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  1. effectivehealthcare.ahrq.gov/sites/default/files/15_crosscutting_potential_high_impact_2012-12-11.pdf
    January 01, 2012 - Chicago (IL): The Urban Health Initiative, University of Chicago Medical Center [accessed 2011 Sep … Chicago (IL): The Urban Health Initiative, University of Chicago Medical Center [accessed 2011 Sep
  2. psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
    April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance Lance L. Roberts, MS; Marcia M. Ward, PhD; Thomas C. Evans, MD | April 1, 2010  Also Read a Conversation View more articles from the same authors. …
  3. digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
    January 01, 2013 - Synthesizing Lessons Learned Using Health Information Technology - Final Report Grant Final Report Grant ID: R03HS018830 Synthesizing Lessons Learned Using Health Information Technology Inclusive Project Dates: 05/01/10 – 04/30/13 Principal Investigator: Lynne S. Nemeth, PhD, RN Tea…
  4. digital.ahrq.gov/sites/default/files/docs/citation/r36hs021976-gatwood-final-report-2014.pdf
    January 01, 2014 - Targeting Medication Nonadherence Using Mobile Phone-Based Tailored Messaging - FInal Report Targeting Medication Nonadherence…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60611/psn-pdf
    June 24, 2020 - Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing June 24, 2020 Giannini J, Wong M, Dager W, et al. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk…
  6. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-presenters-notes.pdf
    January 13, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 3 Communication - Facilitator’s Notes Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                        …
  7. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-communication.pptx
    January 13, 2022 - Module 3: Communication Module 3 Communication To Improve Diagnosis TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 3, Communication To Improve Diagnosis, that you will review as the facilitator. Individuals who plan to take the …
  8. www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
    December 01, 2012 - Implement Teamwork and Communication: Facilitator Notes The Implement Teamwork and Communication module of the CUSP Toolkit will help you to identify barriers to communication. Contents Slide 1. Cover Slide Slide 2. Learning Objectives Slide 3. Basic Components and Process of Communication 2 Slide 4…
  9. Highlight03 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight03.pdf
    September 08, 2015 - The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for children enrolled in Medicaid and the Children’s Health Insurance Program (CHIP). Funded by the Children’s Health I…
  10. www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
    January 01, 2025 - Final Progress Report: Center for Safety In Emergency Care Center for Safety In Emergency Care Final Progress Report Principal Investigator Robert L Wears, MD, MS Team Members Christopher Beach, MD Ravi Behara, PhD Patrick Croskerry, MD, PhD Shawna J Perry, MD Marc Shapir…
  11. psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
    May 01, 2009 - In Conversation with…William B. Weeks, MD, MBA May 1, 2009  Also Read an Essay Citation Text: In Conversation with…William B. Weeks, MD, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
  12. psnet.ahrq.gov/web-mm/stroke-error
    February 01, 2016 - SPOTLIGHT CASE A Stroke of Error Citation Text: Barrett KM. A Stroke of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60363/psn-pdf
    March 01, 2021 - Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs Originally published on June 12, 2020 Last updated on January 11, 2021 https://psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex- postdischarge-needs Summary Under a program kn…
  14. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-2-team-leadership-facilitator-guide.pdf
    June 02, 2025 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 2 Video-Based Simulation: Facilitator Guide Team Leadership Briefs, Huddles, and Debriefs TeamSTEPPS Training Curriculum …
  15. effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-protocol.pdf
    January 01, 2024 - Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care Evidence-based Practice Center Rapid Review Protocol Project Title: Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care Review Question…
  16. effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-topics_methods.pdf
    July 01, 2012 - Methods Guide for Medical Test Reviews Chapter 2 2-1 Chapter 2 Developing the Topic and Structuring Systematic Reviews of Medical Tests: Utility of PICOTS, Analytic Frameworks, Decision Trees, and Other Frameworks David Samson, M.S., Blue Cross and Blue Shield Association Karen M. Schoelles M.D., S.…
  17. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency NPSD Data Spotlight This document is in the public domain and may b…
  18. www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
    January 01, 2025 - Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) 1. Title Page Title: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) Principal Investigator and Team Members Research Team UCSF Andrew Auerbach, MD, MPH (PI) Tiffany Lee, BA Gilmer Valdes, PhD, DABR Colin Hubbard, Ph…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
    February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense 235 Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense Mary Ann Davis, Geoffrey W. Rake Abstract Objective: As a result of the Institute of Medicine (IOM) report, To…
  20. effectivehealthcare.ahrq.gov/sites/default/files/pdf/autism_research-protocol.pdf
    December 09, 2009 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: December 7, 2009 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Therapies for Children with Autism Spectrum Disorders I. Backgrou…