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  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
    December 01, 2021 - developed through a national collaborative process as part of the Child and Adolescent Health Measurement Initiative
  2. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
    June 01, 2020 - 7 The tool includes an action plan template that your organization can use to document goals, initiative
  3. www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
    January 01, 2024 - AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance AHRQ GRANT FINAL PROGRESS REPORT Title: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance Principal Investigator:  Geb W. Thomas, Ph.D. Professor of Mechanical & Industrial Engineering The Universit…
  4. www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
    January 01, 2025 - Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers Final Report October 31, 2012 Principal Investigator: Donna Woods, PhD, EdM Team Members: Jane Holl, MD, MPH; Abel Kho, MD; Michael Kelleher, MD; Rann…
  5. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-Compendium-TechDoc-rev.pdf
    January 01, 2020 - Health Systems, 2020, Technical Documentation Comparative Health System Performance Initiative: … for Healthcare Research and Quality (AHRQ) created the Comparative Health System Performance (CHSP) Initiative … AHRQ supports the ongoing work of the CHSP Initiative by providing the Compendium of U.S. … i Additional information on the CHSP Initiative can be found at: https://www.ahrq.gov/chsp/index.html … Comparative Health System Performance Initiative: Compendium of U.S.
  6. www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
    March 01, 2016 - Agency’s ‘Chartered Value Exchange’ learning network and currently works as part of AHRQ’s EvidenceNOW initiative
  7. www.ahrq.gov/sites/default/files/2024-12/doucette-report.pdf
    January 01, 2024 - Final Progress Report: Demonstration of Quality Improvement of Medication Therapy Management Services AHRQ Grant Final Report Project Title: Demonstration of Quality Improvement of Medication Therapy Management Services Principal Investigator: William R. Doucette, PhD Email: william-doucette@uiowa.edu (319) 335-8…
  8. www.ahrq.gov/patient-safety/reports/hotline/eval4.html
    May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events IV. Evaluation Aims, Methods, and Results Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for …
  9. www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
    January 01, 2024 - Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions 1 Final report-2011/11/29 (limited to 20 pages) AHRQ R03 Project Title: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions Principal Investigator (PI): Huey-Ming Tzeng, PhD, RN, FAAN,…
  10. www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
    January 01, 2024 - Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System 1 An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System Principal Investigator: Tanya Lord Roger Luckmann, MPH, MD, Thesis Advisor Terry Field, DSc, Chair of Committee Robe…
  11. www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…
  12. www.ahrq.gov/sites/default/files/2024-07/middleton-wald-report.pdf
    January 01, 2024 - Final Progress Report: Shared Online Health Records for Patient Safety and Care FINAL REPORT: December, 18th 2007 Shared Online Health Records for Patient Safety and Care Principal Investigator: Blackford Middleton, MD, MPH, MSc; bmiddleton1@partners.org Brigham and Women’s Hospital Blackford Middleton, MD, MPH,…
  13. www.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
    January 01, 2024 - Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) Advancing Patient Safety Innovation in Rheumatology (ASPIRE) Principal Investigator: Jinoos Yazdany, MD, MPH Co-investigators: Gabriela Schmajuk, MD, MSc Urmimala Sarkar, MD, MPH R. Adams Dudley, MD, MBA Stephen Shiboski, PhD De…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
    March 01, 2004 - Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes 245 Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes Mark Van Tuinen, Susan Elder, Carolyn Link, Susan Li, John H. Song, Tracey Pritchett Abstract Objectives: This study estimated the validity of 2…
  15. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
    January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach 241 Diagnostic Failure: A Cognitive and Affective Approach Pat Croskerry Abstract Diagnosis is the foundation of medicine. Effective treatment cannot begin until an accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of clinic…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
    January 01, 2004 - Observing Nurse Interaction with Infusion Pump Technologies 349 Observing Nurse Interaction with Infusion Pump Technologies Pascale Carayon, Tosha B. Wetterneck, Ann Schoofs Hundt, Mustafa Ozkaynak, Prashant Ram, Joshua DeSilvey, Brian Hicks, Tanita L. Robert, Myra Enloe, Rupa Sheth, Sade Sobande Abstract…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
    April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
    June 16, 2008 - Development of a Comprehensive Medical Error Ontology Development of a Comprehensive Medical Error Ontology Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD; Jiajie Zhang, PhD; James P. Turley, RN, PhD Abstract A critical step towards reducing errors in health care …
  20. www.ahrq.gov/sites/default/files/2024-04/pines-mccarthy-report.pdf
    January 01, 2024 - In the province of Toronto, Canada has implemented a pay-for-performance initiative to incentivize

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