research/survey-administration-literature-review.pdf
October 01, 2017 - CAHPS Survey Administration: What We Know and Potential Research Questions
CAHPS Survey Administration:
What We Know and Potential
Research Questions
October 2017
The content of this document may be used and reprinted without permission except for the following:
Federal Government logos, items noted …
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/chsp-annual-workshop1-slides.pdf
September 29, 2016 - AHRQ Comparative Health System Performance Initiative: Annual Workshop
AHRQ Comparative Health System
Performance Initiative
Annual Workshop
Presentation at AHRQ Headquarters
Rockville, Maryland
September 29, 2016
Mathematica Policy Research
22
Agenda for the Day
• Welcome (9:00–9:20)
• CoE updates and pr…